Effects of intra-articular steroid injection before pan-capsular release in patients with refractory frozen shoulder

Yoshihiro Hagiwara; Hiroyuki Sugaya; Norimasa Takahashi; Nobuaki Kawai; Akira Ando; Junichiro Hamada; Eiji Itoi

doi:10.1007/s00167-014-2936-2

Effects of intra-articular steroid injection before pan-capsular release in patients with refractory frozen shoulder

Yoshihiro Hagiwara, Hiroyuki Sugaya, Norimasa Takahashi, Nobuaki Kawai, Akira Ando, Junichiro Hamada, Eiji Itoi

Research output: Contribution to journal › Article › peer-review

8 Citations (Scopus)

Abstract

PURPOSE: The purpose of the study was to retrospectively determine the effects of intra-articular steroid injection on the clinical outcome of patients who underwent arthroscopic pan-capsular release for refractory frozen shoulder.

METHODS: Between 2000 and 2010, 34 patients (20 males, 14 females) who underwent an arthroscopic pan-capsular release for frozen shoulder were included. Intra-articular steroid injections were administered from April 2006, and just before surgery and at the final follow-up, ranges of motion (ROM) and scores of the Shoulder Rating Scale of the University of California, Los Angeles (UCLA) scoring system were evaluated.

RESULTS: Intra-articular steroid injection significantly improved the UCLA scores of pain just before surgery and at the final follow-up (1.7 ± 0.5 vs. 6 ± 2, p < 0.0001). We subdivided the patients into those with and without diabetes mellitus. Steroid injection had a significant effect on the ROM in forward flexion (166.6 ± 8.6 vs. 140 ± 36.1, p = 0.026) and the scores of pain (10 vs. 9.3 ± 1.2, p = 0.046) at the final follow-up in the group without diabetes mellitus compared with those with it.

CONCLUSION: Intra-articular steroid injection improves pain just before an arthroscopic pan-capsular release and at the final follow-up in all the patients with refractory frozen shoulder. However, it improves the ROM in forward flexion and the UCLA scores of pain at the final follow-up only in those without diabetes mellitus.

LEVEL OF EVIDENCE: Therapeutic studies, Level IV.

Original language	English
Pages (from-to)	1536-1541
Number of pages	6
Journal	Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
Volume	23
Issue number	5
DOIs	https://doi.org/10.1007/s00167-014-2936-2
Publication status	Published - 2015 May 1

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

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Effects of intra-articular steroid injection before pan-capsular release in patients with refractory frozen shoulder. / Hagiwara, Yoshihiro; Sugaya, Hiroyuki; Takahashi, Norimasa; Kawai, Nobuaki; Ando, Akira; Hamada, Junichiro; Itoi, Eiji.

In: Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, Vol. 23, No. 5, 01.05.2015, p. 1536-1541.

Research output: Contribution to journal › Article › peer-review

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abstract = "PURPOSE: The purpose of the study was to retrospectively determine the effects of intra-articular steroid injection on the clinical outcome of patients who underwent arthroscopic pan-capsular release for refractory frozen shoulder.METHODS: Between 2000 and 2010, 34 patients (20 males, 14 females) who underwent an arthroscopic pan-capsular release for frozen shoulder were included. Intra-articular steroid injections were administered from April 2006, and just before surgery and at the final follow-up, ranges of motion (ROM) and scores of the Shoulder Rating Scale of the University of California, Los Angeles (UCLA) scoring system were evaluated.RESULTS: Intra-articular steroid injection significantly improved the UCLA scores of pain just before surgery and at the final follow-up (1.7 ± 0.5 vs. 6 ± 2, p < 0.0001). We subdivided the patients into those with and without diabetes mellitus. Steroid injection had a significant effect on the ROM in forward flexion (166.6 ± 8.6 vs. 140 ± 36.1, p = 0.026) and the scores of pain (10 vs. 9.3 ± 1.2, p = 0.046) at the final follow-up in the group without diabetes mellitus compared with those with it.CONCLUSION: Intra-articular steroid injection improves pain just before an arthroscopic pan-capsular release and at the final follow-up in all the patients with refractory frozen shoulder. However, it improves the ROM in forward flexion and the UCLA scores of pain at the final follow-up only in those without diabetes mellitus.LEVEL OF EVIDENCE: Therapeutic studies, Level IV.",

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AU - Hagiwara, Yoshihiro

AU - Sugaya, Hiroyuki

AU - Takahashi, Norimasa

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AU - Ando, Akira

AU - Hamada, Junichiro

AU - Itoi, Eiji

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N2 - PURPOSE: The purpose of the study was to retrospectively determine the effects of intra-articular steroid injection on the clinical outcome of patients who underwent arthroscopic pan-capsular release for refractory frozen shoulder.METHODS: Between 2000 and 2010, 34 patients (20 males, 14 females) who underwent an arthroscopic pan-capsular release for frozen shoulder were included. Intra-articular steroid injections were administered from April 2006, and just before surgery and at the final follow-up, ranges of motion (ROM) and scores of the Shoulder Rating Scale of the University of California, Los Angeles (UCLA) scoring system were evaluated.RESULTS: Intra-articular steroid injection significantly improved the UCLA scores of pain just before surgery and at the final follow-up (1.7 ± 0.5 vs. 6 ± 2, p < 0.0001). We subdivided the patients into those with and without diabetes mellitus. Steroid injection had a significant effect on the ROM in forward flexion (166.6 ± 8.6 vs. 140 ± 36.1, p = 0.026) and the scores of pain (10 vs. 9.3 ± 1.2, p = 0.046) at the final follow-up in the group without diabetes mellitus compared with those with it.CONCLUSION: Intra-articular steroid injection improves pain just before an arthroscopic pan-capsular release and at the final follow-up in all the patients with refractory frozen shoulder. However, it improves the ROM in forward flexion and the UCLA scores of pain at the final follow-up only in those without diabetes mellitus.LEVEL OF EVIDENCE: Therapeutic studies, Level IV.

AB - PURPOSE: The purpose of the study was to retrospectively determine the effects of intra-articular steroid injection on the clinical outcome of patients who underwent arthroscopic pan-capsular release for refractory frozen shoulder.METHODS: Between 2000 and 2010, 34 patients (20 males, 14 females) who underwent an arthroscopic pan-capsular release for frozen shoulder were included. Intra-articular steroid injections were administered from April 2006, and just before surgery and at the final follow-up, ranges of motion (ROM) and scores of the Shoulder Rating Scale of the University of California, Los Angeles (UCLA) scoring system were evaluated.RESULTS: Intra-articular steroid injection significantly improved the UCLA scores of pain just before surgery and at the final follow-up (1.7 ± 0.5 vs. 6 ± 2, p < 0.0001). We subdivided the patients into those with and without diabetes mellitus. Steroid injection had a significant effect on the ROM in forward flexion (166.6 ± 8.6 vs. 140 ± 36.1, p = 0.026) and the scores of pain (10 vs. 9.3 ± 1.2, p = 0.046) at the final follow-up in the group without diabetes mellitus compared with those with it.CONCLUSION: Intra-articular steroid injection improves pain just before an arthroscopic pan-capsular release and at the final follow-up in all the patients with refractory frozen shoulder. However, it improves the ROM in forward flexion and the UCLA scores of pain at the final follow-up only in those without diabetes mellitus.LEVEL OF EVIDENCE: Therapeutic studies, Level IV.

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