Rotator Interval and Intra-articular Corticosteroid Injection for Frozen Shoulder

Oslo University Hospital122 enrolled

Overview

The purpose of this study is to compare ultrasound guided capsular corticosteroid injection into the rotator interval/anterior capsule and the GH joint with ultrasound guided corticosteroid injection into the GH joint only. Both methods will be compared with placebo injections. Primary outcome measure: pain reduction at week 6 Secondary outcome measures: improvement of function (SPADI, Life quality, ROM). 0-hypothesis: no difference between the methods. The investigators want to find out if the clinical effect of the combined capsular and intra-articular injections are better than placebo and better that intra-articular injections

3 groups, 50 patients in each, follow-up visits after 3, 6, 12 and 26 weeks.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

122

Conditions

Adhesive Capsulitis

Interventions

Eligibility

Sex: ALLMin age: 25 YearsMax age: 70 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Pain and stiffness in one shoulder 1 - 6 months * Restriction of passive ROM; \>= 30 degrees in two or more planes compared to other shoulder Exclusion Criteria: * Systemic inflammatory disease * Corticosteroid treatment last 3 months * Poorly controlled Diabetes mellitus * Pregnancy * Contraindications/allergy to corticosteroids and/or Lidocaine * Severe infections * Osteoarthritis of the shoulder * Fractures of the shoulder * Rotator cuff pathology causing pain or disability * Fibromyalgia * Not able to understand Norwegian

Outcomes

Primary Outcomes

Pain reduction

Time frame: 2-3 years

Secondary Outcomes

Function (ROM, SPADI), Life quality