Evidence map›Paper›PMID 38398445›Full record

ReviewJournal of clinical medicine2024

Nonsteroidal Anti-Inflammatory Drug Injections versus Steroid Injections in the Management of Upper and Lower Extremity Orthopedic Conditions: A Systematic Review with Meta-Analysis.

Hye Chang Rhim, Joseph Ruiz, Atta Taseh, Wilma Afunugo, Zack Crockett, Jason Schon, Xiaoyu Pan, Jaehyung Shin, Sean Schowalter, Ki-Mo Jang and 1 more

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06834425 (Efficacy of NSAID Peritendinous Injection for Acute Tendinitis), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06834425 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

Efficacy of NSAID Peritendinous Injection for Acute Tendinitis

TypeinterventionalSponsorTaipei Medical University WanFang HospitalRan2025 to 2026Enrolled40ConditionsTendinitis, Acute Tendonitis, NSAID (Non-Steroidal Anti-Inflammatory Drug)ArmsPeritendinous NSAID injection, Control group (placebo)
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Non-Biologic Injections in Sports Medicine.Current reviews in musculoskeletal medicine · 2026
    Review
  4. Review
  5. Review
  6. Article
  7. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 2 countries.

Hye Chang RhimDepartment of Physical Medicine and Rehabilitation, Harvard Medical School/Spaulding Rehabilitation Hospital, Boston, MA 02115, USA.ORCID 0000-0002-7986-6493
Joseph RuizDepartment of Physical Medicine and Rehabilitation, Harvard Medical School/Spaulding Rehabilitation Hospital, Boston, MA 02115, USA.
Atta TasehFoot & Ankle Research and Innovation Lab (FARIL), Department of Orthopaedic Surgery, Harvard Medical School, Massachusetts General Hospital, Boston, MA 02115, USA.ORCID 0000-0001-7485-1500
Wilma AfunugoDepartment of Physical Medicine and Rehabilitation, Harvard Medical School/Spaulding Rehabilitation Hospital, Boston, MA 02115, USA.
Zack CrockettDepartment of Physical Medicine and Rehabilitation, Harvard Medical School/Spaulding Rehabilitation Hospital, Boston, MA 02115, USA.
Jason SchonDepartment of Physical Medicine and Rehabilitation, Harvard Medical School/Spaulding Rehabilitation Hospital, Boston, MA 02115, USA.
Xiaoyu PanDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.ORCID 0000-0002-5184-222X
Jaehyung ShinFoot & Ankle Research and Innovation Lab (FARIL), Department of Orthopaedic Surgery, Harvard Medical School, Massachusetts General Hospital, Boston, MA 02115, USA.ORCID 0009-0009-7169-2722
Sean SchowalterDepartment of Sports Medicine, Mount Sinai School of Medicine, New York, NY 10029, USA.
Ki-Mo JangDepartment of Orthopaedic Surgery, Anam Hospital, Korea University College of Medicine, Seoul 02841, Republic of Korea.ORCID 0000-0001-9370-3319
David M RobinsonDepartment of Physical Medicine and Rehabilitation, Harvard Medical School/Spaulding Rehabilitation Hospital, Boston, MA 02115, USA.
Harvard University · USIcahn School of Medicine at Mount Sinai · USKorea University Medical Center · KR

Funding

Korea University N/A
6 · The paper itself

Abstract

backgroundAlthough corticosteroid injections are an effective treatment for musculoskeletal pathologies, they may not be suitable for all patients. The purpose of this systematic review was to compare clinical outcomes between patients who received NSAID and corticosteroid injections for various orthopedic conditions.

methodsMedline, Embase, Web of Science, and Cochrane Central Register of Controlled Trials were searched, and meta-analyses were performed using a random-effects model for outcomes presented in three or more studies. Other studies were qualitatively analyzed.

resultsA total of 28 articles with 2113 patients were included. A meta-analysis of five studies in patients with shoulder impingement syndrome demonstrated that there was no significant difference in the pain visual analogue scale (VAS) between subacromial NSAID injections and corticosteroid injections at 1 month [weighted mean difference (WMD) -0.244; 95% CI, -1.232 to 0.745; I

conclusionNSAID injections may be safe and effective alternatives to steroid injections, especially in shoulder impingement syndrome and knee osteoarthritis.

Indexed as

hip osteoarthritisketorolacknee osteoarthritismethylprednisoloneshoulder impingement syndrometriamcinolonetrigger finger

Identifiers

PMID38398445
PMCPMC10889729
OpenAlexW4391944293

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.