견봉하 충돌증후군의 치료에서 스테로이드 국소주사의 효유성에 대한 분석

An Analysis of the Efficacy of Local Steroid Injections for the Treatment of Subacromial Impingement Syndrome

  • 김승기 (가톨릭대학교 의과대학 의정부성모병원 정형외과학교실) ;
  • 박종범 (가톨릭대학교 의과대학 의정부성모병원 정형외과학교실) ;
  • 고영석 (가톨릭대학교 의과대학 의정부성모병원 정형외과학교실) ;
  • 장한 (가톨릭대학교 의과대학 의정부성모병원 정형외과학교실)
  • Kim, Seung-Key (Department of Orthopedic Surgery, College of Medicine, Catholic University, Uijongbu St. Mary's Hospital, Uijongbu) ;
  • Park, Jong-Beom (Department of Orthopedic Surgery, College of Medicine, Catholic University, Uijongbu St. Mary's Hospital, Uijongbu) ;
  • Koh, Young-Seok (Department of Orthopedic Surgery, College of Medicine, Catholic University, Uijongbu St. Mary's Hospital, Uijongbu) ;
  • Chang-Han,
  • 발행 : 1998.03.01

초록

From May 1994 to May 1995, we performed a prospective controlled double-blind clinical study of 85 patients(85 shoulders). For inclusion in the study all patients met the following criteria: 1) a diagnosis of impingement syndrome by lidocaine injection test; 2) symptoms for at least three months; 3) no previous subacromial injection; 4) no evidence of rotator cuff tear. We excluded the patients from the study who showed a instability or other clear primary cause. The patients were randomized to receive either 5/subcc/ 2% lidocaine with 4ee of 20mg/cc Depomedrol(Group 1) in 45 cases or 5/subcc/ 2% lidocaine solely(Group 2) in 40 cases. At three month follow-up, all results were better in steroid group than control group. But at one year, improvement of pain and daily activity showed no difference between two groups. So we conclude that the use of subacromial steroid injection is effective for short-term therapy in the treatment of subacromial impingement syndrome, but the long-term effectiveness is doubtful.

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