Annals of medicine · 2026 · 敘述性回顧（依標題推測）
Subacromial bursitis: current evidence and future directions in injection-based therapies-A narrative review.
肩 · 肩峰下疼痛症候群
中文閱讀摘要
敘事回顧指出SAB皮質類固醇短期止痛佳但具長期風險，PRP等生物製劑證據有限，未來需大規模RCT驗證。
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原始摘要
Objective
To review the anatomical and physiological characteristics of subacromial bursitis (SAB), clarify its pathogenesis and commonly used imaging diagnostic methods, and summarize the clinical efficacy, current application status, and future research directions of various injectable agents for SAB.
Methods
This narrative review performed a non-systematic literature search in PubMed and Web of Science for injection therapies for SAB and related conditions , focusing on clinical trials and systematic reviews.
Results
Corticosteroids (CS) remain the most widely used, providing robust short-term pain relief but with potential long-term complications. Randomized controlled trials suggest hyaluronic acid, nonsteroidal anti-inflammatory drugs, and hypertonic glucose offer alternative or adjunctive options. Emerging biologics like platelet-rich plasma (PRP) and interleukin-1 antagonists show promise but low-quality evidence. Ultrasound guidance enhances injection precision, and combining injection with physical rehabilitation optimizes outcomes.
Conclusion
The choice of injectable agent requires balancing CS's rapid effects against safer but less established alternatives. Future research should validate PRP, HA, IL-1Ra, and hypertonic glucose via large RCTs, develop combination strategies (e.g., CS+HA), integrate advanced ultrasound techniques (e.g., hydrodissection), and identify patient-specific factors (e.g., inflammatory endotypes, concomitant rotator cuff pathology) for personalized treatment.
至 Europe PMC 閱讀完整來源 ↗ · 擷取日期 2026-10-19
書目、來源與全文狀態
- DOI
- 10.1080/07853890.2026.2673146
- PMID／PMCID
- 42139015 / PMC13182149
- 作者
- Ding J, Liu S, Jiang P, Jiang H, Han F, Qu W
- 首次發表日期
- 2026-05-15Europe PMC 提供，部分日期可能依年份或月份推定。
- 卷／期／頁碼或文章編號
- 58 ／ 1 ／ 2673146
- 書目來源與查核日期
- Europe PMC · 2026-10-19僅核對書目欄位與來源連結；不代表已評讀研究品質。
- 全文與授權
- 來源列有免費全文（查核 2026-10-19），未逐篇測試 PDF 下載。 來源授權標示：cc by。
可回溯引用
Ding J, Liu S, Jiang P, Jiang H, Han F, Qu W. Subacromial bursitis: current evidence and future directions in injection-based therapies-A narrative review. Annals of medicine. 2026;58(1):2673146. PMID: 42139015. PMCID: PMC13182149. doi:10.1080/07853890.2026.2673146
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