Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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To Study the Comparison Between Ultrasound Guided Local Intra Articular Corticosteroid Injection vs Anatomical Landmark Guided Local Corticosteroid Intra Articular Injection in Frozen Shoulder
Jagdeep Singh Rehncy, Sahil Verma, Harmanpreet Singh, Kshitij Mehta and Arvind Kumar
Page: 102-107 | Received 17 Aug 2024, Published online: 02 Sep 2024
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Abstract
Adhesive capsulitis is a debilitating disease in an otherwise healthy individual. Intra‐articular corticosteroid injections offer a cost‐effective, non‐operative treatment option. However, it is currently unclear whether an ultrasound‐guided injection relieves the symptoms of shoulder pain more effectively than if the injection was delivered landmark‐guided. Ultrasound guided intra articular corticosteroid injections are used for increasing the accuracy of delievery of drug. However, the clinical efficacy of ultrasound guided injections compared to blind injections is still controversial. The aim of study was to find the functional outcome following USG guided vs anatomical landmark guided intra‐articular steroid injection in the treatment of Frozen shoulder in adults. Intra‐articular corticosteroid injections were administered to 50 patients with frozen shoulder who were randomly assigned to either an Ultrasound guided (n=25) or a blind technique (n=25). The outcome was assessed using a visual analogue scale (VAS) and Shoulder Pain and Disability Index (SPADI) for pain for all patients at the time of presentation and at one week, four week, three month and six month. The accuracy of injection in the ultrasound guided and anatomical landmark guided groups was 100% (25/25) and 71.1% (18/25), respectively this difference was significant (p<0.001). Both groups had significant improvements in VAS pain score, SPADI score throughout follow‐up until 4 weeks after injection (all p<0.001) then it tend to fall down as the affect of steroid wean off. There were no significant differences between the VAS pain score and SPADI score between the two groups at the time points assessed after 4 weeks (all p>0.05). No injection‐related adverse effects were noted in either group. There is significant difference between two groups during the first 4 weeks for usg guided local infiltration as compared to anatomical landmark guided injection which become insignificant after 4 weeks . In spite of more accuracy, anatomical landmark guided injection is more preferred in comparison to ultrasound guided as ultrasound guided injection is time consuming and more costly.
How to cite this article:
Jagdeep Singh Rehncy, Sahil Verma, Harmanpreet Singh, Kshitij Mehta and Arvind Kumar. To Study the Comparison Between Ultrasound Guided Local Intra Articular Corticosteroid Injection vs Anatomical Landmark Guided Local Corticosteroid Intra Articular Injection in Frozen Shoulder.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.10.102.107
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.10.102.107