Table 1.
Parameters | Reference | Conclusions | |
---|---|---|---|
1 | High dose (40 mg), low dose (20 mg) or very low dose (10 mg) steroid |
Kim et al., RCT, 2018 [52] Yoon et al., RCT, 2013 [53] |
1. No difference between 40 mg vs 20 mg 2. 10 mg is less effective than 40 mg |
2 | Single vs. Multiple injections | Erickson et al., 2019 [44]; retrospective study of 1377 patient | Multiple are no better than single injection in improving clinical outcome |
3 | Site: IA vs SA vs RI |
Shang et al., Meta-analysis, systematic review, 2019 [54] |
1. No overall significant difference 2. Pain scores better in IA groups 3. IR better in SA groups 4. SA injection result in lesser BGL fluctuation |
Sun et al., RCT, 2018 [55] | Single injection into SA, IA and RI resulted in better pain, ROM and functional scores in RI group | ||
4 | Triamcinolone (TA) vs. Methylprednisolone (MTP) | Sakeni et al., Level II, 2007 [57] One injection a week for 3 weeks | TA gave superior result in resistant cases and Diabetics compared to MTP |
Choudhary et al., 2015 [56]; Three injection every three weeks in either group |
TA group had better pain scores and ROM | ||
Lopez et al., 2008 [58] | More relief of pain in MTP than TA | ||
5 | With or without image (USG or fluoroscopic) guidance | Song et al., Systematic review, 2014 [59] | Added benefit of Image guided injections over blind injection in improving pain and ROM. However, needs further evaluation |
IA Intraarticular, SA Subacromial, RI Rotator interval IR, Internal rotation, ROM range of movement, USG Ultrasonography, BGL blood glucose level. Number in [] denotes reference in the text