EVALUATION OF EFFECTIVENESS OF INTRAARTICULAR CORTICOSTEROID WITH AND WITHOUT LOCAL ANEAESTHESIA FOR ADHESIVE CAPSULITIS SHOULDER

Abstract

Background: adhesive capsulitis leading to Shoulder pain and stiffness is a very common orthopaedic  presentation.Still today, the Treatment for idiopathic adhesive capsulitis of the shoulder is is inconclusive.  We conducted this study to determine the efficacy of injections in shoulder joint for frozen shoulder to determine the short-term effects following corticosteroid injection, either alone or with combiniton with a local anesthesia into the shoulder.

Methods: 60 patients with shoulder pain due to adhesive capsulitis were enrolled for the study in our hospital from Jan 2018 to April 2018. They were divided into two equal groups. Patients received either triamcinolone acetonide 40 mg with lidocaine 2% (total volume 2 ml), or triamcinolone acetonide  40 mg alone (total volume 2 ml), injected into the subacromial space.  Clinical outcome and range of movements was measured with  Oxford Shoulder Score (OSS) at baseline and 12 weeks.

Results:  The OSS at 12 weeks showed improved scores, more in group 1. The range of movements of the affected shoulder also increased satisfactorily in group 1 especially abduction, compared to group 2.

Conclusions: Corticosteroid along with local anesthesia is more effective than corticosteroid alone in frozen shoulder in terms of pain and range of movements

Keywords: frozen shoulder, triamcinolone acetonide, lidocaine