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Assessment of therapeutic modalities of aseptic subacromial bursitis in Iraqi patients | ||
| IRAQI JOURNALOF COMMUNITY MEDICINE | ||
| Article 1, Volume 24, Issue 4, 2011, Pages 331-334 | ||
| Authors | ||
| Riyadh A. Sakeni; Marwan S.M. Al-Nimer; Rafid.A.jassam alkhazaly | ||
| Abstract | ||
| Objectives: This study is aimed to evaluate the beneficial effect of intra-bursal injection of single dose of triamcinolone acetonide and lidocaine mixture in patients with subacromial bursitis and to practice it as dramatic outpatient response. Methods: Patients with shoulder pain who referred to the outpatient consultant clinic of rheumatic diseases at Al-Yarmouk teaching hospital in Baghdad, Iraq were allocated for the study. One hundred patients fulfilled the clinical diagnosis of subacromial bursitis were managed either with injection of a mixture of triamcinolone acetonide (40 mg/ml) and 1ml of 2% lidocaine in the subacromial bursa (Group I, n= 56) or oral nonsteroidal anti-inflammatory drugs (NSAIDs) combined with ultrasound therapy (Group II, n=44). The patients were clinically assessed. Results: Full recovery was observed in all patients of group I, while only 5 patients were responded in group II (one of them is on selective cyclooxygenase enzyme inhibitors). A trial of intra-bursa injection of triamcinolone acetonide and lidocaine was done to patients not responded (n =39) to NSAIDs (Group II). The trial showed full recovery in 34, partial recovery in 4 and no effect in one patient. Diabetic patients responded better to intra-bursa steroid than NSAIDs (12 vs 1 respectively). Conclusion: We concluded that intra-bursa injection of a triamcinolone acetonide and lidocaine mixture afforded high percent of recovery within short period of time. Key words: Subacromial bursitis, Triamcinolone acetonide, nonsteroidal anti-inflammatory drugs. | ||
| Keywords | ||
| Subacromial bursitis; Triamcinolone acetonide; nonsteroidal anti; inflammatory drugs | ||
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