Intra-articular Corticosteroid Injection for the Treatment of Idiopathic Adhesive Capsulitis of the Shoulder
Tóm tắt
Treatment for idiopathic adhesive capsulitis or frozen shoulder of the shoulder is controversial. The hypothesis of the study is that intra-articular corticosteroid injection in the early stages of idiopathic adhesive capsulitis will lead to a razpid resolution of stiffness and symptoms. This is a retrospective cohort study of only patients with stage 1 or stage 2 adhesive capsulitis. The diagnosis was made by history and physical examination and only when other causes of pain and motion loss were eliminated. Stage 1 adhesive capsulitis was defined as significant improvement in pain and normalization of motion following intra-articular injection. Stage 2 included patients who had significant improvement in pain and partial improvement in motion following injection. Seven patients with stage 1 and 53 patients with stage 2 comprised the baseline cohort. The mean age was 52 years (range: 30 to 78); 46 patients were female and nine patients had diabetes mellitus. Patients completed a physical examination as well as a shoulder rating questionnaire for symptoms and disability. Criteria for resolution were defined as forward flexion and external rotation to within 15° of the contralateral side and internal rotation to within three spinal levels of the contralateral side. Forty-four of the patients out of 60 met the criteria for recovery at a mean of 6.7 months. The mode and median time to recovery was 3 months. The mean score at final follow-up for 41 patients using the shoulder-rating questionnaire of L’Insalata was 90 (range 52–100). The mean time to recovery for the stage 1 patients was 6 weeks (range: 2 weeks to 3 months), and it was 7 months for stage 2 patients (range: 2 weeks to 2 years). Glenohumeral corticosteroid injection for early adhesive capsulitis may have allowed patients to recover motion at a median time of 3 months. In many cases, the patients had improvement prior to the 3-month mark; however, that was the routine time for follow-up. Patients with stage 1 disease tended to resolve more rapidly than stage 2 patients. Prompt recognition of stage 1 and stage 2 idiopathic adhesive capsulitis and early injection of corticosteroid with local anesthesia may be both diagnostic and therapeutic.
Tài liệu tham khảo
Alman B, Greel D, Ruby L, Al E (1995) Regulation of growth and platelet-derived growth factor expression in palmar fibromatosis (Dupuytren’s disease) by mechanical strain. In: Trans Combined ORS Meeting
Andersen NH, Sojbjerg JO, Johannsen HV, Sneppen O (1998) Frozen shoulder: arthroscopy and manipulation under general anesthesia and early passive motion. J Shoulder Elbow Surg 7(3):218–222
Binder AI, Bulgen DY, Hazleman BL, Roberts S (1984) Frozen shoulder: a long-term prospective study. Ann Rheum Dis 43(3):361–364
Binder A, Hazleman BL, Parr G, Roberts S (1986) A controlled study of oral prednisolone in frozen shoulder. Br J Rheumatol 25(3):288–292
Border WA, Noble NA (1994) Transforming growth factor beta in tissue fibrosis. N Engl J Med 331(19):1286–1292
Bulgen DY, Binder AI, Hazleman BL, Dutton J, Roberts S (1984) Frozen shoulder: prospective clinical study with an evaluation of three treatment regimens. Ann Rheum Dis 43(3):353–360
Bunker TD, Anthony PP (1995) The pathology of frozen shoulder. A Dupuytren-like disease. J Bone Joint Surg Br 77(5):677–683
Dacre JE, Beeney N, Scott DL (1989) Injections and physiotherapy for the painful stiff shoulder. Ann Rheum Dis 48(4):322–325
de Jong BA, Dahmen R, Hogeweg JA, Marti RK (1998) Intra-articular triamcinolone acetonide injection in patients with capsulitis of the shoulder: a comparative study of two dose regimens. Clin Rehabil 12(3):211–215
Gam AN, Schydlowsky P, Rossel I, Remvig L, Jensen EM (1998) Treatment of “frozen shoulder” with distension and glucorticoid compared with glucorticoid alone, a randomized controlled trial. Scand J Rheumatol 27:425–430
Grubbs N (1993) Frozen shoulder syndrome: a review of literature. J Orthop Sports Phys Ther 18(3):479–487
Haines JF, Hargadon EJ (1982) Manipulation as the primary treatment of the frozen shoulder. J R Coll Surg Edinb 27(5):271–275
Hannafin JA, DiCarlo EF, Wickiewicz TL, Warren RF (1994) Adhesive capsulitis: capsular fibroplasia of the glenohumeral joint. J Shoulder Elbow Surg 3(Suppl 1):5
Hazleman BL (1972) The painful stiff shoulder. Rheumatol Phys Med 11(8):413–421
Helbig B, Wagner P, Dohler R (1983) Mobilization of frozen shoulder under general anaesthesia. Acta Orthop Belg 49(1–2):267–274
Huskisson EC, Bryans R (1983) Diclofenac sodium in the treatment of painful stiff shoulder. Curr Med Res Opin 8(5):350–353
Hutchinson JW, Tierney GM, Parsons SL, Davis TR (1998) Dupuytren’s disease and frozen shoulder induced by treatment with a matrix metalloproteinase inhibitor. J Bone Joint Surg 80-B(5):907–908
Laroche M, Ighilahriz O, Moulinier L, Constantin A, Cantagrel A, Mazieres B (1998) Adhesive capsulitis of the shoulder: an open study of 40 cases treated by joint distention during arthrography followed by an intraarticular corticosteroid injection and immediate physical therapy. Rev Rhum Engl Ed 65(5):313–319
L’Insalata JC, Warren RF, Cohen SB, Altchek DW, Peterson MG (1997) A self-administered questionnaire for assessment of symptoms and function of the shoulder. J Bone Joint Surg Am 79(5):738–748
Lundberg BJ (1969) The frozen shoulder. Clinical and radiographical observations. The effect of manipulation under general anesthesia. Structure and glycosaminoglycan content of the joint capsule. Local bone metabolism. Acta Orthop Scand Suppl 119:1–59
Mao CY, Jaw WC, Cheng HC (1997) Frozen shoulder: correlation between the response to physical therapy and follow-up shoulder arthrography. Arch Phys Med Rehabil 78(8):857–859
Miller MD, Wirth MA, Rockwood CA Jr (1996) Thawing the frozen shoulder: the “patient” patient. Orthopedics 19(10):849–853
Neviaser JS (1980) Adhesive capsulitis and the stiff and painful shoulder. Orthop Clin North Am 11(2):327–331
Neviaser RJ (1983) Painful conditions affecting the shoulder. Clin Orthop 173:63–69
Neviaser RJ, Neviaser TJ (1987) The frozen shoulder. Diagnosis and management. Clin Orthop 223:59–64
Ogilvie-Harris DJ, Myerthall S (1997) The diabetic frozen shoulder: arthroscopic release. Arthroscopy 13(1):1–8
Ogilvie-Harris DJ, Biggs DJ, Fitsialos DP, MacKay M (1995) The resistant frozen shoulder. Manipulation versus arthroscopic release. Clin Orthop 319:238–248
O’Kane JW, Jackins S, Sidles JA, Smith KL, Matsen FA III (1999) Simple home program for frozen shoulder to improve patients’ assessment of shoulder function and health status. J Am Board Fam Pract 12(4):270–277
Owens-Burkhart H (1991) Management of frozen shoulder. In: Donatelli R (ed) Physical therapy of the shoulder. Churchill Livingstone, New York, pp 91–116
Placzek JD, Roubal PJ, Freeman DC, Kulig K, Nasser S, Pagett BT (1998) Long-term effectiveness of translational manipulation for adhesive capsulitis. Clin Orthop 356:181–191
Pollock RG, Duralde XA, Flatow EL, Bigliani LU (1994) The use of arthroscopy in the treatment of resistant frozen shoulder. Clin Orthop 304:30–36
Reeves B (1975) The natural history of the frozen shoulder syndrome. Scand J Rheumatol 4(4):193–196
Rodeo SA, Hannafin JA, Tom J, Warren RF, Wickiewicz TL (1997) Immunolocalization of cytokines and their receptors in adhesive capsulitis of the shoulder. J Orthop Res 15(3):427–436
Segmuller HE, Taylor DE, Hogan CS, Saies AD, Hayes MG (1995) Arthroscopic treatment of adhesive capsulitis. J Shoulder Elbow Surg 4(6):403–408
Shaffer B, Tibone JE, Kerlan RK (1992) Frozen shoulder. A long-term follow-up. J Bone Joint Surg Am 74(5):738–746
Steinbrocker O, Argyros TG (1974) Frozen shoulder: treatment by local injections of depot corticosteroids. Arch Phys Med Rehabil 55(5):209–213
van der Windt DAWM, Koes BW, Deville W, Boeke AJP, de Jong BA, Bouter LM (1998) Effectiveness of corticosteroid injections versus physiotherapy for treatment of painful stiff shoulder in primary care. BMJ 317:1292–1296
Warner JJ, Allen A, Marks PH, Wong P (1996) Arthroscopic release for chronic, refractory adhesive capsulitis of the shoulder. J Bone Joint Surg Am 78(12):1808–1816
Zuckerman JD, Cuomo F (1993) Frozen shoulder. In: Matsen FA, Fu FH, Hawkins RJ (eds) The shoulder: a balance of mobility and stability. American Academy of Orthopaedic Surgeons, Rosemont