Good results after fluoroscopic-guided intra-articular injections in the treatment of adhesive capsulitis of the shoulder.

Abstract

The purpose of the present study was the prospective evaluation of the results of fluoroscopic-guided intra-articular cortisone injection series in the treatment of adhesive capsulitis of the shoulder. Twenty-five patients (9 m, 16 w) with a mean age of 49 ± 8 years and stage II frozen shoulder syndrome according to the Reeves classification were treated with an intra-articular cortisone injection series (3 injections at 0, 4, 12, weeks). Clinical examination, ASES score and SF 36 score were performed at 0, 4, 8, 12 weeks, 6 and 12 months. In the results, significant improvements were seen in flexion (99 ± 30°-119 ± 31°, P < .0001), abduction (72 ± 24-99 ± 34°, P < .0001), external rotation (14 ± 16°-28 ± 21°, P < .0001) and internal rotation already at first follow-up after 4 weeks of treatment. The results were confirmed at any other follow-up. ASES score improved from 28 ± 13 to 45 ± 18 after 4 weeks (P < .0001), 59 ± 21 after 8 weeks (P < .0001), 63 ± 25 at 3 months (P < .0001), 64 ± 28 (P < .0001) at 6 months and 73 ± 27 (P < .0001) points at final follow-up after 1 year. Evaluation of the SF-36 Score showed significant improvements in almost all categories (physical and mental) after 4 weeks of treatment (P < .05). In conclusion, a fluoroscopic-guided intra-articular injection series of cortisone is an effective treatment option in frozen shoulder syndrome leading to a fast pain reduction and increased range motion.

• Authors: Olaf Lorbach, Matthias Kieb, Cornelia Scherf, Romain Seil, Dieter Kohn, Dietrich Pape
• Journal: Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA (Knee Surg Sports Traumatol Arthrosc) Vol. 18 Issue 10 Pg. 1435-41 (Oct 2010) ISSN: 1433-7347 [Electronic] Germany
• PMID: 20076945 (Publication Type: Journal Article)

Chemical References

• Anesthetics, Local
• Mepivacaine
• Cortisone
• Bupivacaine

Topics

• Adult
• Anesthetics, Local (administration & dosage)
• Bupivacaine (administration & dosage)
• Bursitis (diagnosis, drug therapy)
• Cohort Studies
• Cortisone (administration & dosage)
• Drug Administration Schedule
• Drug Therapy, Combination
• Female
• Fluoroscopy
• Follow-Up Studies
• Humans
• Injections, Intra-Articular
• Male
• Mepivacaine (administration & dosage)
• Middle Aged
• Pain Measurement (drug effects)
• Patient Satisfaction
• Range of Motion, Articular (drug effects, physiology)
• Retrospective Studies
• Severity of Illness Index
• Shoulder Joint
• Shoulder Pain (diagnosis, drug therapy)
• Treatment Outcome