ArticleInternational orthopaedics2022
Clinical and structural outcome of intra-articular steroid injection for early stiffness after arthroscopic rotator cuff repair.
Article in International orthopaedics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 13 citations in OpenAlex.
- Timing of corticosteroid injection within 1 year prior to rotator cuff repair was not associated with increased risk of repair failure.JSES international · 2026Article
- Clinical analysis of arthroscopic modified Mason-Allen suture in the repair of delaminated rotator cuff tears.BMC musculoskeletal disorders · 2025Article
- Types and doses of anti-adhesive agents injected into subacromial space do not have an effect on the clinical and anatomical outcomes after arthroscopic rotator cuff repair.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Return to Sports Activity After Reverse Total Shoulder Arthroplasty.Orthopaedic journal of sports medicine · 2023Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeDirect comparative results of patients with early stiffness after arthroscopic rotator cuff repair (ARCR) with and without steroid injection are still unclear. This study aimed to evaluate the clinical and structural effect of intra-articular steroid injection for early stiffness after ARCR.
methodsFrom 2011 and 2016, a total of 417 patients who underwent ARCR for less than medium-sized tears with 35.8 ± 22.6 months follow-up were retrospectively analyzed. Patients with shoulder stiffness [forward flexion (FF) < 120˚] or pain at 2 months after ARCR were performed intra-articular steroid injection, and four groups were established [+ stiffness/ + injection (SI, 158 patients), + stiffness/-injection (SNI, 92 patients), -stiffness/ + injection (NSI, 33 patients), and -stiffness/-injection (NSNI, 134 patients)]. Shoulder range-of-motion (ROM) and functional score changes for over two years were analyzed, and six month tendon integrity were evaluated using magnetic resonance imaging.
resultsComparing SI and SNI group, ROM (except internal rotation) and functional score changes did not differ during the early period (2-6 and 2-12 months). However, comparing whether steroid injected (SI/NSI) or not (SNI/NSNI), the formers showed significantly higher improvement of both ROM and functional scores during the early and late period (2-24 months). A six month tendon integrity was not different across four groups and whether steroid injected or not.
conclusionsIntra-articular steroid injections do not appear to have a short-term clinical improving effect by comparing patients with stiff shoulders after ARCR with and without steroid injections. However, intra-articular steroid injection at two months after ARCR did not affect the tendon integrity at post-operative six months.
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