Effects of intra-articular steroid injection before pan-capsular release in patients with refractory frozen shoulder

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• 作者：Yoshihiro Hagiwara ; Hiroyuki Sugaya…
• 关键词：Intra ; articular steroid injection ; Frozen shoulder ; Adhesive capsulitis ; Pan ; capsular release
• 刊名：Knee Surgery, Sports Traumatology, Arthroscopy
• 出版年：2015
• 出版时间：May 2015
• 年：2015
• 卷：23
• 期：5
• 页码：1536-1541
• 全文大小：601 KB
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• 作者单位：Yoshihiro Hagiwara (1)
  Hiroyuki Sugaya (2)
  Norimasa Takahashi (2)
  Nobuaki Kawai (2)
  Akira Ando (1)
  Junichiro Hamada (3)
  Eiji Itoi (1)
  
  1. Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai, 980-8574, Japan
  2. Funabashi Orthopaedic Sports Medicine Center, 1-833 Hazama-cho, Funabashi, Japan
  3. Department of Orthopaedic Surgery, Kuwano Kyoritsu Hospital, 2-9-18 Shima, Koriyama, Japan
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Orthopedics
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1433-7347

文摘

Purpose The purpose of the study was to retrospectively determine the effects of intra-articular steroid injection on the clinical outcome of patients who underwent arthroscopic pan-capsular release for refractory frozen shoulder. Methods Between 2000 and 2010, 34 patients (20 males, 14 females) who underwent an arthroscopic pan-capsular release for frozen shoulder were included. Intra-articular steroid injections were administered from April 2006, and just before surgery and at the final follow-up, ranges of motion (ROM) and scores of the Shoulder Rating Scale of the University of California, Los Angeles (UCLA) scoring system were evaluated. Results Intra-articular steroid injection significantly improved the UCLA scores of pain just before surgery and at the final follow-up (1.7?±?0.5 vs. 6?±?2, p?<?0.0001). We subdivided the patients into those with and without diabetes mellitus. Steroid injection had a significant effect on the ROM in forward flexion (166.6?±?8.6 vs. 140?±?36.1, p?=?0.026) and the scores of pain (10 vs. 9.3?±?1.2, p?=?0.046) at the final follow-up in the group without diabetes mellitus compared with those with it. Conclusion Intra-articular steroid injection improves pain just before an arthroscopic pan-capsular release and at the final follow-up in all the patients with refractory frozen shoulder. However, it improves the ROM in forward flexion and the UCLA scores of pain at the final follow-up only in those without diabetes mellitus. Level of evidence Therapeutic studies, Level IV.