Comparison of Clinical Outcomes between Idiopathic Frozen Shoulder and Diabetic Frozen Shoulder After a Single Ultrasound-Guided Intra-Articular Corticosteroid Injection

Cho, Chul-Hyun; Jin, Haiyan; Kim, Du Hwan

doi:10.3390/diagnostics10060370

Cited by 7 publications

(5 citation statements)

References 35 publications

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“…Corticosteroid injection was first introduced since the 1950 second [ 39 ] and has frequently been used in tendinous lesions. [ 10 , 40 ] A number of clinic trials have revealed the short-term effects of corticosteroid injection for the treatment of rotator cuff lesions, [ 41 , 42 ] however, no reliable evidence for its long-term effects. Recently published systematic reviews have shown that corticosteroid injection is superior to PRP injection in treatment of elbow epicondylitis [ 29 , 43 ] and hip osteoarthritis [ 44 ] in the short-term.…”

Section: Discussionmentioning

confidence: 99%

Platelet-rich plasma injection vs corticosteroid injection for conservative treatment of rotator cuff lesions

Wang¹,

Zhang²,

Ma³

et al. 2021

Medicine

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Background: To explore the effectiveness of platelet-rich plasma (PRP) injection regarding functional recovery, pain relief, and range of motion (ROM) of shoulder compared with the corticosteroid injection in patients with rotator cuff lesions treated non-operatively. Methods: An electronic literature search was performed by 2 authors in the PubMed, Embase, Cochrane Library, and Web of Science databases to identify relevant randomized controlled trial (RCTs) that were published up to July 20, 2020. The quality of the included RCTs was evaluated using the approach recommended by the Cochrane Handbook for Systematic Reviews of Interventions. Standardized mean differences (SMDs) or mean differences (MDs) with 95% confidence intervals (CIs) were applied to calculate the pooled effect sizes. Results: Six RCTs were included in this systematic review. Meta-analysis revealed that corticosteroid injection yielded statistically significant superior functional recovery (SMD = −0.80; 95% CI, −1.42 to −0.18; P = .01) and pain relief (MD = 1.59; 95% CI, 0.30–2.89; P = .02) compared with PRP injection for rotator cuff lesions during the short-term follow-up period. However, at the medium-term and long-term follow-up, no statistically significant difference was identified between the 2 groups. Regarding the ROM of shoulder, no statistically significant difference was found between the 2 groups during the whole follow-up period. Conclusions: The current clinical evidence revealed short-term efficacy of corticosteroid injection and no significant medium- to long-term difference between corticosteroid and PRP injection in the treatment of rotator cuff lesions. Additional studies with longer follow-ups, larger sample sizes, and more rigorous designs are needed to draw more reliable and accurate conclusions.

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Section: Discussionmentioning

confidence: 99%

Platelet-rich plasma injection vs corticosteroid injection for conservative treatment of rotator cuff lesions

Wang¹,

Zhang²,

Ma³

et al. 2021

Medicine

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“…It is widely accepted that the treatment of FS is more difficult in patients with than without diabetes, and patients with diabetes show a more diminished response to treatment. [37][38][39][40] Diabetic patients commonly have more limitations of pROM than non-diabetic patients. 41 High blood glucose levels cause excessive glycosylation.…”

Section: Discussionmentioning

confidence: 99%

Functional improvement of bilateral frozen shoulder by unilateral intra-articular corticosteroid injection: a retrospective study

Kim

Huh

et al. 2021

J Int Med Res

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Objective Bilateral frozen shoulder (FS) is often treated with intra-articular corticosteroid injection (IACI). No studies have been performed to establish whether IACI must be administered in both shoulders or in only one shoulder to improve function. This study was therefore performed to determine whether unilateral IACI improves shoulder pain and passive range of motion (pROM) in bilateral FS. Methods The medical records of 165 patients with bilateral primary FS who underwent ultrasonography-guided IACI (2 mL of 10-mg/mL triamcinolone acetonide mixed with 5 mL of 1% lidocaine) in one shoulder were retrospectively reviewed. The outcome measures, namely the numeric rating scale (NRS) scores and pROM values (abduction, external rotation, flexion, hyperextension, and internal rotation), were evaluated pre- and post-injection. Results The patients’ mean age was 54.0 ± 8.0 years. The mean symptom duration was 6.5 ± 2.8 months. The mean follow-up period after injection was 6.7 ± 0.8 weeks. The NRS scores and pROM values significantly improved in both the injected and non-injected shoulders. Conclusions This study showed that unilateral IACI in patients with bilateral FS improves the clinical outcome of the non-injected shoulder. We suggest that physicians observe the non-injected shoulder after unilateral injection rather than performing bilateral injections.

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“…Those with predisposing metabolic disease such as diabetes mellitus or with a primary pathology in the shoulder prior to the development of adhesive capsulitis are considered to have secondary frozen shoulder. 6 , 7 Tertiary frozen shoulder arises as a grave complication of fracture treatment in the shoulder girdle or rotator cuff repair and may occur despite early rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

High-dose short-course oral corticosteroid protocol for treatment of primary frozen shoulder: a retrospective cohort study

et al. 2021

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Objective To evaluate the effect of high-dose prednisolone on the functional outcome of patients with early-stage primary frozen shoulder. Methods Eighteen patients treated with oral prednisolone at an initial dose of 1 mg/kg/day for primary frozen shoulder were retrospectively evaluated. The patients’ range of motion, Disabilities of the Arm, Shoulder, and Hand (DASH) score, Constant–Murley score, American Shoulder and Elbow Surgeons (ASES) score, and visual analog scale score were recorded at baseline and at 4 weeks and 6 months after treatment. Results Rapid recovery of shoulder motion was noted at 4 weeks with the exception of abduction, which was maintained at 6 months. Significant improvement in pain perception and the Constant–Murley score was evident at 4 weeks and extended to 6 months. The DASH and ASES scores did not show significant improvement in the first 4 weeks but were significantly improved at 6 months. Conclusion High-dose oral prednisolone treatment provides rapid symptom resolution that persists long after drug discontinuation. The early treatment period is characterized by marked reduction in pain and rapid recovery of shoulder motion. Improvements in functional outcomes and disability indices tend to be more subtle in the early period but significantly improve during late treatment.

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Comparison of Clinical Outcomes between Idiopathic Frozen Shoulder and Diabetic Frozen Shoulder After a Single Ultrasound-Guided Intra-Articular Corticosteroid Injection

Cited by 7 publications

References 35 publications

Platelet-rich plasma injection vs corticosteroid injection for conservative treatment of rotator cuff lesions

Platelet-rich plasma injection vs corticosteroid injection for conservative treatment of rotator cuff lesions

Functional improvement of bilateral frozen shoulder by unilateral intra-articular corticosteroid injection: a retrospective study

High-dose short-course oral corticosteroid protocol for treatment of primary frozen shoulder: a retrospective cohort study

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