AI Article Synopsis

  • Corticosteroid injections are commonly used to treat primary frozen shoulder, but there's debate on the effectiveness of different injection approaches to the joint.
  • A study with 60 patients compared anterior and posterior injection methods, administering a combination of triamcinolone and lidocaine, and tracked outcomes over 12 weeks.
  • Results showed the anterior approach led to better pain control and quicker functional recovery compared to the posterior approach, especially in the early stages of treatment.

Article Abstract

Objective: Corticosteroid injection is a common treatment for primary frozen shoulder, but controversy remains regarding whether different injection approaches to the glenohumeral joint have similar clinical benefits.

Design: Randomized controlled clinical trial.

Patients: A total of 60 patients with primary frozen shoulder were divided randomly into either anterior or posterior approach groups.

Methods: Both groups received a 5-mL drug injection, including 1 mL 40 mg/mL triamcinolone acetonide and 4 mL 2% lidocaine. Follow-up time-points were 4, 8 and 12 weeks post-injection. Outcome measures included visual analogue scale score, Constant-Murley score, and passive range of motion of the shoulder joint.

Results: All outcome measures improved over the follow-up period compared with those of previous follow-up time-points within the groups. The primary finding was that the visual analogue scale score in the anterior group was better than that in the posterior group at each follow-up time-point (all p < 0.05). In addition, improvement in function score and external rotation was faster and significant in the anterior group in the early stages (p = 0.02).

Conclusion: The anterior approach achieves more satisfactory results in pain control and offers better recovery of functional activity than posterior approach in the early period for primary frozen shoulder.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9828646PMC
http://dx.doi.org/10.2340/jrm.v55.2201DOI Listing

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