| 제목 |
Combined Bursal Aspiration and Corticosteroid Injection for Rotator Cuff Tear Patients |
| 소속 |
Keimyung University Dongsan Medical Center, Keimyung University School of Medicine, Department of Rehabilitation Medicine1, Yeungnam University Medical Center, Department of Rehabilitation Medicine2 |
| 저자 |
Hyo-Joon Jin1*, Yong Min Choi1, Jang Hyuk Cho1†, Dong Gyu Lee2 |
Rationale: Subacromial-subdeltoid (SASD) bursitis is characterized by bursal distension caused by fluid collection, commonly resulting from rotator cuff tears. Aspiration of the bursal fluid associated with rotator cuff tears tends to be overlooked. The effects of combined bursal aspiration and corticosteroid injection on full-thickness tears of the rotator cuff with SASD bursitis have not been previously reported.
Patient concerns: We report the cases of three patients with shoulder pain caused by rotator cuff tears with marked amounts of fluid in the SASD bursa. The patients experienced intractable pain despite prior conservative management, including corticosteroid injection.
Diagnoses: Physical examination and imaging studies revealed rotator cuff tears with remarkable quantities of fluid in the SASD bursa.
Interventions and outcomes: The patients underwent ultrasound (US)-guided aspiration of the bursal fluid and intra-articular corticosteroid injection, following which, all patients experienced reduced shoulder pain for several months.
Lessons: Combined aspiration of fluid in the SASD bursa and intra-articular corticosteroid injection in the rotator cuff tear is recommended, especially in cases with untreated shoulder pain unresponsive to previous conservative management. |
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Ultrasound (US) revealing anechoic fluid collection (thin arrow) of subacromial-subdeltoid (SASD) bursa (A) and needle placement (thick arrow) within the SASD bursa (B). US revealing a large amount of anechoic fluid collection (thin arrow) and synovial hypertrophy of SASD bursa (C). Follow-up US 1 month later revealing diminution of the previously noted anechoic fluid (D). Follow-up US 2 month later revealing increased anechoic fluid compared to the previous US at 1 month; however, the fluid collection is slightly decreased compared to that noted in the initial US (E).
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