Intra-articular Steroid alone vs Hydrodilatation with intra- articular Steroid in Frozen Shoulder - A Randomised Control Trial
Introduction: Various non-operative treatment modalities have been advocated for a frozen shoulder. In the present study we compared the efficacy of single intra-articular steroid injection vs hydrodilatation with intra-articular steroids for frozen shoulder (FS) in the frozen phase. Materials and...
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Malaysian Orthopaedic Association
2023-03-01
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| Series: | Malaysian Orthopaedic Journal |
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| Online Access: | http://morthoj.org/2023/v17n1/steroids-frozen-shoulder.pdf |
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| author | Swaroop S Gupta P Patnaik S Reddy SS |
| author_facet | Swaroop S Gupta P Patnaik S Reddy SS |
| author_sort | Swaroop S |
| collection | DOAJ |
| description | Introduction: Various non-operative treatment modalities have been advocated for a frozen shoulder. In the present study we compared the efficacy of single intra-articular steroid injection vs hydrodilatation with intra-articular steroids for frozen shoulder (FS) in the frozen phase.
Materials and methods: This was a prospective, randomised control trial (RCT) done at a tertiary care centre. A total of 108 participants were randomised into two groups- one group received intra-articular steroid with hydrodilatation (HDS) and other group received intra- articular steroid injection only (S). Shoulder Pain and Disability Index (SPADI) scores were taken, and statistical analysis was done to measure the outcome at two weeks, six weeks and three-month intervals after the injection.
Result: There was significant improvement in symptoms at each interval for both the groups (p=0.0). There was no statistically significant difference in the SPADI score between the two groups at two weeks post injection, however at six weeks (p=0.04) and 3 months (p=0.001) significant difference in the SPADI score was demonstrated with better scores in group S. The mean duration of analgesia required in group HDS was 5.17 days (S.D.=1.73) and for group S was 4.28 days (S.D.=1.01), with a statistical significance (p=0.002).
Conclusion: Better clinical results were obtained at six weeks and three months with the group receiving corticosteroid only and also had a lesser requirement of analgesia post-intervention. Thus, intra-articular steroid injection only seems to be a more desirable method of management during the frozen phase of FS than that of hydrodilatation with intra-articular steroid injection. |
| first_indexed | 2024-03-13T08:56:36Z |
| format | Article |
| id | doaj.art-91c5970b1bd24f94b4e3f9504be8505c |
| institution | Directory Open Access Journal |
| issn | 1985-2533 2232-111X |
| language | English |
| last_indexed | 2024-03-13T08:56:36Z |
| publishDate | 2023-03-01 |
| publisher | Malaysian Orthopaedic Association |
| record_format | Article |
| series | Malaysian Orthopaedic Journal |
| spelling | doaj.art-91c5970b1bd24f94b4e3f9504be8505c2023-05-29T02:23:35ZengMalaysian Orthopaedic AssociationMalaysian Orthopaedic Journal1985-25332232-111X2023-03-01171343910.5704/MOJ.2303.005Intra-articular Steroid alone vs Hydrodilatation with intra- articular Steroid in Frozen Shoulder - A Randomised Control TrialSwaroop S0Gupta P1Patnaik S2Reddy SS3Department of Orthopaedics, Siksha 'O' Anusandhan Institute of Medical Sciences and SUM Hospital, Bhubaneswar, IndiaDepartment of Orthopaedics, Sandwell and West Birmingham Hospitals NHS Trust, West Bromwich, United KingdomDepartment of Orthopaedics, Siksha 'O' Anusandhan Institute of Medical Sciences and SUM Hospital, Bhubaneswar, IndiaDepartment of Orthopaedics, Siksha 'O' Anusandhan Institute of Medical Sciences and SUM Hospital, Bhubaneswar, IndiaIntroduction: Various non-operative treatment modalities have been advocated for a frozen shoulder. In the present study we compared the efficacy of single intra-articular steroid injection vs hydrodilatation with intra-articular steroids for frozen shoulder (FS) in the frozen phase. Materials and methods: This was a prospective, randomised control trial (RCT) done at a tertiary care centre. A total of 108 participants were randomised into two groups- one group received intra-articular steroid with hydrodilatation (HDS) and other group received intra- articular steroid injection only (S). Shoulder Pain and Disability Index (SPADI) scores were taken, and statistical analysis was done to measure the outcome at two weeks, six weeks and three-month intervals after the injection. Result: There was significant improvement in symptoms at each interval for both the groups (p=0.0). There was no statistically significant difference in the SPADI score between the two groups at two weeks post injection, however at six weeks (p=0.04) and 3 months (p=0.001) significant difference in the SPADI score was demonstrated with better scores in group S. The mean duration of analgesia required in group HDS was 5.17 days (S.D.=1.73) and for group S was 4.28 days (S.D.=1.01), with a statistical significance (p=0.002). Conclusion: Better clinical results were obtained at six weeks and three months with the group receiving corticosteroid only and also had a lesser requirement of analgesia post-intervention. Thus, intra-articular steroid injection only seems to be a more desirable method of management during the frozen phase of FS than that of hydrodilatation with intra-articular steroid injection.http://morthoj.org/2023/v17n1/steroids-frozen-shoulder.pdffrozen shoulderhydrodilatation shoulderintra-articular steroidsadhesive capsulitis |
| spellingShingle | Swaroop S Gupta P Patnaik S Reddy SS Intra-articular Steroid alone vs Hydrodilatation with intra- articular Steroid in Frozen Shoulder - A Randomised Control Trial Malaysian Orthopaedic Journal frozen shoulder hydrodilatation shoulder intra-articular steroids adhesive capsulitis |
| title | Intra-articular Steroid alone vs Hydrodilatation with intra- articular Steroid in Frozen Shoulder - A Randomised Control Trial |
| title_full | Intra-articular Steroid alone vs Hydrodilatation with intra- articular Steroid in Frozen Shoulder - A Randomised Control Trial |
| title_fullStr | Intra-articular Steroid alone vs Hydrodilatation with intra- articular Steroid in Frozen Shoulder - A Randomised Control Trial |
| title_full_unstemmed | Intra-articular Steroid alone vs Hydrodilatation with intra- articular Steroid in Frozen Shoulder - A Randomised Control Trial |
| title_short | Intra-articular Steroid alone vs Hydrodilatation with intra- articular Steroid in Frozen Shoulder - A Randomised Control Trial |
| title_sort | intra articular steroid alone vs hydrodilatation with intra articular steroid in frozen shoulder a randomised control trial |
| topic | frozen shoulder hydrodilatation shoulder intra-articular steroids adhesive capsulitis |
| url | http://morthoj.org/2023/v17n1/steroids-frozen-shoulder.pdf |
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