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Hyaluronic acid as an alternative treatment option for degenerative rotator cuff tears

(2022) ACTA ORTHOPAEDICA BELGICA. 88(4). p.691-698
Author
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Abstract
Rotator cuff tears have a high prevalence in older people. This research examines the clinical outcome of the non-operative treatment of symptomatic degenerative rotator cuff tears with hyaluronic acid (HA) injections. 72 patients (43 females/29 males), with an average age of 66 years with symptomatic degenerative full- thickness rotator cuff tear, confirmed with arthro-CT, were treated with three intra-articular hyaluronic acid injections and followed on multiple observational moments during a 5-year follow-up using the SF- 36 (Short-Form Health Survey), DASH (Disabilities of the Arm, Shoulder, and Hand), CMS (Constant Murley Score), and OSS (Oxford Shoulder Scale. 54 patients completed the 5-year follow-up questionnaire. 77% of the patients did not require additional treatment for their shoulder pathology, and 89% were treated conservatively. Only 11% of the patients included in this study needed surgery. Between subjects, the analysis revealed a significant difference in response in the DASH (p=0.015) and CMS (p=0.033) when the subscapularis muscle was involved. Intra-articular infiltrations with hyaluronic acid improve pain and shoulder function, especially if the subscapularis muscle is not involved.
Keywords
Orthopedics and Sports Medicine, General Medicine, Surgery, shoulder, hyaluronic acid, conservative treatment, Rotatorcuff tears

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MLA
Tack, Philip, et al. “Hyaluronic Acid as an Alternative Treatment Option for Degenerative Rotator Cuff Tears.” ACTA ORTHOPAEDICA BELGICA, vol. 88, no. 4, 2022, pp. 691–98, doi:10.52628/88.4.10794.
APA
Tack, P., Vanhaverbeke, S., De Wilde, L., & Van Tongel, A. (2022). Hyaluronic acid as an alternative treatment option for degenerative rotator cuff tears. ACTA ORTHOPAEDICA BELGICA, 88(4), 691–698. https://doi.org/10.52628/88.4.10794
Chicago author-date
Tack, Philip, Sofie Vanhaverbeke, Lieven De Wilde, and Alexander Van Tongel. 2022. “Hyaluronic Acid as an Alternative Treatment Option for Degenerative Rotator Cuff Tears.” ACTA ORTHOPAEDICA BELGICA 88 (4): 691–98. https://doi.org/10.52628/88.4.10794.
Chicago author-date (all authors)
Tack, Philip, Sofie Vanhaverbeke, Lieven De Wilde, and Alexander Van Tongel. 2022. “Hyaluronic Acid as an Alternative Treatment Option for Degenerative Rotator Cuff Tears.” ACTA ORTHOPAEDICA BELGICA 88 (4): 691–698. doi:10.52628/88.4.10794.
Vancouver
1.
Tack P, Vanhaverbeke S, De Wilde L, Van Tongel A. Hyaluronic acid as an alternative treatment option for degenerative rotator cuff tears. ACTA ORTHOPAEDICA BELGICA. 2022;88(4):691–8.
IEEE
[1]
P. Tack, S. Vanhaverbeke, L. De Wilde, and A. Van Tongel, “Hyaluronic acid as an alternative treatment option for degenerative rotator cuff tears,” ACTA ORTHOPAEDICA BELGICA, vol. 88, no. 4, pp. 691–698, 2022.
@article{01GV3CEWNTYK1THBZDYPDVXMMA,
  abstract     = {{Rotator cuff tears have a high prevalence in older people. This research examines the clinical outcome of the non-operative treatment of symptomatic degenerative rotator cuff tears with hyaluronic acid (HA) injections.

72 patients (43 females/29 males), with an average age of 66 years with symptomatic degenerative full- thickness rotator cuff tear, confirmed with arthro-CT, were treated with three intra-articular hyaluronic acid injections and followed on multiple observational moments during a 5-year follow-up using the SF- 36 (Short-Form Health Survey), DASH (Disabilities of the Arm, Shoulder, and Hand), CMS (Constant Murley Score), and OSS (Oxford Shoulder Scale.

54 patients completed the 5-year follow-up questionnaire. 77% of the patients did not require additional treatment for their shoulder pathology, and 89% were treated conservatively. Only 11% of the patients included in this study needed surgery. Between subjects, the analysis revealed a significant difference in response in the DASH (p=0.015) and CMS (p=0.033) when the subscapularis muscle was involved.

Intra-articular infiltrations with hyaluronic acid improve pain and shoulder function, especially if the subscapularis muscle is not involved.}},
  author       = {{Tack, Philip and Vanhaverbeke, Sofie and De Wilde, Lieven and Van Tongel, Alexander}},
  issn         = {{0001-6462}},
  journal      = {{ACTA ORTHOPAEDICA BELGICA}},
  keywords     = {{Orthopedics and Sports Medicine,General Medicine,Surgery,shoulder,hyaluronic acid,conservative treatment,Rotatorcuff tears}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{691--698}},
  title        = {{Hyaluronic acid as an alternative treatment option for degenerative rotator cuff tears}},
  url          = {{http://doi.org/10.52628/88.4.10794}},
  volume       = {{88}},
  year         = {{2022}},
}

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