Manipulation or intra-articular steroids in the management of adhesive capsulitis of the shoulder? A prospective randomized trial
| Autor: | Karen Smith, Miland Joshi, M G Smith, Sohail Ali Khan, L G H Jacobs |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Risk Assessment Sensitivity and Specificity Severity of Illness Index Injections Intra-Articular law.invention Randomized controlled trial Bursitis law Severity of illness Confidence Intervals medicine Humans Orthopedics and Sports Medicine Prospective Studies Range of Motion Articular Prospective cohort study Aged Pain Measurement Probability Shoulder Joint business.industry Frozen shoulder Recovery of Function General Medicine Middle Aged medicine.disease Surgery Radiography Treatment Outcome medicine.anatomical_structure Capsulitis Patient Satisfaction Manipulation Orthopedic Female Steroids Shoulder joint Range of motion business Manipulation under anesthesia Follow-Up Studies |
| Zdroj: | Journal of Shoulder and Elbow Surgery. 18:348-353 |
| ISSN: | 1058-2746 |
| DOI: | 10.1016/j.jse.2009.02.002 |
| Popis: | Background The management of adhesive capsulitis (frozen shoulder) is controversial. The authors present a prospective randomized study comparing the outcome, at a two-year follow-up period, of two groups of patients treated either by manipulation of the shoulder under anaesthetic or by intra-articular shoulder injections using steroid with distension. Methods Fifty-three patients suffering from Idiopathic “Primary” Frozen Shoulder were prospectively randomized into two treatment groups and followed up for two years from the start of treatment. Patients were assessed using the Constant score, a Visual Analogue Score, and the SF36 questionnaire. Results No statistical differences were found between the two groups of patients with regards to the outcome measures. Conclusion Treatment using steroid injections with distension as an out-patient is therefore recommended for the treatment of Idiopathic “Primary” Frozen Shoulder. This has the same clinical outcome as a manipulation under anaesthetic with less attendant risks. Level of evidence Level 1; Randomized controlled trial, therapeutic study. |
| Databáze: | OpenAIRE |
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