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Assessment of therapeutic modalities of aseptic subacromial bursitis in Iraqi patients

Authors: Riyadh A. Sakeni --- Marwan S.M. Al-Nimer --- Rafid.A.jassam alkhazaly
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2011 Volume: 24 Issue: 4 Pages: 331-334
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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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.

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