SUMMARY
Objective. To compare the effictiveness of intra articular injection (IAI) of steroid and HA with or without Suprascapular nerve block (SSNB) in the management of AC.
Patients and methods. Randomized controlled trial involved 80 patients (62 women and 18 men) clinically diagnosed as having adhesive capsulitis divided into 2 main groups: intra articular injection with SSNB (40 cases) and without SSNB (40 cases), each group divided into 2 subgroups. Twenty patients were treated with ultrasound guided intra articular injection of steroid (4 ml of 2% lidocaine and 2 ml of 40 mg/ml triamcinolone) and another twenty patients were treated with ultrasound guided intra articular injection of hyaluronic acid (4 ml of 2% lidocaine and 2 ml hyaluronic acid).
Results. Intra articular shoulder injection with SSNB has higher significant visual analogue scale (VAS) score at baseline and lower significant VAS score at 1st and 3rd week (p < 0.001). However, there was no significance between both groups regarding disability score at 3rd week (p = 0.316). In contrast, there was a high significance between them considering disability score at baseline, 1st, 6th week (p < 0.001 and 0.008, respectively).
Conclusions. In patients with adhesive capsulitis, both a combination an IAI alone or with SSNB dramatically improved pain and functional results. The use of an SSNB in conjunction with an IAI especially with steroid enhanced therapeutic effectiveness.
Study registration. Our study achieved retrospectively the pan African clinical trial registry acceptance No. PACTRA202111695655746.
Ultrasonographic Guided Intra Articular Steroid versus Hyaluronic Acid in Adhesive Capsulitis with and without Suprascapular Nerve Block: a Randomized Controlled Trial
M. Elwan Sayed, E. Mohammed Hussein, A. Moslaem Ebrahim, A. Moshrif
Original Article, 216-223
Keywords: adhesive capsulitis, intra articular steroid injection, intraarticular hyaluronic acid injection, suprascapular nerve block, ultrasound,
Table of Content: Vol. 12 (No.2) 2022 April/June
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Hamstring Injury Epidemiology in the National Basketball Association Over a Five-Year Period
A. Eftekhari, C. Cogan, N. Pandya, B. FeeleyOriginal Article, 79-93 -
Prognostic Pre-Operative Factor Influencing Hip Arthroscopy Outcomes for Femoroacetabular Impingement Syndrome: a Comprehensive Literature Review
F. Randelli, A. Giai Via, A. Di Marcantonio, M. G. Mazzoleni, R. Lanzetti, F. Oliva, G. PipinoOriginal Article, 94-103 -
The Effectiveness of Nonoperative Treatment Modalities in the Management of Frozen Shoulder: a Systematic Review of Randomized Controlled Trials
W. Albishi, K. Murad, A. Alaseem, W. Awwad, H. AlsanawiReview, 104-114 -
Differences at the Achilles Insertion Between Adults with Insertional and Midportion Achilles Tendinopathy as Observed Using Ultrasound
N. Hamdan Alghamdi, R. T. Pohlig, J. M. Sions, K. Grävare SilbernagelOriginal Article, 115-121 -
Ultrasound Guided Dry Needling for Treatment of Patients with Jumper’s Knee: a Study Protocol for Randomized Controlled Trial
F. Sharif, A. Ahmad, S. A. Gilani, R. Bacha, A. HanifOriginal Article, 122-129 -
Fascia Healing after Induced Tibialis Anterior Muscle Strain: an Experimental Study in Wistar Rats
N. Abu Elwafa, T. Mohammad, H. Wageh, M. M. Elias, M. Nabhan, N. Salah Hassan, A. Rehan YoussefOriginal Article, 130-143 -
Evaluation of Joint Contact Forces in Subjects with Knee Osteoarthritis
M. Kavyani, H. Akbari Aghdam, M. Reza Rezaie, M. Taghi KarimiOriginal Article, 144-149 -
Kinesiotaping for the Treatment of Haematomas in Haemophiliacs: a Case Control Study
D. Scaturro, F. Vitagliani, M. Napolitano, G. Pasta, G. Passantino, F. Arcuri, S. Siragusa, M. Vecchio, G. L. MauroOriginal Article, 150-158 -
Impact of Structural and Physiological Changes in the Vastus Medialis Muscle Following Anterior Cruciate Ligament Injury and Reconstruction on Short Term Patient-Reported Knee Function
G. Balaji, G. Kumar, M. Jagadevan, T. Ramalingam, D. Barathi, G. Singh GaurOriginal Article, 159-164 -
Conversion to Knee Arthroplasty Following Intra-Articular Injection of Microfragmented Adipose Tissue in Patients with Knee Osteoarthritis
M. R. Miles, J. Won Lee, K. L. Mistretta, S. Desale, H. R. BoucherOriginal Article, 165-172 -
Role of Posterior Layer of Thoracolumbar Fascia in Epimuscular Myofascial Force Transmission From Gluteus Maximus to Latissimus Dorsi and Lower Trapezius
S. Marpalli, M. Rao K. G., P. Venkatesan, B. M. GeorgeOriginal Article, 173-180 -
Global Postural Re-Education is More Effective than Motor Control Exercises in patients with Non-Specific Low Back Pain
A . KumarOriginal Article, 181-190 -
Transcutaneous Electrical Stimulation (TENS) Parameters in Individuals with Fibromyalgia: a Systematic Review with Meta-Analysis
G. Batista de Aguiar, T. K. Bloot, A. E. Rauber Pilonetto, M. R. Buzanello Azevedo, D. P. Artioli, G. R. Flor BertoliniReview, 191-198 -
Grip Strength and Endurance: Influences of Anthropometric Characteristics, Posture, and Gender
M. Mukhtar Alam, I. Ahmad, A. Samad, M. Hasan Khan, A. M. AliOriginal Article, 199-260 -
Comparative Responses of Achilles Tendinopathy to Selected Physiotherapy Approaches and the Modulating Influence of ABO Blood Group Phenotype in Nigerian Footballers: a Randomized Control Study
I. O. Owoeye, A. I. Aiyegbusi, A. M. Senlaja, O. AkinloyeOriginal Article, 207-215 -
Ultrasonographic Guided Intra Articular Steroid versus Hyaluronic Acid in Adhesive Capsulitis with and without Suprascapular Nerve Block: a Randomized Controlled Trial
M. Elwan Sayed, E. Mohammed Hussein, A. Moslaem Ebrahim, A. MoshrifOriginal Article, 216-223 -
Work-Related Musculoskeletal Disorders among Sonologists during the Pre-COVID-19 and Present COVID-19 Era: a Survey and Review of Best Practices
S. Rai, S. Srivastava, S. Krishnan, B. V. Murlimanju, A. Hegde, A. JollyOriginal Article, 224-234 -
Ray Amputation vs Finger Amputation: a Systematic Review
F. Oliva, G. Gargano, M. Quaranta, E. Piccirilli, N. MaffulliReview, 235-240 -
Evaluation of Suture Elongation of Flexor Tendons using the Pulvertaft Method: a Biomechanical Study using Cadaveric Specimens
E. Ozone, Y. Matsuura, T. Suzuki, K. Kuniyoshi, S. OhtoriOriginal Article, 241-246 -
Extracorporeal Shockwave Therapy in the Treatment of Trigger Finger. A Systematic Review
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Postural Analysis of The Trunk, Pelvic Girdle and Lower Extremities in The Sagittal Plane in People with and without Forward Head Posture
M. Rezaei, Z. Salahzadeh, B. Karimipour, M. Reza Azghani, P. Sarbakhsh, H. Adigozali, N. Khalilian-Ekrami, A. HemmatiOriginal Article, 253-260