"Effectiveness of Ultrasound-Guided Versus Anatomic Landmark-Guided Corticosteroid Injection on Pain, Physical Function, and Safety in Patients With Subacromial Impingement Syndrome A Systematic Review and Meta-analysis"

作者全名："Deng, Xiaoyan; Zhu, Siyi; Li, Daishun; Luo, Yi; Zhang, Xin; Tan, Yanling; Li, Juan; He, Xia"

作者地址："[Deng, Xiaoyan; Zhang, Xin; Li, Juan] Chengdu Univ Tradit Chinese Med, Dept Sch Hlth Preservat & Rehabil, Chengdu, Peoples R China; [Zhu, Siyi] Sichuan Univ, West China Hosp, Inst Phys Med & Rehabil, Rehabil Med Ctr,Sichuan Key Lab Rehabil Med, Chengdu, Peoples R China; [Li, Daishun] Sichuan Acad Med Sci, Dept Eastern Hosp, Sichuan Prov Peoples Hosp, Chengdu, Peoples R China; [Luo, Yi; He, Xia] Chengdu Univ Tradit Chinese Med, Sichuan Bayi Rehabil Ctr, Dept Sichuan Prov Rehabil Hosp, Chengdu, Peoples R China; [Tan, Yanling] Chongqing Med Univ, Chongqing, Peoples R China; [He, Xia] Chengdu Univ Tradit Chinese Med, Sichuan Bayi Rehabil Ctr, Dept Sichuan Prov Rehabil Hosp, Bayi Rd, Chengdu 611130, Sichuan, Peoples R China"

通信作者："He, X (通讯作者)，Chengdu Univ Tradit Chinese Med, Sichuan Bayi Rehabil Ctr, Dept Sichuan Prov Rehabil Hosp, Bayi Rd, Chengdu 611130, Sichuan, Peoples R China."

来源：AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000886610400008

JCR分区：Q1

影响因子：3

年份：2022

卷号：101

期号：12

开始页：1087

结束页：1098

文献类型：Review

关键词：Subacromial Impingement Syndrome; Adrenal Cortex Hormones; Ultrasonography; Injections; Meta-analysis

摘要："Objective: The aim of the study was to compare the efficacy and safety of ultrasound-guided versus anatomic landmark-guided corticosteroid injection for the treatment of subacromial impingement syndrome. Design: PubMed, Embase, Web of Science, Cochrane Central Register of Controlled Trials, Scopus, , CBM, CNKI, and Wanfang databases were searched from inception to August 15, 2021, for randomized controlled trials comparing ultrasound-guided versus anatomic landmark-guided injections of corticosteroids for the treatment of subacromial impingement syndrome. Results: Twelve randomized controlled trials with 891 patients were included in this study; 454 patients received ultrasound-guided injections and 437 received anatomic landmark-guided injections. Pooled results showed that ultrasound-guided injection was more beneficial for pain relief (10 trials; mean difference = -0.58; 95% confidence interval = -1.05 to -0.10; P = 0.017) and functional improvement (11 trials; standard mean difference = -0.84; 95% confidence interval = -1.41 to -0.27; P = 0.004). There was no significant difference in shoulder range of motion. In the subgroup analysis, there was a significant difference in pain relief and functional improvement at 6-8 wks and with methylprednisolone. Conclusions: Ultrasound-guided injection of corticosteroids is potentially superior to anatomic landmark-guided injection in improving the clinical symptoms of subacromial impingement syndrome; however, these findings should be interpreted with some caution as the quality of evidence was rated as moderate to very low."

基金机构：library of Chengdu University of Traditional Chinese Medicine for the development of search strategy

基金资助正文：The authors are grateful for the partnership and support from the library of Chengdu University of Traditional Chinese Medicine for the development of search strategy.