Bhatia M, Singh B, Nicolaou N, Ravikumar K J
Department of Trauma and Orthopaedics, Maidstone District General Hospital, Maidstone, UK.
Ann R Coll Surg Engl. 2009 Jul;91(5):414-6. doi: 10.1308/003588409X428261. Epub 2009 Apr 30.
Concern exists regarding potential damage to the rotator cuff from repeated corticosteroid injections into the subacromial space.
In this retrospective, case-controlled study, 230 consecutive patients presenting to three orthopaedic units with subacromial impingement and investigated as an end-point with magnetic resonance imaging (MRI) of the shoulder were divided into groups having received less than three or three or more subacromial injections of corticosteroids.
With no significant difference in age and sex distribution, analysis by MRI showed no significant difference between the two groups in the incidence of rotator cuff tear (P < 1.0).
This suggests that corticosteroid use in patients with subacromial impingement should not be considered a causative factor in rotator cuff tears.
对于反复在肩峰下间隙注射皮质类固醇可能对肩袖造成的潜在损害存在担忧。
在这项回顾性病例对照研究中，连续230例因肩峰下撞击症就诊于三个骨科科室并接受肩部磁共振成像（MRI）作为终点检查的患者，被分为接受少于三次或三次及以上肩峰下皮质类固醇注射的组。
在年龄和性别分布无显著差异的情况下，MRI分析显示两组肩袖撕裂的发生率无显著差异（P < 1.0）。
这表明在肩峰下撞击症患者中使用皮质类固醇不应被视为肩袖撕裂的致病因素。
