Participants should meet all the inclusion criteria. Patients must consent in writing to participate in the study by signing and dating an informed consent document approved by IRB indicating that the patient has been informed of all pertinent aspects of the study prior to completing any of the screening procedures
Inclusion Criteria:
- Male or female 19 years of age and older.
- Patients who have unilateral shoulder pain.
- Patients who have had pain at least for 3 months and do not respond to conservative treatment.
- Patients who have a partial-thickness rotator cuff tear confirmed with magnetic resonance imaging (MRI) or ultrasonography (US).
Exclusion Criteria:
Participants who met a single condition were excluded from the study
- Patients who received any drug by subacromial injection for treatment within 3 months prior to this enrollment.
- Patients who have a history of shoulder trauma including dislocation, subluxation, and fracture, breast cancer, or surgery around shoulder, neck and upper back within 6 months prior to this enrollment.
- Patients who have a full-thickness rotator cuff tear
- Patients who have radiological findings of malignancy, osteoarthritis of the glenohumeral joint, and skeletal abnormalities decreasing the subacromial space
- Patients with symptomatic cervical spine disorders
- Patients with concurrent bilateral shoulder pain
- Patients with adhesive capsulitis, acromioclavicular arthropathy, polyarthritis, infectious arthritis, rheumatoid arthritis or diagnosed fibromyalgia
- Patients with neurological deficit
- Pregnant women or lactating mothers
- Fertile woman of childbearing potential not willing to use adequate contraception for the study duration
- Patients taking anticoagulants
- Patients who are positive serology for human immunodeficiency (HIV), hepatitis B (HBV) or hepatitis C (HCV) and syphilis
- Patients with serious condition which can affect this study such as severe cardiovascular diseases, renal diseases, liver diseases, endocrine diseases, and cancers
- Patients who are difficulty participating in data collection due to communication problem and serious mental illness
- Patients are unable to come into the clinic for regular follow-up
- Patients who had participated in other clinical trials within 3 months prior to this study.
- Patients who the principal investigator considered inappropriate for the clinical trial due to any other reasons than those listed above.