Efficacy and safety of steroid injections for shoulder and elbow tendonitis: A meta-analysis of randomised controlled trials

Annals of the Rheumatic Diseases

Volumn 68, Issue 12, 2009, Pages 1843-1849

  Gaujoux Viala, C ^a   Dougados, M ^a   Gossec, L ^a,b  

^a UNIVERSITÉ PARIS DESCARTES   (France)

^b UNIVERSITÉ DE MONTPELLIER   (France)

Author keywords

[No Author keywords available]

Indexed keywords

CORTICOSTEROID; NONSTEROID ANTIINFLAMMATORY AGENT; PLACEBO; STEROID;

ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; DEPIGMENTATION; DRUG EFFICACY; DRUG SAFETY; ELBOW TENDONITIS; HUMAN; INJECTION PAIN; MANTEL HAENSZEL TEST; META ANALYSIS; PAIN; PHYSICAL DISABILITY; PHYSIOTHERAPY; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; SHOULDER TENDONITIS; SKIN ATROPHY; SYSTEMATIC REVIEW; TENDINITIS;

ADULT; ELBOW JOINT; FEMALE; GLUCOCORTICOIDS; HUMANS; INJECTIONS, INTRA-ARTICULAR; MALE; MIDDLE AGED; RANDOMIZED CONTROLLED TRIALS AS TOPIC; SENSITIVITY AND SPECIFICITY; SHOULDER JOINT; TENDINOPATHY; TREATMENT OUTCOME;

EID: 72249122067     PISSN: 00034967     EISSN: 14682060     Source Type: Journal    
DOI: 10.1136/ard.2008.099572     Document Type: Article

References (43)

1. Nygren A, Berglund A, von Koch M. Neck-and-shoulder pain, an increasing problem. Strategies for using insurance material to follow trends. Scand J Rehabil Med Suppl 1995;32:107-112
2. van der Windt DA, Koes BW, de Jong BA, et al. Shoulder disorders in general practice: incidence, patient characteristics and management. Ann Rheum Dis 1995;54:959-964
3. Chard MD, Hazleman BL. Tennis elbow - a reappraisal. Br J Rheumatol 1989;28:186-190
4. Speed CA. Fortnightly review: corticosteroid injections in tendon lesions. BMJ 2001;323:382-386
5. Chard MD, Cawston TE, Riley GP, et al. Rotator cuff degeneration and lateral epicondylitis: a comparative histological study. Ann Rheum Dis 1994;53:30-34
6. Buchbinder R, Green S, Youd JM. Corticosteroid injections for shoulder pain. Cochrane Database Syst Rev 2003;1:CD004016.
7. Shrier I, Matheson GO, Kohl HW 3rd. Achilles tendonitis: are corticosteroid injections useful or harmful? Clin J Sport Med 1996;6:245-250
8. Assendelft WJ, Hay EM, Adshead R, et al. Corticosteroid injections for lateral epicondylitis: a systematic overview. Br J Gen Pract 1996;46:209-216 (Pubitemid 26119431)
9. Smidt N, Assendelft WJ, van der Windt DA, et al. Corticosteroid injections for lateral epicondylitis: a systematic review. Pain 2002;96:23-40. (Pubitemid 34270625)
10. Cochrane Database. Collaboration guidelines. http://www.cochrane.org/ resources/handbook4.2.6sep2006.pdf (accessed 31 Jul 2009).
11. Jadad AR, Moore RA, Carroll D, et al. Assessing the quality of reports of randomized clinical trials: Is blinding necessary? Control Clin Trials 1996;17:1-12.
12. Tonks JH, Pai SK, Murali SR. Steroid injection therapy is the best conservative treatment for lateral epicondylitis: a prospective randomised controlled trial. Int J Clin Pract 2007;61:240-246
13. Alvarez, Litchfield R, Jackowski D, et al. A prospective, double-blind, randomized clinical trial comparing subacromial injection of betamethasone and xylocaine to xylocaine alone in chronic rotator cuff tendinosis. Am J Sports Med 2005;33:255-262
14. Akgün K, Birtane M, Akarirmak U. Is local subacromial corticosteroid injection beneficial in subacromial impingement syndrome? Clin Rheumatol 2004;23:496-500.
15. Hay EM, Paterson SM, Lewis M, et al. Pragmatic randomised controlled trial of local corticosteroid injection and naproxen for treatment of lateral epicondylitis of elbow in primary care. BMJ 1999;319:964-968 (Pubitemid 29469395)
16. Adebajo AO, Nash P, Hazleman BL. A prospective double blind dummy placebo controlled study comparing triamcinolone hexacetonide injection with oral diclofenac 50 mg TDS in patients with rotator cuff tendinitis. J Rheumatol 1990;17:1207-1210 (Pubitemid 20334701)
17. Petri M, Dobrow R, Neiman R, et al. Randomized, double-blind, placebo-controlled study of the treatment of the painful shoulder. Arthritis Rheum 1987;30:1040-1045 (Pubitemid 17149914)
18. Lipsey MW, Wilson DB. Practical meta-analysis. Applied social research methods series. London: Sage, 2001;49:34-71.
19. Cohen J. A power primer. Psychol Bull 1992;112:155-159.
20. Higgins JP, Thompson SG. Quantifying heterogeneity in a meta-analysis. Stat Med 2002;21:1539-1558
21. Laupacis A, Sackett DL, Roberts RS. An assessment of clinically useful measures of the consequences of treatment. New Engl J Med 1988;318:1728-1733 (Pubitemid 18156674)
22. Sierra F. Evidence-based medicine in practice: applying number needed to treat and number needed to harm. Am J Gastroenterol 2005;100:1661-1663 (Pubitemid 41648413)
23. McQuay HJ, Moore RA. Using numerical results from systematic reviews in clinical practice. Ann intern Med 1997;126:712-720 (Pubitemid 27184043)
24. Vecchio PC, Hazleman BL, King RH. A double-blind trial comparing subacromial methylprednisolone and lignocaine in acute rotator cuff tendinitis. Br J Rheumatol 1993;32:743-745
25. White RH, Paull DM, Fleming KW. Rotator cuff tendinitis: comparison of subacromial injection of a long acting corticosteroid versus oral indomethacin therapy. J Rheumatol 1986;13:608-613
26. Berry H, Fernandes L, Bloom B, et al. Clinical study comparing acupuncture, physiotherapy, injection and oral anti-inflammatory therapy in shoulder-cuff lesions. Curr Med Res Opin 1980;7:121-126 (Pubitemid 11161040)
27. McInerney JJ, Dias J, Durham S, et al. Randomised controlled trial of single, subacromial injection of methylprednisolone in patients with persistent, post-traumatic impingment of the shoulder. Emerg Med J 2003;20:218-221 (Pubitemid 36617311)
28. Lewis M, Hay EM, Paterson SM, et al. Local steroid injections for tennis elbow: does the pain get worse before it gets better?: Results from a randomized controlled trial. Clin J Pain 2005;21:330-334 (Pubitemid 40881143)
29. Smidt N, van der Windt DA, Assendelft WJ, et al. Corticosteroid injections, physiotherapy, or a wait-and-see policy for lateral epicondylitis: a randomised controlled trial. Lancet 2002;359:657-662 (Pubitemid 34203765)
30. Price R, Sinclair H, Heinrich I, et al. Local injection treatment of tennis elbow - hydrocortisone, triamcinolone and lignocaine compared. Br J Rheumatol 1991;30:39-44.
31. Bisset L, Beller E, Jull G, et al. Mobilisation with movement and exercise, corticosteroid injection, or wait and see for tennis elbow: randomised trial. BMJ 2006;333:939.
32. Saartok T, Eriksson E. Randomized trial of oral naproxen or local injection of betamethasone in lateral epicondylitis of the humerus. Orthopedics 1986;9:191-194 (Pubitemid 16165797)
33. Stahl S, Kaufman T. The efficacy of an injection of steroids for medial epicondylitis. A prospective study of sixty elbows. J Bone Joint Surg Am 1997;79:1648-1652 (Pubitemid 27508524)
34. Almekinders LC. Tendinitis and other chronic tendinopathies. J Am Acad Orthop Surg 1998;6:157-164
35. Coonrad RW. Tennis elbow. Instr Course Lect 1986;35:94-101.
36. Goupille P, Sibilia J. Local corticosteroid injections in the treatment of rotator cuff tendinitis (except for frozen shoulder and calcific tendinitis). Groupe Rhumatologique Français de l'Epaule (G.R.E.P.). Clin Exp Rheumatol 1996;14:561-566 (Pubitemid 26335482)
37. Van der Heijden GJ, van der Windt DA, Kleijnen J, et al. Steroid injections for shoulder disorders: a systematic review of randomized clinical trials. Br J Gen Pract 1996;46:309-316 (Pubitemid 26154836)
38. Arroll B, Goodyear-Smith F. Corticosteroid injections for painful shoulder: a metaanalysis. Br J Gen Pract 2005;55:224-228 (Pubitemid 40361413)
39. Labelle H, Guibert R, Joncas J, et al. Lack of scientific evidence for the treatment of lateral epicondylitis of the elbow. An attempted meta-analysis. J Bone Joint Surg Br 1992;74:646-651
40. Eustace JA, Brophy DP, Gibney RP, et al. Comparison of the accuracy of steroid placement with clinical outcome in patients with shoulder symptoms. Ann Rheum Dis 1997;56:59-63.
41. Haker E, Lundeberg T. Elbow-band, splintage and steroids in lateral epicondylal gia (tennis elbow). Pain Clinic 1993;6:103-112 (Pubitemid 23248746)
42. Bedi SS, Ellis W. Spontaneous rupture of the calcaneal tendon in rheumatoid arthritis after local steroid injection. Ann Rheum Dis 1970;29:494-495
43. Cowan MA, Alexander S. Simultaneous bilateral rupture of Achilles tendons due to triamcinolone. Br Med J 1961;1:1658.