Injection of the Subacromial Bursa in Patients With Rotator Cuff Syndrome: A Prospective, Randomized Study Comparing the Effectiveness of Different Routes

Marder RA, Kim SH, Labson JD, et al (Univ of California-Davis Health System, Sacramento) J Bone Joint Surg Am 94:1442-1447, 2012^§

Abstract

Background

Rotator cuff syndrome is often treated with subacromial injection of corticosteroid and local anesthetic. It has not been established if the common injection routes of the bursa are equally accurate.

Methods

We conducted a prospective clinical trial involving seventy-five shoulders in seventy-five patients who were randomly assigned to receive a subacromial injection through an anterior, lateral, or posterior route with respect to the acromion. An experienced physician performed the injections, which contained radiopaque contrast medium, corticosteroid, and local anesthetic. After the injection, a musculoskeletal radiologist, blinded to the injection route, interpreted all of the radiographs.

Results

The rate of accuracy varied with the route of injection, with a rate of 56% for the posterior route, 84% for the anterior route, and 92% for the lateral route (p

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