COMPARISON OF OUTCOMES OF TWO DIFFERENT CORTICOSTEROID INJECTION APPROACHES FOR PRIMARY FROZEN SHOULDER: A RANDOMIZED CONTROLLED STUDY

作者全名："Deng, Zhibo; LI, Zhi; LI, Xiangwei; Chen, Zhongqiu; Shen, Chen; Sun, Xianding; Shu, Han; Wu, Jiangping; Tang, Kaiying"

作者地址："[Deng, Zhibo; LI, Zhi; LI, Xiangwei; Shen, Chen; Sun, Xianding; Shu, Han; Wu, Jiangping; Tang, Kaiying] Chongqing Med Univ, Ctr Joint Surg, Dept Orthoped Surg, Affiliated Hosp 2, Linjiang Rd 76, Chongqing 400010, Peoples R China; [Chen, Zhongqiu] Chongqing Med Univ, Affiliated Hosp 2, Dept Informat Ctr, Chongqing, Peoples R China"

通信作者："Tang, KY (通讯作者)，Chongqing Med Univ, Ctr Joint Surg, Dept Orthoped Surg, Affiliated Hosp 2, Linjiang Rd 76, Chongqing 400010, Peoples R China."

来源：JOURNAL OF REHABILITATION MEDICINE

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000912391900001

JCR分区：Q1

影响因子：2.5

年份：2023

卷号：55

期号：　

开始页：　

结束页：　

文献类型：Article

关键词：frozen shoulder; adhesive capsulitis; anterior approach; posterior approach; corticosteroid injection

摘要："Objective: Corticosteroid injection is a common treatment for primary frozen shoulder, but contro-versy remains regarding whether different injection approaches to the glenohumeral joint have similar clinical benefits.Design: Randomized controlled clinical trial.Patients: A total of 60 patients with primary frozen shoulder were divided randomly into either anterior or posterior approach groups. Methods: Both groups received a 5-mL drug injec-tion, including 1 mL 40 mg/mL triamcinolone aceto-nide and 4 mL 2% lidocaine. Follow-up time-points were 4, 8 and 12 weeks post-injection. Outcome measures included visual analogue scale score, Constant-Murley score, and passive range of motion of the shoulder joint. Results: All outcome measures improved over the follow-up period compared with those of previous follow-up time-points within the groups. The pri-mary finding was that the visual analogue scale score in the anterior group was better than that in the posterior group at each follow-up time-point (all p < 0.05). In addition, improvement in function score and external rotation was faster and sig-nificant in the anterior group in the early stages (p = 0.02). Conclusion: The anterior approach achieves more satisfactory results in pain control and offers bet-ter recovery of functional activity than posterior approach in the early period for primary frozen shoulder."

基金机构：Chongqing Science and Technology Commission and Health Commission project [2021MSXM058]

基金资助正文：This study was supported by research grants from the Chongqing Science and Technology Commission and Health Commission project (2021MSXM058).