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KMID : 0948920070060020082
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Clinical Pain
2007 Volume.6 No. 2 p.82 ~ p.88
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The Effect of Sono-guided Intraarticular Injection of Hyaluronate in Shoulder Adhesive Capsulitis
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Kim Chul
Ahn Jae-Ki
Park Yong-Bum
Park Yoon-Kyung
Rue Hyun-Woo
Kim Duk-You
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Abstract
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Objective: To evaluate the efficacy of sono-guided intraarticular injection of sodium hyaluronate in patients with adhesive capsulitis of shoulder.
Materials and Methods: 26 Patients with adhesive capsulitis of shoulder were divided into two groups randomly and took sono-guided intraarticular injection into glenohumeral joint. Group A received 0.5% lidocaine 8 cc and hyaluronic acid 2 cc once a week for 3 times. Group B received 0.5% lidocaine 9 cc with triamcinolone 40 mg (1 cc) at first and third week and 0.5% lidocaine 10 cc without triamcinolone at second week. The self exercise program was instructed for all subjects. The effects were assessed by visual analogue scale (VAS), shoulder pain and disability index (SPADI), and range of motion (flexion, abduction, internal rotation. external rotation, extension) before each injection and first and second weeks after last injection.
Results: The VAS, SPADI, and the ROM of shoulder were improved from 1 week after 1st injection and continued to improve until the end of study in both two groups. However, group B (triamcinolone) showed greater improvement in VAS, SPADI, and some of shoulder range of motion (abduction and external rotation) compared to group A (hyaluronate).
Conclusion: Sono- guided intraarticular injection of sodium hyaluronate would be a good treatment method in shoulder adhesive capsulitis especially in patients with the possibility of adverse effect by steroid injection.
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KEYWORD
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Adhesive capsulitis, Sodium hyaluronate, Sono- guided intraarticular injection
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