Evidence map›Paper›PMID 26889467›Full record

ArticleJoints

Intra-articular glenohumeral injections of HYADD®4-G for the treatment of painful shoulder osteoarthritis: a prospective multicenter, open-label trial.

Giuseppe Porcellini, Giovanni Merolla, Nicola Giordan, Paolo Paladini, Andrea Burini, Eugenio Cesari, Alessandro Castagna

Open access · hybridAbstract read
In one paragraph

Article in Joints. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 21 citations in OpenAlex.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Giuseppe PorcelliniUnit of Shoulder and Elbow Surgery, D. Cervesi Hospital, Cattolica (RN), AUSL della Romagna Ambito Rimini, Italy.
Giovanni MerollaUnit of Shoulder and Elbow Surgery, D. Cervesi Hospital, Cattolica (RN), AUSL della Romagna Ambito Rimini, Italy; "Marco Simoncelli" Biomechanics Laboratory D. Cervesi Hospital, Cattolica (RN), AUSL della Romagna Ambito Rimini, Italy.
Nicola GiordanResearch and Development Department - Fidia Farmaceutici SpA, Abano Terme (PD), Italy.
Paolo PaladiniUnit of Shoulder and Elbow Surgery, D. Cervesi Hospital, Cattolica (RN), AUSL della Romagna Ambito Rimini, Italy.
Andrea BuriniResearch and Development Department - Fidia Farmaceutici SpA, Abano Terme (PD), Italy.
Eugenio CesariUnit of Orthopaedics, Istituto Clinico Humanitas, Rozzano (MI), Italy.
Alessandro CastagnaUnit of Orthopaedics, Istituto Clinico Humanitas, Rozzano (MI), Italy.
Ospedale Cervesi di Cattolica · ITFidia Farmaceutici (Italy) · ITFondazione Humanitas per la Ricerca · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposenumerous experimental and clinical studies in osteoarthritis (OA) have demonstrated that intra-articular (IA) administration of hyaluronic acid can improve the altered rheological properties of the synovial fluid and exert protective and reparative effects on the joint structure. The objective of this study was to evaluate the safety and performance of HYADD®4-G (Hymovis®) in patients with glenohumeral joint OA.

methodsforty-one patients with shoulder pain and limited shoulder function resulting from concentric glenohumeral joint OA were enrolled in a multicenter clinical trial. Patients received two HYADD®4-G injections administered one week apart. The main outcome measure was improvement in shoulder pain on movement at six months as assessed through a 100-mm visual analog scale (VAS), range of motion (ROM) values, and Constant-Murley Shoulder Outcome Score (CS).

resultstwo IA injections of HYADD®4-G (Hymovis®) significantly decreased pain and improved shoulder function for up to six months from the first injection. The VAS score decreased (from 66.1 mm to 37.7 mm at six months) and improvements were recorded in the total CS and in the ROM values ( rotation decreased from a mean value of 54.2° at baseline to 63.2° at six months and internal rotation from a mean value of 44.0° at baseline to 45.7° at 26 weeks). No serious adverse events occurred.

conclusionsthe study results demonstrated that two IA injections of HYADD®4-G (Hymovis®) may be a safe and effective treatment option for shoulder pain associated with glenohumeral OA and that the effects of the injections are still present for up to six months after the treatment. LEVEL OF EVIDENCE: Level IV, therapeutic case series.

Indexed as

hyaluronanintra-articular injectionsosteoarthritispainful shouldershoulder

Identifiers

PMID26889467
PMCPMC4732777
OpenAlexW2411676855

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.