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KMID : 0950120100090020109
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Jouranl of Korean Orthopaedic Sports Medicine
2010 Volume.9 No. 2 p.109 ~ p.113
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The ultrasound-guided injection of prolotherapy and steroid mixture in patients with adhesive capsulitis
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Moon Young-Lae
An Ki-Yong
Park Sung-Min
Bae Byung-Jo
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Abstract
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Purpose: To evaluate the efficacy of ultrasound guided injection of prolotherapy and steroid mixture injection in patients with adhesive capsulitis.
Materials and Methods: 53 patients with adhesive capsulitis were included in the study and in all the patients a mixture of steroid and prolotherapy agent was injected into the coracohumeral ligament under the sonographic guidance. The patients were evaluated using the VAS and ROM of the shoulder before the injection and at 8 weeks and at 1 year after the injection.
Results: Forward flexion was 93.4 degrees before the injection and was 142, 153 degrees at 8weeks and 1 year after injection. Abduction was 79.2 degrees before the injection and was 125.4, 152.6 degrees at 8 weeks and 1 year after the injection. The VAS score was 6.7 before the injection and was 3.5, 3.7 at 8 weeks and 1 year after the injection.
Conclusion: The ultrasound guided injection of prolotherapy and steroid mixture into the coracohumeral ligament in patients with adhesive capsulitis is allowing both tissue distension and inflammatory process controlling procedure. It is effective in improving the range of shoulder motion significantly and is also effective in decreasing the pain.
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KEYWORD
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Coracohumoral Ligament, Adhesive Capsulitis, Prolotherapy, Ultrasound
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