Evidence map›Paper›PMID 42701169›Full record

ArticleMusculoskeletal surgery2026

Adelmidrol plus hyaluronic acid injections in the management of shoulder impairment due to rotator cuff disease: an exploratory pilot observational retrospective investigation.

L Faoro, S Ferraro, M Feduzi, G Ippolito, G Colò, M F Surace

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Article in Musculoskeletal surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

L FaoroOrthopaedics and Traumatology Unit, Ospedale Sant'Anna, Como, Italy.
S FerraroOspedale di Sanremo, ASL 1 Imperiese, Sanremo, Italy.
M FeduziOrthopaedics and Traumatology Unit, Ospedale Sant'Anna, Como, Italy.
G IppolitoPostgraduate School of Orthopaedics and Traumatology, ICOT Hospital, Latina, Italy.
G ColòOrthopaedics and Traumatology Unit, Ospedale Sant'Anna, Como, Italy. gabriele.colo@yahoo.it.ORCID https://orcid.org/0000-0002-6838-6910
M F SuraceOrthopaedics and Traumatology Unit, Ospedale Sant'Anna, Como, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundShoulder disorders are the third most common musculoskeletal presentation in primary care. Injuries to the structures surrounding this joint are closely related to oxidative stress and can lead to rotator cuff (RC) disease, including subacromial impingement syndrome, tendinopathy, and partial thickness tears, all characterized by pain, functional impairment, and reduced quality of life. This exploratory pilot investigation evaluates the effects of 2% Adelmidrol (ADM) plus 1% hyaluronic acid (HA) subacromial injections in patients with symptomatic RC disease.

methodsData from 28 patients who received two ADM+HA injections (one every 7 days) were collected. Assessments included the evaluation of pain intensity with the Numeric Rating Scale (NRS) at baseline (T0), 1 week after the 1st injection (T1) and 1 month after the 2nd injection (T2); shoulder functionality by Constant Score (CS) and Simple Shoulder Test (SST) at T0 and T2; and patients' subjective health status improvement by Patients' Global Impression of Change (PGIC) at T2.

resultsPain intensity showed a significant improvement over time (p < 0.0001), already evident at T1 and further at T2 (T1 vs. T0 p < 0.0001; T2 vs. T1 p < 0.0001). Shoulder functionality significantly improved from baseline to the end of the observational period (p < 0.0001), when most patients reported an overall improvement in their health status.

conclusionThe use of the innovative ADM and HA association showed encouraging preliminary clinical improvements in pain and function, which warrant further confirmation in controlled settings.

Indexed as

AdelmidrolHyaluronic acidRotator cuff injuriesShoulder impairmentShoulder painSubacromial injections

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Registered trials

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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.