Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Adhesive capsulitis is a self‐limiting disorder that is commonly managed non‐operatively. But it could take two or three years for the symptoms to completely go away. Only a minor but substantial percentage of people need surgery. For primary adhesive capsulitis, glenohumeral joint hydrodilatation with corticosteroids has been suggested as an efficacious subsequent treatment approach. According to some research, intra‐articular injections with ultrasound guidance, or US‐guided injections, are more precise and successful than injections done blindly. To compare efficacy and accuracy of US‐guided injections versus blind injections of steroid in the glenohumeral joint in patients with adhesive capsulitis. The present study is a prospective study conducted for a period of 18 months. A total of 40 cases diagnosed with shoulder adhesive capsulitis were included. Patients were divided into 2 groups with 20 patients in each group randomly and underwent intra‐articular injection either blind or under guidance of ultrasound by a specialist. Demographic characteristics, their functional status, the severity of pain and the Range of motion (ROM) were gathered and compared between the two groups. Results were analyzed using SPSS 20.0 version and the association was tested using Chi square test. Participants in the two groups were almost equal in terms of their average age, gender distribution, as well as dominant/non‐dominant side ratio. During the first and fourth weeks following injection, the US‐guided injection group experienced a significantly higher improvement in pain intensity and range of motion (flexion, extension and external rotation) compared to the blind injection group (p<0.05). Prompt diagnosis of stage 1 and stage 2 idiopathic adhesive capsulitis, as well as early corticosteroid injection under local anesthetic, may be both diagnostic and therapeutic. During the initial weeks of treatment, US‐guided intra‐articular injections may provide a therapeutic advantage over a blind method for the treatment of adhesive capsulitis. Patients are able to regain range of motion more quickly. The findings suggest that better treatment for adhesive capsulitis may arise from enhanced targeting to the intra‐articular area with the aid of US‐guidance.
How to cite this article:
S.L. Binesh, T. Uvarajan, A.J. Sukaash, Mohamed Sheriff and K.C. Mathew. Functional Outcome of Ultrasound Guided vs Blind Steroid Injection in Adhesive Capsulitis‐A Prospective Study.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.9.279.283
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.9.279.283