Retrospective evaluation of the efficacy of ultrasound-guided intra-articular hyaluronic-acid- based injections (Hyalubrix<sup>®</sup>) in patients with glenohumeral osteoarthritis

Objective. Intra-articular injections of hyaluronic acid (HA) have been reported to alleviate pain, reduce disability, and improve joint function in glenohumeral osteoarthritis (GH-OA). This retrospective study aimed to evaluate the effectiveness of a HA-based formulation (Hyalubrix®) in reducing t...

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Main Authors: L. Monti, E. Franchi, F. Verde, S. Sgherzi, F.M. Anghilieri
Format: Article
Language:English
Published: PAGEPress Publications 2024-12-01
Series:Reumatismo
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Online Access:https://www.reumatismo.org/reuma/article/view/1699
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author L. Monti
E. Franchi
F. Verde
S. Sgherzi
F.M. Anghilieri
author_facet L. Monti
E. Franchi
F. Verde
S. Sgherzi
F.M. Anghilieri
author_sort L. Monti
collection DOAJ
description Objective. Intra-articular injections of hyaluronic acid (HA) have been reported to alleviate pain, reduce disability, and improve joint function in glenohumeral osteoarthritis (GH-OA). This retrospective study aimed to evaluate the effectiveness of a HA-based formulation (Hyalubrix®) in reducing the pain of patients with GH-OA and improving both patient's shoulder functions and quality of life (QoL). Methods. Data collected during the standard clinical practice of the center was retrospectively analyzed. The Simple Shoulder Test (SST) questionnaire reported data on the patient's ability to perform daily activities; the Euro-Quality of Life Health Assessment (EQ-5D) collected evidence on QoL; and changes in pain were evaluated through the Visual Analog Scale (VAS). SST and EQ-5D scores were analyzed comparing baseline values with those at the last follow-up, while VAS was investigated for all the available visits. Continuous values were summarized as mean ± standard deviation, median, and 25-75th percentiles. Shapiro-Wilk test assessed normality, with significance set at p<0.05, and no adjustments for multiple comparisons were made. Results. All scores showed a significant improvement: VAS decreased from 55.4±13.8 to 16.2±16.3 (p<0.001), the SST increased from 38.0 to 65.5 (p<0.001), as well as the EQ-5D (from 41.7 to 76.7; p<0.001). Conclusions. GH-OA treatment with Hyalubrix® proved to be highly beneficial, leading to complete pain reduction in more than 50% of patients and a significant reduction in 27.5% of cases. This resulted in improved joint function and QoL.
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spelling doaj-art-a2a1d9239e7c4b64be3c8a34fcc972172024-12-17T02:27:39ZengPAGEPress PublicationsReumatismo0048-74492240-26832024-12-0110.4081/reumatismo.2024.1699Retrospective evaluation of the efficacy of ultrasound-guided intra-articular hyaluronic-acid- based injections (Hyalubrix<sup>®</sup>) in patients with glenohumeral osteoarthritisL. Monti0https://orcid.org/0000-0002-8915-2515E. Franchi1F. Verde2S. Sgherzi3F.M. Anghilieri4https://orcid.org/0000-0002-2084-3983Minimally Invasive and Robotic Prosthetic Surgery of Hip and Knee Unit, Department of Orthopedics, IRCCS San Raffaele Hospital, MilanDepartment of Orthopedics, Villa Aprica Clinical Institute, ComoMinimally Invasive and Robotic Prosthetic Surgery of Hip and Knee Unit, Department of Orthopedics, IRCCS San Raffaele Hospital, MilanASST Rhodense, MilanDepartment of Orthopedics, Villa Aprica Clinical Institute, Como Objective. Intra-articular injections of hyaluronic acid (HA) have been reported to alleviate pain, reduce disability, and improve joint function in glenohumeral osteoarthritis (GH-OA). This retrospective study aimed to evaluate the effectiveness of a HA-based formulation (Hyalubrix®) in reducing the pain of patients with GH-OA and improving both patient's shoulder functions and quality of life (QoL). Methods. Data collected during the standard clinical practice of the center was retrospectively analyzed. The Simple Shoulder Test (SST) questionnaire reported data on the patient's ability to perform daily activities; the Euro-Quality of Life Health Assessment (EQ-5D) collected evidence on QoL; and changes in pain were evaluated through the Visual Analog Scale (VAS). SST and EQ-5D scores were analyzed comparing baseline values with those at the last follow-up, while VAS was investigated for all the available visits. Continuous values were summarized as mean ± standard deviation, median, and 25-75th percentiles. Shapiro-Wilk test assessed normality, with significance set at p<0.05, and no adjustments for multiple comparisons were made. Results. All scores showed a significant improvement: VAS decreased from 55.4±13.8 to 16.2±16.3 (p<0.001), the SST increased from 38.0 to 65.5 (p<0.001), as well as the EQ-5D (from 41.7 to 76.7; p<0.001). Conclusions. GH-OA treatment with Hyalubrix® proved to be highly beneficial, leading to complete pain reduction in more than 50% of patients and a significant reduction in 27.5% of cases. This resulted in improved joint function and QoL. https://www.reumatismo.org/reuma/article/view/1699Hyalubrixintra-articular injectionsglenohumeral osteoarthritishyaluronic acid
spellingShingle L. Monti
E. Franchi
F. Verde
S. Sgherzi
F.M. Anghilieri
Retrospective evaluation of the efficacy of ultrasound-guided intra-articular hyaluronic-acid- based injections (Hyalubrix<sup>®</sup>) in patients with glenohumeral osteoarthritis
Reumatismo
Hyalubrix
intra-articular injections
glenohumeral osteoarthritis
hyaluronic acid
title Retrospective evaluation of the efficacy of ultrasound-guided intra-articular hyaluronic-acid- based injections (Hyalubrix<sup>®</sup>) in patients with glenohumeral osteoarthritis
title_full Retrospective evaluation of the efficacy of ultrasound-guided intra-articular hyaluronic-acid- based injections (Hyalubrix<sup>®</sup>) in patients with glenohumeral osteoarthritis
title_fullStr Retrospective evaluation of the efficacy of ultrasound-guided intra-articular hyaluronic-acid- based injections (Hyalubrix<sup>®</sup>) in patients with glenohumeral osteoarthritis
title_full_unstemmed Retrospective evaluation of the efficacy of ultrasound-guided intra-articular hyaluronic-acid- based injections (Hyalubrix<sup>®</sup>) in patients with glenohumeral osteoarthritis
title_short Retrospective evaluation of the efficacy of ultrasound-guided intra-articular hyaluronic-acid- based injections (Hyalubrix<sup>®</sup>) in patients with glenohumeral osteoarthritis
title_sort retrospective evaluation of the efficacy of ultrasound guided intra articular hyaluronic acid based injections hyalubrix sup r sup in patients with glenohumeral osteoarthritis
topic Hyalubrix
intra-articular injections
glenohumeral osteoarthritis
hyaluronic acid
url https://www.reumatismo.org/reuma/article/view/1699
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AT efranchi retrospectiveevaluationoftheefficacyofultrasoundguidedintraarticularhyaluronicacidbasedinjectionshyalubrixsupsupinpatientswithglenohumeralosteoarthritis
AT fverde retrospectiveevaluationoftheefficacyofultrasoundguidedintraarticularhyaluronicacidbasedinjectionshyalubrixsupsupinpatientswithglenohumeralosteoarthritis
AT ssgherzi retrospectiveevaluationoftheefficacyofultrasoundguidedintraarticularhyaluronicacidbasedinjectionshyalubrixsupsupinpatientswithglenohumeralosteoarthritis
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