Effects of intra-articular steroid injection before pan-capsular release in patients with refractory frozen shoulder

Verfasser / Beitragende:
[Yoshihiro Hagiwara, Hiroyuki Sugaya, Norimasa Takahashi, Nobuaki Kawai, Akira Ando, Junichiro Hamada, Eiji Itoi]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/5(2015-05-01), 1536-1541
Format:
Artikel (online)
ID: 605459940
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024 7 0 |a 10.1007/s00167-014-2936-2  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-2936-2 
245 0 0 |a Effects of intra-articular steroid injection before pan-capsular release in patients with refractory frozen shoulder  |h [Elektronische Daten]  |c [Yoshihiro Hagiwara, Hiroyuki Sugaya, Norimasa Takahashi, Nobuaki Kawai, Akira Ando, Junichiro Hamada, Eiji Itoi] 
520 3 |a Purpose: The purpose of the study was to retrospectively determine the effects of intra-articular steroid injection on the clinical outcome of patients who underwent arthroscopic pan-capsular release for refractory frozen shoulder. Methods: Between 2000 and 2010, 34 patients (20 males, 14 females) who underwent an arthroscopic pan-capsular release for frozen shoulder were included. Intra-articular steroid injections were administered from April 2006, and just before surgery and at the final follow-up, ranges of motion (ROM) and scores of the Shoulder Rating Scale of the University of California, Los Angeles (UCLA) scoring system were evaluated. Results: Intra-articular steroid injection significantly improved the UCLA scores of pain just before surgery and at the final follow-up (1.7±0.5 vs. 6±2, p<0.0001). We subdivided the patients into those with and without diabetes mellitus. Steroid injection had a significant effect on the ROM in forward flexion (166.6±8.6 vs. 140±36.1, p=0.026) and the scores of pain (10 vs. 9.3±1.2, p=0.046) at the final follow-up in the group without diabetes mellitus compared with those with it. Conclusion: Intra-articular steroid injection improves pain just before an arthroscopic pan-capsular release and at the final follow-up in all the patients with refractory frozen shoulder. However, it improves the ROM in forward flexion and the UCLA scores of pain at the final follow-up only in those without diabetes mellitus. Level of evidence: Therapeutic studies, Level IV. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Intra-articular steroid injection  |2 nationallicence 
690 7 |a Frozen shoulder  |2 nationallicence 
690 7 |a Adhesive capsulitis  |2 nationallicence 
690 7 |a Pan-capsular release  |2 nationallicence 
700 1 |a Hagiwara  |D Yoshihiro  |u Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan  |4 aut 
700 1 |a Sugaya  |D Hiroyuki  |u Funabashi Orthopaedic Sports Medicine Center, 1-833 Hazama-cho, Funabashi, Japan  |4 aut 
700 1 |a Takahashi  |D Norimasa  |u Funabashi Orthopaedic Sports Medicine Center, 1-833 Hazama-cho, Funabashi, Japan  |4 aut 
700 1 |a Kawai  |D Nobuaki  |u Funabashi Orthopaedic Sports Medicine Center, 1-833 Hazama-cho, Funabashi, Japan  |4 aut 
700 1 |a Ando  |D Akira  |u Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan  |4 aut 
700 1 |a Hamada  |D Junichiro  |u Department of Orthopaedic Surgery, Kuwano Kyoritsu Hospital, 2-9-18 Shima, Koriyama, Japan  |4 aut 
700 1 |a Itoi  |D Eiji  |u Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/5(2015-05-01), 1536-1541  |x 0942-2056  |q 23:5<1536  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-2936-2  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-2936-2  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hagiwara  |D Yoshihiro  |u Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Sugaya  |D Hiroyuki  |u Funabashi Orthopaedic Sports Medicine Center, 1-833 Hazama-cho, Funabashi, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Takahashi  |D Norimasa  |u Funabashi Orthopaedic Sports Medicine Center, 1-833 Hazama-cho, Funabashi, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kawai  |D Nobuaki  |u Funabashi Orthopaedic Sports Medicine Center, 1-833 Hazama-cho, Funabashi, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ando  |D Akira  |u Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hamada  |D Junichiro  |u Department of Orthopaedic Surgery, Kuwano Kyoritsu Hospital, 2-9-18 Shima, Koriyama, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Itoi  |D Eiji  |u Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/5(2015-05-01), 1536-1541  |x 0942-2056  |q 23:5<1536  |1 2015  |2 23  |o 167