Intra-articular steroid for adhesive capsulitis: does hydrodilatation give any additional benefit? A randomized control
- PDF / 1,827,255 Bytes
- 9 Pages / 595.276 x 790.866 pts Page_size
- 13 Downloads / 144 Views
SCIENTIFIC ARTICLE
Intra-articular steroid for adhesive capsulitis: does hydrodilatation give any additional benefit? A randomized control trial Samir M. Paruthikunnan 1 & Praveen N. Shastry 1 & Rajagopal Kadavigere 1 Lakshmikanth Halegubbi Karegowda 1
&
Vivek Pandey 2 &
Received: 15 May 2019 / Revised: 15 August 2019 / Accepted: 13 September 2019 # ISS 2019
Abstract Objectives To assess the benefit offered by capsular hydrodilatation in addition to intra-articular steroid injections in cases of adhesive capsulitis, assess outcomes in diabetic patients with capsular hydrodilatation as compared to non-diabetics and correlate duration of symptoms with outcome based on the type of intervention given. Materials and methods This prospective double-blinded randomized control trial included patients presenting with clinical features of adhesive capsulitis with no evidence of rotator cuff pathology and randomized them into two groups—intra-articular steroid with hydrodilatation (distension group) and only intra-articular steroid (non-distension group) with intervention being performed as per the group allotted. Primary outcome measure was Shoulder Pain and Disability Index (SPADI) scores which were taken pre-intervention, at 1.5, 3 and 6 months post-intervention, which were assessed by generalized linear model statistics and Pearson correlation. Results Although there was statistically significant drop in SPADI in both groups over time [F(1.9, 137.6) = 112.2; p < 0.001], mean difference in SPADI between the 2 groups was not statistically significant (1.53; CI:-3.7 to 6.8; p = 0.56). There was no significant difference between both groups among diabetics [F(1,38) = 0.04; p = 0.95] and no significant difference between diabetic and non-diabetic patients who received hydrodilatation [F(1.8, 60) = 2.26; p = 0.12]. There was no significant correlation between the reduction in SPADI scores and duration of symptoms in any subset of the study population. Conclusion Shoulder joint hydrodilatation offered no additional benefit compared to intra-articular steroid injections for shoulder adhesive capsulitis. Outcome for diabetics and non-diabetics were similar and there was no correlation between duration of symptoms and outcome. Keywords Shoulder joint . Adhesive capsulitis . Prospective studies . Injections, intra-articular . Diabetes mellitus
Abbreviations ANOVA Analysis of variance CI Confidence interval CONSORT Consolidated Standards of Reporting Trials ITT Intention to treat RCT Randomized control trial
* Rajagopal Kadavigere [email protected]; [email protected] 1
Department of Radio-diagnosis and Imaging, Kasturba Medical College, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India
2
Department of Orthopedics, Kasturba Medical College, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India
SD SPADI VAS
Standard deviation Shoulder Pain and Disability Index Visual analog scale
Introduction Adhesive capsulitis of shoulder, also called frozen shoulder, is a condition resulting in
Data Loading...
