| Nonoperative management of adhesive capsulitis of the shoulder: oral cortisone application versus intra-articular cortisone injections. | |
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MedLine Citation:
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PMID: 19800262 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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HYPOTHESIS: Oral and intra-articular injections of cortisone will lead to significant improvement and comparable results in the treatment of adhesive capsulitis of the shoulder. MATERIALS AND METHODS: In a prospective randomized evaluation, 40 patients with idiopathic adhesive capsulitis of the shoulder were treated with an oral corticoid treatment regimen or 3 intra-articular injections of corticosteroids. Follow-up was after 4, 8, and 12 weeks, and 6 and 12 months. For the clinical evaluation, the Constant-Murley (CM) score, the Simple Shoulder Test (SST) and visual analog scales (VAS) for pain, function, and satisfaction were used. RESULTS: In the patients treated with oral glucocorticoids, significant improvements were found for the CM score (P < .0001), SST (P=.035), VAS (P < .0001), and range of motion (P < .05) at the 4-week follow-up. The patients treated with an intra-articular glucocorticoid injection series also significantly improved in the CM score (P < .0001), SST (P < .0001), the VAS (P < .0001), and range of motion (P < .05) after 4 weeks. These results were confirmed at all other follow-up visits. Superior results were found for intra-articular injections in range of motion, CM score, SST, and patient satisfaction (P < .05). Differences in the VAS for pain and function were not significant (P > .05). DISCUSSION: The use of cortisone in the treatment of idiopathic shoulder adhesive capsulitis leads to fast pain relief and improves range of motion. Intra-articular injections of glucocorticoids showed superior results in objective shoulder scores, range of motion, and patient satisfaction compared with a short course of oral corticosteroids. |
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Authors:
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Olaf Lorbach; Konstantinos Anagnostakos; Cornelia Scherf; Romain Seil; Dieter Kohn; Dietrich Pape |
Publication Detail:
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Type: Comparative Study; Journal Article; Randomized Controlled Trial Date: 2009-10-01 |
Journal Detail:
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Title: Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.] Volume: 19 ISSN: 1532-6500 ISO Abbreviation: J Shoulder Elbow Surg Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-02-26 Completed Date: 2010-06-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9206499 Medline TA: J Shoulder Elbow Surg Country: United States |
Other Details:
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Languages: eng Pagination: 172-9 Citation Subset: IM |
Copyright Information:
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Copyright 2010 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved. |
Affiliation:
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Department of Orthopedic and Trauma Surgery, Klinikum Osnabr?ck, Handsurgery, Osnabr?ck, Germany. olaf.lorbach@gmx.de |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Administration, Oral Adult Anti-Inflammatory Agents / therapeutic use Bursitis / complications, drug therapy*, pathology, rehabilitation Dose-Response Relationship, Drug Drug Administration Schedule Female Humans Injections, Intra-Articular Male Middle Aged Pain Measurement Patient Satisfaction Prednisolone / therapeutic use* Probability Prospective Studies Range of Motion, Articular / drug effects*, physiology Recovery of Function Severity of Illness Index Shoulder Joint* Shoulder Pain / diagnosis, drug therapy, etiology, rehabilitation Tissue Adhesions / pathology |
| Chemical | |
Reg. No./Substance:
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0/Anti-Inflammatory Agents; 50-24-8/Prednisolone |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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