Intra-articular Along with Subacromial Corticosteroid Injection in Diabetic Patients With Adhesive Capsulitis

authors:

avatar Mohammad Amin Aslani 1 , * , avatar Fateme Mirzaee ORCID 2 , avatar ebrahim ameri 3 , avatar Mohamad Javad Moghaddam 4 , avatar Zohreh Zafarani 2 , avatar Hamidreza Aslani 5

Knee and Sport Medicine Research Center, Milad hospital, Tehran, Iran
Knee and Sports Medicine Research Center, Milad hospital, Tehran, Iran
Assistant Professor of Orthopedics, Department of Orthopedics, School of Medicine Shahid Madani Hospital, Alborz University of Medical Sciences, Alborz, Iran
Department of Orthotics and Prosthetics, Isfahan University of Medical Sciences, Isfahan, Iran
Department of Orthopedics, Akhtar Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Journal of Cellular & Molecular Anesthesia: Vol.6, issue 2; e149654
published online: October 20, 2020
article type: Brief Communications
DOI: https://doi.org/10.22037/jcma.v6i2.32195

how to cite: Aslani M A, Mirzaee F, ameri E, Moghaddam M J , Zafarani Z , et al. Intra-articular Along with Subacromial Corticosteroid Injection in Diabetic Patients With Adhesive Capsulitis. J Cell Mol Anesth. 2021;6(2):e149654. https://doi.org/10.22037/jcma.v6i2.32195.

Abstract

Background: To compare intra-articular plus subacromial corticosteroid injection with a single intra-articular injection in diabetics with adhesive capsulitis. Materials and Methods: A total of fifty-four diabetic patients were randomized into corticosteroid injection in both intra-articular and subacromial sites (group A) and one intra-articular injection (group B). Pain by a visual analog scale (VAS), shoulder range of motion, and functional state by the American Shoulder and Elbow Score was assessed before injection, and at follow-up months. Results: The pain VAS scores of group A were considerably lower than group B at the first-month follow-up visit (P=0.01). The range of motion in forward-elevation and internal rotation at three-month follow-up visits was significantly higher in group A than in group B (P=0.035, P=0.04, respectively). No notable differences in the range of motion in forward-elevation, internal rotation, and external rotation between groups at the final follow-up visit were seen. Though a significant difference in the ASES between groups at the third-month follow-up visit (P=0.03), the ASES score at the final sixth-month follow-up was similar in both groups (P=0.7). Conclusion: In diabetic adhesive capsulitis of the shoulder, subacromial combined with intra-articular steroid injections has superior subjective outcomes compared to single intra-articular corticosteroid injection.

References

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    References are in the PDF file of the article.