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Effectiveness of subacromial methylprednisolone acetate injection with lignocaine in rotator cuff tendonitis

Afridi, Asif
Khan, Midrarullah
Qamar, Zeeshan Q
Abstract
Background: The rotator cuff, composed of subscapularis, infraspinatus, teres minor, and supraspinatus muscles, provides stability and a wide range of motion to the glenohumeral joint. Accurate diagnosis and appropriate treatment are crucial for effective management. This study aimed to assess short-term clinical outcomes, including reduction in pain and improvement in shoulder function, following subacromial injection of methylprednisolone acetate combined with lignocaine in patients with rotator cuff tendonitis. Methodology: This descriptive study was conducted at the Department of Orthopedic and Spine, Hayatabad Medical Complex, Peshawar, over six months (May to November 2023). A total of 87 patients were treated with 80 mg of methylprednisolone acetate diluted in 4 mL of 2% lignocaine, injected into the subacromial space. Follow-ups at three weeks assessed effectiveness. Results: The mean age was 46 years (SD = ±12.10), with 46% male and 54% female patients. Pain was reported in the right shoulder in 56% of cases. The mean duration of complaints was three weeks (SD = ±1.27). The intervention was effective in 81 (93%) patients. Conclusions: Subacromial methylprednisolone acetate injection with lignocaine demonstrated a high rate of short-term symptom improvement (93%) in managing rotator cuff tendonitis.
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Hayatabad Medical Complex Peshawar; University Hospitals Birmingham NHS Foundation Trust
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2025-05-19
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Article
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Afridi A, Khan M, Qamar ZQ. Effectiveness of Subacromial Methylprednisolone Acetate Injection With Lignocaine in Rotator Cuff Tendonitis. Cureus. 2025 May 19;17(5):e84383. doi: 10.7759/cureus.84383.
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