Arthrographic distention of the shoulder joint is an increasingly popular treatment option in the management of patients with frozen shoulder. Most have included the intra-articular injection of a corticosteroid as part of the procedure, but it is not known if this is necessary. It is also not known whether arthrographic distention using steroid and saline is better than intra-articular steroid injection alone. The purpose of this study is to determine whether there is an additional benefit in the combination of arthrographic distention plus intra-articular corticosteroid injection compared to arthrographic distention or intra-articular corticosteroid injection alone.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
132
Arthrographic distention of the glenohumeral joint with injection of 5 ml contrast, 15 ml local anaesthetic (Prilocaine) and up to 15 ml saline.
Intra-articular injection of 1 ml (40 mg) Depo Medrol(Methylprednisolone Acetate Injectable Suspension)
Imelda Hospital
Bonheiden, Antwerpen, Belgium
Shoulder pain and disability index(SPADI)
Time frame: 4 weeks
Shoulder pain and disability index (SPADI)
Time frame: weekly for a period of 3 months plus at follow-up (4 months and 12 months)
Overall pain score
Universal pain scale
Time frame: weekly for a period of 3 months, plus at follow-up (4 months and 12 months)
Range of motion
* Total shoulder abduction (in degrees, measured with goniometer) * External rotation in neutral position (in degrees, measured with goniometer) * Hand behind back (highest reachable anatomical landmark)
Time frame: 4 weeks, 4 months and 12 months
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