Keywords
intra-articular steroid injection
Range of movement
How to Cite
Abstract
Introduction: "Periarthritis" and "adhesive capsulitis" have been used synonymously with frozen shoulder. The condition known as "frozen shoulder," which has an unknown cause, is characterized by a delayed, spontaneous restoration of all shoulder joint movements to some extent or entirely over several months to a year. Various treatment methods have been employed to manage periarthritis of the shoulder, with varying outcomes.
The Aim: To evaluate the functional outcomes and pain relief of periarthritis of the shoulder treated with intra-articular steroid injection and manipulation under anesthesia.
Materials and Methods: A prospective study was conducted on 30 adults with periarthritis of the shoulder, who were admitted, evaluated, and followed up on for three months after undergoing intra-articular steroid injection and manipulation.
Results: In our study, most of the patients were females and elderly, with diabetics being more prone to periarthritis of the shoulder. The range of movements improved, and pain was relieved in all 30 patients. Excellent results were found in 26 cases (86.6%) by DASH Score criteria.
Conclusion: Intra-articular steroid injection and manipulation of the shoulder in patients with periarthritis of the shoulder, followed up for 12 weeks, resulted in a significant improvement in the range of shoulder movement, pain, and function.
References
Turek SL. The shoulder. Chapter 23. In: Orthopaedics principles and their application. 4th ed. Vol (2). Philadelphia: Lippin Cott-Raven; 2002: 932–36.
Murnaghan JP. Frozen shoulder. Chapter 21. In: Rockwood CA Jr (editor). The shoulder. Vol (2). Philadelphia: W.B. Saunders Company; 1990: 837–62.
Fareed DO, Gallivan WR Jr. Office management of frozen shoulder syndrome: Treatment with hydraulic distension under local anesthesia. Clinical orthopedics and related research 1989; 242: 177-83.
Binder AI, Bulgen DY, Hazleman BL, Tudor J, Wraight P. Frozen shoulder, an arthrographic and radio nuclear scan assessment. Ann Rheum Dis 1984; 43: 365-69.
Hudak PL, Amadio PC, Bombardier C, The Upper Extremity Collaborative Group (UECG) Development of an upper extremity outcome measure: the DASH (Disabilities of the arm, shoulder and hand). Am J Ind Med. 1996; 29:602–8.
Sakeni RA and Al-Nimer MS. Comparison between intraarticular triamcinolone acetonide and methylprednisolone acetate injections in treatment of frozen shoulder. Saudi Med J. 2007;28(5):707-12.
Singh S, Gill S, Mohammad F, et al. Prevalence of shoulder disorders in tertiary care centre. Int J Res Med Sci. 2015;3(4):917–20.
Vastamäki H, Vastamäki M. Motion and pain relief remain 23 years after manipulation under anaesthesia for frozen shoulder. Clin Orthop Relat Res.2013; 471:1245–50.
Kothari SY, Srikumar V and Singh N. Comparative Efficacy of Platelet Rich Plasma Injection, Corticosteroid Injection and Ultrasonic Therapy in the Treatment of
Periarthritis Shoulder. J Clin Diagn Res. 2017;11(5):15–18.
Verma VK, Nim RK, Singh P, et al. Frozen Shoulder as a Presentation of Diabetes
Mellitus. Annals of International Medical and Dental Research. 2017;3(4):20–23.
Harris JD, Griesser MJ, Copelan A, et al. Treatment of adhesive capsulitis with intraarticular hyaluronate: A systematic review. Int J Shoulder Surg. 2011;5(2):31–37.
Cadogan A and Mohammed KD. Shoulder pain in primary care: Frozen shoulder. J Prim Health Care. 2016;8(1):44–51.
Bridgman JF. Periarthritis of the shoulder and diabetes mellitus. Ann Rheum Dis.
;31(1):69–71.
Loew M, Heichel TO, Lehner B. Intraarticular lesions in primary frozen shoulder after manipulation under general anaesthesia. J Shoulder Elbow Surg. 2005;14(1):16-21.
Stout A, Friedly J, Standaert CJ. Systemic Absorption and Side Effects of Locally
Injected Glucocorticoids. PM R. 2019;11(4):409-19.
Theodorides AA, Owen JM, Sayers AE, et al. Factors affecting short- and longterm outcomes of manipulation under anaesthesia in patients with adhesive capsulitis of the shoulder. J Shoulder Elbow Surg. 2014; 6:245–56.
Tsvieli O, Atoun E, Consigliere P, et al. Manipulation under anaesthetic for frozen shoulder using Codman’s paradox: a safe and early return of function. Int Orthop. 2018; 42:339–44.
Ingawale DK, Mandlik SK, Patel SS. An emphasis on molecular mechanisms of anti-inflammatory effects and glucocorticoid resistance. J Complement Integr Med. 2015; 12:1–3.
Kraal T, Beimers L, The B, et al. Manipulation under anaesthesia for frozen shoulders: outdated technique or well-established quick fix? EFORT Open Rev. 2019;4(3):98–109.