caa a22 4500 605459940 CHVBK 20210128100236.0 cr unu---uuuuu 210128e20150501xx s 000 0 eng 10.1007/s00167-014-2936-2 doi (NATIONALLICENCE)springer-10.1007/s00167-014-2936-2 Effects of intra-articular steroid injection before pan-capsular release in patients with refractory frozen shoulder [Elektronische Daten] [Yoshihiro Hagiwara, Hiroyuki Sugaya, Norimasa Takahashi, Nobuaki Kawai, Akira Ando, Junichiro Hamada, Eiji Itoi] 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. Springer-Verlag Berlin Heidelberg, 2014 Intra-articular steroid injection nationallicence Frozen shoulder nationallicence Adhesive capsulitis nationallicence Pan-capsular release nationallicence Hagiwara Yoshihiro Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan aut Sugaya Hiroyuki Funabashi Orthopaedic Sports Medicine Center, 1-833 Hazama-cho, Funabashi, Japan aut Takahashi Norimasa Funabashi Orthopaedic Sports Medicine Center, 1-833 Hazama-cho, Funabashi, Japan aut Kawai Nobuaki Funabashi Orthopaedic Sports Medicine Center, 1-833 Hazama-cho, Funabashi, Japan aut Ando Akira Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan aut Hamada Junichiro Department of Orthopaedic Surgery, Kuwano Kyoritsu Hospital, 2-9-18 Shima, Koriyama, Japan aut Itoi Eiji Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/5(2015-05-01), 1536-1541 0942-2056 23:5<1536 2015 23 167 https://doi.org/10.1007/s00167-014-2936-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-014-2936-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hagiwara Yoshihiro Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan aut NATIONALLICENCE 700 1- Sugaya Hiroyuki Funabashi Orthopaedic Sports Medicine Center, 1-833 Hazama-cho, Funabashi, Japan aut NATIONALLICENCE 700 1- Takahashi Norimasa Funabashi Orthopaedic Sports Medicine Center, 1-833 Hazama-cho, Funabashi, Japan aut NATIONALLICENCE 700 1- Kawai Nobuaki Funabashi Orthopaedic Sports Medicine Center, 1-833 Hazama-cho, Funabashi, Japan aut NATIONALLICENCE 700 1- Ando Akira Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan aut NATIONALLICENCE 700 1- Hamada Junichiro Department of Orthopaedic Surgery, Kuwano Kyoritsu Hospital, 2-9-18 Shima, Koriyama, Japan aut NATIONALLICENCE 700 1- Itoi Eiji Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/5(2015-05-01), 1536-1541 0942-2056 23:5<1536 2015 23 167