Comparison of Rotator Interval Injection Versus Intraarticular Hydrodilatation in Frozen Shoulder

Taipei Veterans General Hospital

Status: Completed

Conditions: Adhesive Capsulitis

Treatments: Drug: Triamcinolone (Shincort) injection to posterior glenuhumeral recess; Drug: Triamcinolone (Shincort) injection to rotator interval

Study type: Interventional

Funder types: Other

Identifiers

NCT03678038

2018-07-008B

Details and patient eligibility

About

This study was conducted to compare the efficacy of hydrodilatation with steroid via posterior approach versus rotator interval approach for treating patients with adhesive capsulitis.

Full description

Adhesive capsulitis is a common cause of shoulder pain, and the efficacy of most interventions is limited. This study was conducted to compare the efficacy of rotator interval injection with steroid with that of steroid hydrodilatatoin for treating adhesive capsulitis.

Design: a prospective, single-blinded, randomized, clinical trial

Patient and methods:

Patients with adhesive capsulitis were enrolled and randomly allocated into group 1 ( ultrasound guided rotator interval injection ) and group 2 (ultrasound guided steroid hydrodilatation). The patients were evaluated before treatment and were reevaluated 0, 6, and 12 weeks after the beginning of the treatment. Outcomes measures included a pain scale (visual analog scale), range of motion, Constant shoulder score, and Shoulder Pain And Disability Index.

Enrollment: 64 patients

Sex: All

Ages: 35 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Diagnosis of frozen shoulder by physical examination and ultrasonography

Exclusion criteria

1. other conditions involving the shoulder ( rheumatoid arthritis, Hill-Sachs lesions,osteoporosis, or malignancies in the shoulder region)
2. neurologic deficits affecting shoulder function in normal daily activities
3. shoulder pain caused by cervical radiculopathy
4. a history of drug allergy to xylocaine or corticosteroid
5. pregnancy or lactation;
6. received injection into the affected shoulder during the preceding 3 months
7. history of surgeries on the affected shoulders
8. Secondary frozen shoulder

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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64 participants in 2 patient groups

rotator interval injection

Experimental group

Description:

patient received ultrasound-guided steroid injection via rotator interval

Treatment:

Drug: Triamcinolone (Shincort) injection to rotator interval

posterior recess injection

Active Comparator group

Description:

patient received ultrasound-guided steroid injection via posterior recess

Treatment:

Drug: Triamcinolone (Shincort) injection to posterior glenuhumeral recess