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. 2022 Jun 28:79:104071.
doi: 10.1016/j.amsu.2022.104071. eCollection 2022 Jul.

Comparison of efficacy three-site versus single-site steroid injections for the treatment of adhesive capsulitis

Muhammad Sharif  1 , Muhammad Sufyan Khan  2 , Tayyeba Khursheed Ahmed  3 , Wajahat Aziz  4 , Uzma Rasheed  4 , Shazia Zammurrad  4 , Arslan Iqbal  5 , Hassan Mumtaz  6 , Hassan Ul Hussain  7 , Mohammad Hasan  8 , Sheeza Erum  9
Affiliations

Comparison of efficacy three-site versus single-site steroid injections for the treatment of adhesive capsulitis

Muhammad Sharif et al. Ann Med Surg (Lond). .

Abstract

Background: Frozen shoulder or adhesion capsulitis is a frequent ailment that causes pain and progressively restricts both active and passive shoulder motions. It is estimated that it affects 2%-5% of the general population and up to 20% of diabetes mellitus patients.We aimed to compare the effectiveness of three-site steroid injections against one-site injections in the treatment of adhesive capsulitis.

Methodology: The Rheumatology Department of Pakistan Institute of Medical Sciences in Islamabad conducted this cross-sectional study. Between August 2021 to December 2021. The study comprised a total of 98 patients. This study included patients of both genders with shoulder pain between the ages of 40 and 70.Patients were divided into two groups & dosage was given at Sub-coracoid, Subacromial, and Posterior Capsule.The CONSTANT score was used to assess patients three times (Initial, 3months & 6 months later).

Results: The average age, gender distribution, and dominant/non-dominant side ratio of the participants were nearly identical between the two groups. More patients in group B (77.22 8.17) had a higher mean CONSTANT score than those in group A (72.73 7.05). Patients were checked in on again after three and six months.

Conclusion: The three-site injection technique is a safe and effective method for frozen shoulder. It provides an early recovery and improved shoulder function with a reduced frequency of relapse as compared to single-site injection techniques.

Keywords: CONSTANT Score; Frozen shoulder; Joints; Novel three-site technique; Steroid instillation.

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Conflict of interest statement

Nill.

Figures

Fig. 1
Fig. 1
Flowchart of Patient's selection.
Fig. 2
Fig. 2
An illustration showing the significant improvement and near-normal range of motion achieved by the end of 6 months by the patients in the new three-site injection group.
Fig. 3
Fig. 3
Comparison of CONSTANT Score in both the groups.
See this image and copyright information in PMC

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