Editor-in-Chief: Kenneth D. Candido, MD
BACKGROUND: Idiopathic adhesive capsulitis of the shoulder is a common disease, however, the optimal dosage of steroid in serial hydration has not been defined.
OBJECTIVES: The aim of this study is to find the optimal dosage of triamcinolone acetonide with serial hydrodilatation for adhesive capsulitis of the shoulder.
STUDY DESIGN: Prospective, double blinded randomized controlled study.
SETTING: Secondary Training Hospital.
METHODS: Forty-two patients with adhesive capsulitis of the shoulder were randomly assigned to 20 mg or 40 mg intraarticular steroid injection with hydrodilatation groups using a double blind method. Data were assessed by visual analog scale (VAS) for pain, range of motion (ROM) questionnaire, shoulder pain questionnaire, and actual shoulder ROM (flexion, abduction, internal rotation, and external rotation). Data were collected before the injection and once every 4 weeks after the injection.
RESULTS: The baseline characteristics of the patients were not statistically different. Both groups were compared with their pretreated status in all measurements. (P < 0.05). There were no statistical differences between groups between the measurements.
LIMITATIONS: The absence of a control group: a group that was administered hydrodilatation without steroid.
CONCLUSION: We suggest 20 mg of steroid injection with serial hydrodilatation for adhesive capsulitis of the shoulder patients.
Key words: Injections, intra-articular, triamcinolone acetonide, lidocaine, shoulder pain, shoulder joint, pain management, bursitis, pain measurement, adhesive capsulitis