Modern methods for the treatment of shoulder joint pain
DOI: 10.32364/2587-6821-2020-4-8-487-491
I.R. Gapharov1,2, U.F. Mukhametov1,2, S.Yu. Glazunov3, R.A. Saburov3, F.S. Musina3
1Institute for Professional Education in Healthcare
and Social Development, Ufa, Russian Federation
2Republican Clinical Hospital named after G.G. Kuvatov, Ufa, Russian Federation
3Bashkir State Medical University, Ufa, Russian Federation
Aim: to evaluate the clinical efficacy and safety of the hyaluronic acid (HA) with scapulohumeral periarthritis.
Patients and Methods: the study involved 42 patients (mean age 55.8±3.03 years) with scapulohumeral periarthritis, who were divided into 2 groups. Group 1 received HA once a week around periarticular tissue of the shoulder joint. Course duration — 3 injections. Group 2 included patients (n=23) who were treated with glucocorticosteroids (GCS) once for the entire treatment course. The drug was re-administered only if there was no clinical effect. Before and after the therapy, the severity of pain in active and passive movements was assessed using a 100-mm long visual-analog scale, as well as Health Assessment Questionnaire disability index in diseases of the shoulder girdle and Oxford Shoulder Score.
Results: during therapy, there was a significantly more pronounced reduction in the shoulder joint pain, as well as a decrease in disability index due to shoulder joint disorder in group 1 versus group 2. In group 1, the rehabilitation potential exceeded that of group 2, in 18 (95%) patients of group 1 there was a positive response to the therapy, and only group 1 had pain in the shoulder joint, while in the same period of follow-up in group 2, 8 (35%) patients did not reach the values of group 1. No systemic adverse events or changes in the hemogram were registered in patients from both groups.
Conclusion: the use of HA enhances the rehabilitation potential in patients with scapulohumeral periarthritis. HA is well tolerated with proper injection and administration techniques and had a favorable safety profile.
Keywords: scapulohumeral periarthritis, tendinopathy, hyaluronic acid, local injection therapy, rehabilitation potential.
For citation: Gapharov I.R., Mukhametov U.F., Glazunov S.Yu. et al. Modern methods for the treatment of shoulder joint pain. Russian Medical Inquiry. 2020;4(8):487–491. DOI: 10.32364/2587-6821-2020-4-8-487-491.
Acknowledgement
The authors and Editorial Board are grateful to "Grotex" LLC for providing full-text foreign articles required to write the review.
About the authors:
Ural F. Mukhametov — Cand. of Sci. (Med.), Head of the Department of Traumatology and Orthopedics, Republican Clinical Hospital named after G.G. Kuvatov: 132, Dostoevskogo str., Ufa, 450005, Russian Federation; Associate Professor of the Department of Traumatology and Orthopedics, Institute for Professional Education in Healthcare and Social Development, 131, Vetoshnikova str., Ufa, 450005, Russian Federation; ORCID iD 0000-0001-5799-4956.
Stanislav Yu. Glazunov — post-graduate student of the Department of Traumatology and Orthopedics, Institute of Continuing Professional Education, Bashkir State Medical University, 3, Lenina str., Ufa, 450008, Russian Federation; ORCID iD 0000-0003-1583-473X.
Radmir A. Saubanov — post-graduate student of the Department of Traumatology and Orthopedics, Institute of Continuing Professional Education, Bashkir State Medical University, 3, Lenina str., Ufa, 450008, Russian Federation; ORCID iD 0000-0002-6265-5884.
Flarisa S. Musina — Cand. of Sci. (Med.), Associate Professor of the Department of Hospital Therapy No. 1, Bashkir State Medical University, 3, Lenina str., Ufa, 450008, Russian Federation; ORCID iD 0000-0002-0898-7052.
Ilfat R. Gafarov — Cand. of Sci. (Med.), Associate Professor of the Department of Traumatology and Orthopedics, Institute for Professional Education in Healthcare and Social Development, 131, Vetoshnikova str., Ufa, 450005, Russian Federation; Head of the Republican Center for the Prevention and Treatment of Osteoporosis and Osteoarthritis, Republican Clinical Hospital named after G.G. Kuvatov, 132, Dostoevskogo str., Ufa, 450005, Russian Federation; ORCID iD 0000-0003-1408-7349.
Contact information: Gafarov R. Ilfat, e-mail: gafarov80@mail.ru. Financial Disclosure: no authors have a financial or property interest in any material or method mentioned. There is no conflict of interests. Received 20.08.2020, revised 02.09.2020, accepted 15.09.2020.
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