Comparing Two Methods of Subacromial Space Injection

NCT ID: NCT03692091

Last Updated: 2018-10-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-12-06

Study Completion Date

2019-02-20

Brief Summary

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Subacromial shoulder injections can be approached from the front or side of the shoulder. The investigators are comparing both methods, to find which one has better spread in the subacromial space.

Detailed Description

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Both lateral and posterio-lateral methods of subacromial injections are widely used for diagnostic and therapeutic purposes. It is not known which method allows the most accurate access into the subacromial space and is more effective.

The investigators have been using a novel approach from the anterior aspect of the shoulder for years with good clinical effect and propose comparing this approach to the described approach. This study will indicate which method is best and will be of practical clinical importance. The investigators feel the technique is easier to perform than other described methods and could be taught to clinicians throughout the country and adopted as the standard approach.

Conditions

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Subacromial Impingement Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Anterior portal

Injection in to subacromial space from anterior portal

Group Type ACTIVE_COMPARATOR

Subacromial Injection

Intervention Type PROCEDURE

Injection in to subacromial space in the shoulder from anterior portal

Lateral portal

Injection in to subacromial space from lateral portal

Group Type ACTIVE_COMPARATOR

Subacromial Injection

Intervention Type PROCEDURE

Injection in to subacromial space in the shoulder from anterior portal

Interventions

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Subacromial Injection

Injection in to subacromial space in the shoulder from anterior portal

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Shoulder pain for at least 6 weeks duration along the lateral aspect of the shoulder.
* Positive impingement signs.

Exclusion Criteria

* History of compensation claim due to shoulder problems.
* Allergy to radiographic dye.
* Recent shoulder fracture.
* Bleeding disorder.
* Previous shoulder surgery.
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Aneurin Bevan University Health Board

OTHER

Sponsor Role lead

Responsible Party

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Vasantha Kumar Ramsingh

Locum Consultant Orthopaedic Surgeon

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Aneurin Bevan University Health Board

Newport, , United Kingdom

Site Status RECRUITING

Countries

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United Kingdom

Facility Contacts

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Alison Davey

Role: primary

01633234768

References

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Eustace JA, Brophy DP, Gibney RP, Bresnihan B, FitzGerald O. Comparison of the accuracy of steroid placement with clinical outcome in patients with shoulder symptoms. Ann Rheum Dis. 1997 Jan;56(1):59-63. doi: 10.1136/ard.56.1.59.

Reference Type BACKGROUND
PMID: 9059143 (View on PubMed)

Calis M, Akgun K, Birtane M, Karacan I, Calis H, Tuzun F. Diagnostic values of clinical diagnostic tests in subacromial impingement syndrome. Ann Rheum Dis. 2000 Jan;59(1):44-7. doi: 10.1136/ard.59.1.44.

Reference Type BACKGROUND
PMID: 10627426 (View on PubMed)

Yamakado K. The targeting accuracy of subacromial injection to the shoulder: an arthrographic evaluation. Arthroscopy. 2002 Oct;18(8):887-91. doi: 10.1053/jars.2002.35263.

Reference Type RESULT
PMID: 12368787 (View on PubMed)

Partington PF, Broome GH. Diagnostic injection around the shoulder: hit and miss? A cadaveric study of injection accuracy. J Shoulder Elbow Surg. 1998 Mar-Apr;7(2):147-50. doi: 10.1016/s1058-2746(98)90226-9.

Reference Type RESULT
PMID: 9593094 (View on PubMed)

Other Identifiers

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IRAS194489

Identifier Type: -

Identifier Source: org_study_id

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