Role of Intraarticular Injection as Compared to Conventional Treatment in Frozen Shoulder

Authors

  • Alam M. S Assistant Department of Orthopaedics, Katihar Medical College, Katihar. Author
  • Sherwani MKA Department of Orthopaedics, JN Medical College, AMU, Aligarh Author

DOI:

https://doi.org/10.21276/ezkefy53

Keywords:

Frozen Shoulder, Intra-articular injection

Abstract

Background: Frozen shoulder is a common painful condition of shoulders frequently encountered by most orthopaedic surgeons. Among various treatment protocols for frozen shoulder, definitive treatment is still uncertain.
Methods: this study was a randomised prospective clinical study on frozen shoulder on 147 patients which were divided into two groups Group 1: conventional treatment (NSAID) followed by physiotherapy. Group 2: Intraarticular corticosteroids injection followed by physiotherapy. Aim was to know in depth about frozen shoulder, to compare treatment modality (intraarticular corticosteroid injection with NSAIDs) to provide appropriate treatment to patients of frozen shoulder
Results: Most patients with adhesive capsulitis (95%) can be successfully treated with non-operative treatment programme. Intraarticular corticosteroid injections have excellent and faster recovery up to three months in all respect (ROM, pain, and SST) as compared to NSAIDs but overall recovery at 6 months or longer duration is comparable in both the groups
Conclusion: overall intra articular corticosteroid injection are better than NSAIDs. Intraarticular corticosteroid injection has excellent effect in stage 1

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References

Andersen NH, Johannsen HV, Sneppen O, Søjbjerg JO ;Frozen shoulder. Arthroscopy and manipulation in general anesthesia, followed by early passive mobilization, Ugeskr Laeger. 1996 Jan 8;158(2):147-50.. 97.

Neviaser J (1945) “Adhesive capsulitis of the shoulder: a study of the pathological findings in periarthritis of the shoulder.” Journal of Bone and Joint Surgery 27:211-22

Zuckerman J, Cuomo F, Rokito S. Definition and classification of frozen shoulder: a consensus approach. J Shoulder Elbow Surg 1994;3:S72. 6.

Reeves B. The natural history of the frozen shoulder syndrome.Scand J Rheumatol 1975. 14.

Buchbinder R, Green S, Youd JM, Johnston RV: Oral steroids for adhesive capsulitis, Cochrane database systemic review 2006. 82 Bulgen DY, Binder A, Hazleman B, Park J (1982) “Immunological studies in frozen shoulder.” Journal of Rheumatology 9:893-8. 55.

Bunker TD, Anthony P (1995) “The pathology of frozen shoulder: a Dupytren- like disease.” Journal of Bone and Joint Surgery 77:677-83. 51.

Bunker TD, Anthony PP. The pathology of frozen shoulder. A Dupuytren-like disease. J Bone Joint Surg [Br] 1995;77:677-83. 38.

Bunker TD, Fagas K, Deferme A (1994) “Arthroscopy and manipulation in frozen shoulder.” Journal of Bone and Joint Surgery 76-B(Suppl 1):53. 48.

Bunker TD, Reilly J, Baird KS, Hamblen DL: Expression of growth factors, cytokines and matrix metalloproteinases in frozen shoulder. J Bone Joint Surg Br 2000;82:768-773. 43

Buchbinder R, Hoving JL, Green S, Hall S, Forbes A, Nash P. Short course prednisolone for adhesive capsulitis (frozen shoulder or stiff painful shoulder): a randomised, double lind, placebo controlled trial. Ann Rheum Dis 2004;63:1460-9. 78.

JENNIFER MORIATIS WOLF, MD, AND ANDREW GREEN, MD: Influence of Comorbidity on Self-Assessment Instrument Scores of

Jones DS, Chattopadhyay C: suprascapular nerve block for the treatment of frozen shoulder in primary care-a randomized trial, Br. J. Gen. Pract., 1999, 49;39:41. 115 Frozen Shoulder:

Gulzar Saeed Ahmed, Altaf Hussain, Muhammad Ali :Role of Single Intra-Articular Corticosteroid Injection and Home Exercise Programme: JLUMHS SEPTEMBER-DECEMBER 2011; Vol 10: No. 03

Weiss 11, Ting YM: Arthrography-assisted intraarticular injection of steroids in treatment of adhesive capsulitis. Arch Phys Med Rehabil 59:285-287, 1978; Rizk TE, Pinals RS, Talavier AS: Corticosteroid injections in adhesive capsulitis: Investigation of their value and site. Arch Phys Med Rehabil72:ZO-22, 1991. 77.

Widiastuti-Samekto M, Sianturi GP. Frozen shoulder syndrome: comparison of oral route corticosteroid and intra-articular corticosteroid injection. Med J Malaysia 2004; 59:312-6. 83.

Zuckerman JD, Cuomo F. Frozen shoulder. In: Matsen FA 3rd, Fu FH, Hawkins RJ,editors. The shoulder: a balance of mobility and stability. Rosemont, IL: American Academy of Orthopaedic Surgery; 1993. p 19-109.

Quin C E. Frozen shoulder: evaluation of treatment with hydrocortisone injections and exercises. Ann Phys Med 1965; 8:22-9.

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Published

09.03.2024

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ORIGINAL ARTICLES ~ Orthopaedics

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