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Ultrasound Guided Shoulder Anterior Capsular Infiltration Plus Hydrodilatation With Steroid Versus Hyalase in Patients With Frozen Shoulder 50
A frozen shoulder is a common condition causing severe pain and a reduced range of motion in the shoulder. It can result in detrimental effects on quality of life and the ability to perform activities of daily living (ADLs). It aff...
Mehr anzeigenUltrasound Guided Shoulder Anterior Capsular Infiltration Plus Hydrodilatation With Steroid Versus Hyalase in Patients With Frozen Shoulder
- frozen shoulder
| Teilnehmergruppe/Studienarm | Intervention/Behandlung |
|---|---|
Aktives Vergleichspräparatgroup A shoulder anterior capsular infiltration plus hydrodilatation with steroids. 25 patients with frozen shoulders treated with ultrasound-guided shoulder anterior capsular infiltration plus hydrodilatation with steroids. | hydrodilatation with steroid in group A versus hyalase in group B Hydrodilatation technique:
the ultrasound transducer will be placed on the posterior surface of the shoulder in the longitudinal plane to identify the posterior glenohumeral joint, bony glenoid, humeral head, and infraspinatus muscle.Then, after sterilizing the area to be injected, the needle will be advanced to the target point between the humeral head cartilage and the infraspinatus tendon using the ultrasound-gui...Mehr anzeigen |
Aktives VergleichspräparatgroupB shoulder anterior capsular infiltration plus hydrodilatation with hyalase. 25 patients with frozen shoulders treated with ultrasound-guided shoulder anterior capsular infiltration plus hydrodilatation with hyalase. | hydrodilatation with steroid in group A versus hyalase in group B Hydrodilatation technique:
the ultrasound transducer will be placed on the posterior surface of the shoulder in the longitudinal plane to identify the posterior glenohumeral joint, bony glenoid, humeral head, and infraspinatus muscle.Then, after sterilizing the area to be injected, the needle will be advanced to the target point between the humeral head cartilage and the infraspinatus tendon using the ultrasound-gui...Mehr anzeigen |
| Ergebnismessung | Beschreibung der Messung | Zeitrahmen |
|---|---|---|
The Shoulder Pain and Disability Index (SPADI) | The Shoulder Pain and Disability Index (SPADI) will be used to evaluate pain and disability at baseline and 3 weeks, 3 months, and 12 months after the intervention | baseline and 3 weeks, 3 months, and 12 months after the intervention |
1- Patients diagnosed with unilateral frozen shoulder. 2- Diagnosis of frozen shoulder will be based on clinical examination (restriction of passive external rotation in the affected shoulder > 50% compared to the opposite side), in the presence of normal plain radiographs (anteroposterior and axillary projections other than calcific tendinopathy).
3- Patients with symptoms for more than three months but less than one year which has not improved with medications and physiotherapy.
4- aged 30 to 70 years old
- History of trauma to the shoulder.
- History of fracture or dislocation around the shoulder.
- Inflammatory arthritis
- coagulation disorders
- History of previous injections within three months.
- Cervical radiculopathy.