Evidence map›Paper›PMID 42683154›Full record

ReviewActa ortopedica brasileira2026

EVIDENCE-BASED REVIEW & RECOMMENDATIONS FROM THE BRAZILIAN SOCIETY OF SHOULDER AND ELBOW SURGERY: HYALURONIC ACID VERSUS CORTICOSTEROID INJECTIONS FOR SHOULDER OSTEOARTHRITIS.

Paulo Henrique Schmidt Lara, Paulo Santoro Belangero, Márcio Schiefer, Leonardo Zanesco, Marcos Rassi Fernandes, Joel Murachovsky, João Felipe de Medeiros, Eduardo Angeli Malavolta

Abstract readReview
In one paragraph

Review in Acta ortopedica brasileira, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Paulo Henrique Schmidt LaraEscola Paulista de Medicina, UNIFESP, Sao Paulo, SP, Brazil.ORCID https://orcid.org/0000-0002-1623-2071
Paulo Santoro BelangeroEscola Paulista de Medicina, UNIFESP, Sao Paulo, SP, Brazil.ORCID https://orcid.org/0000-0003-4441-4742
Márcio SchieferInstituto Nacional de Traumatologia e Ortopedia Jamil Haddad (INTO), Rio de Janeiro, RJ, Brazil.ORCID https://orcid.org/0000-0003-2785-8261
Leonardo ZanescoUniversidade de Sao Paulo, Faculdade de Medicina, Hospital das Clinicas (HCFMUSP), Sao Paulo, SP, Brazil.ORCID https://orcid.org/0000-0002-3554-7298
Marcos Rassi FernandesUniversidade Federal de Goias, Faculdade de Medicina, Goiania, GO, Brazil.ORCID https://orcid.org/0000-0001-8078-528X
Joel MurachovskyFaculdade de Medicina do ABC, Santo Andre, SP, Brazil.ORCID https://orcid.org/0000-0003-1812-8566
João Felipe de MedeirosUniversidade Federal do Rio Grande do Norte, Natal, RN, Brazil.ORCID https://orcid.org/0000-0002-4745-4566
Eduardo Angeli MalavoltaUniversidade de Sao Paulo, Faculdade de Medicina, Hospital das Clinicas (HCFMUSP), Sao Paulo, SP, Brazil.ORCID https://orcid.org/0000-0003-1956-6445

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Shoulder osteoarthritis is an inflammatory and degenerative condition affecting the joint between the humeral head and the glenoid. It is estimated to affect up to 20% of patients aged 60 or older. In our setting, the use of hyaluronic acid is becoming increasingly employed for the treatment of shoulder osteoarthritis. Therefore, this consensus aims to review the current literature to determine whether treatment with hyaluronic acid infiltration is more effective than corticosteroid infiltration in terms of pain outcome for the treatment of shoulder osteoarthritis in adults. Methods: A systematic review of the literature was conducted in the Pubmed, Embase, Cochrane Library and BVS databases up to November 2025, aiming to evaluate whether intra-articular injection with hyaluronic acid is more effective than with corticosteroids for the treatment of shoulder osteoarthritis in adults. Results: The systematic review concluded that hyaluronic acid infiltration is more effective than corticosteroid infiltration for pain and function outcomes, mainly after six months post-infiltration. Conclusion: There is evidence, albeit of very low quality, demonstrating that hyaluronic acid injections are more effective than corticosteroid injections for the treatment of shoulder osteoarthritis, with the best results for both treatment modalities occurring in mild to moderate cases of shoulder osteoarthritis.

Indexed as

CorticosteroidHyaluronic AcidOsteoarthritisShoulder

Identifiers

PMID42683154
PMCPMC13532873

What OpenQuestion holds

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Read underepoch 390

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.