Goupille P, Sibilia J
Service de Rhumatologie, C.H.U., Hôpital Trousseau, Tours, France.
Clin Exp Rheumatol. 1996 Sep-Oct;14(5):561-6.
This review discusses the efficacy of local corticosteroid injections in the treatment of rotator cuff tendinitis (except for frozen shoulder and calcific tendinitis) according to the controlled studies published in the literature.
All controlled studies (13) published between 1955 and 1993 have been included in this review. However, this work is not a metaanalysis because these studies are not comparable.
Several studies are open to criticism. Local corticosteroid injections seem to be more effective than placebo and oral non-steroidal antiinflammatory drugs, especially for pain. Several questions remain unanswered: the true position of this treatment in the therapeutic strategy of rotator cuff tendinitis, the long term efficacy and deleterious effects of local corticosteroid injections and the optimal technique and number of injections.
Local corticosteroid injections seem to be effective in the treatment of rotator cuff tendinitis. However, a controlled study more closely reflecting clinical practice is needed to confirm these data.
本综述根据文献中发表的对照研究，探讨局部注射皮质类固醇治疗肩袖肌腱炎（不包括肩周炎和钙化性肌腱炎）的疗效。
本综述纳入了1955年至1993年间发表的所有对照研究（共13项）。然而，由于这些研究缺乏可比性，本研究并非荟萃分析。
多项研究存在可批评之处。局部注射皮质类固醇似乎比安慰剂和口服非甾体抗炎药更有效，尤其是在缓解疼痛方面。仍有几个问题未得到解答：这种治疗方法在肩袖肌腱炎治疗策略中的真正地位、局部注射皮质类固醇的长期疗效和有害影响，以及最佳注射技术和注射次数。
局部注射皮质类固醇似乎对肩袖肌腱炎有效。然而，需要开展一项更能反映临床实践的对照研究来证实这些数据。
