Faaiz Ali Shah.
Outcome of intra-articular injection of methylprednisolone in idiopathic frozen shoulder.
Rawal Med J Jan ;37(1):34-7.

Objectives: To evaluate the outcome of patients with idiopathic frozen shoulder who were treated with intra-articular injection of methylprednisolone. Patients and Methods: This descriptive study was conducted at Orthopaedic Surgery Unit, Mardan Medical Complex Teaching hospital, Bacha Khan Medical College, Mardan, KPK, Pakistan from September 2010 to June 2011. It included 27 patients of frozen shoulder (Adhesive Capsulitis) using guidelines issued by the Dutch College of General Practitioners.1,2 All patents were injected with 80mg of Methylprednisolone into the shoulder joint and were followed at six and twelve weeks for improvement in pain using Visual Analogue Scale (VAS) and Abduction and External rotation. Patients with little improvement at six weeks were given another injection. Results: The average age was 51.4 years (median 49). Nineteen (70.3%) patients received one injection while 8 (29.6%) had a second injection. The average pain score on VAS was 6 at the beginning of treatment which improved to 2 at the end of follow up. The abduction improved from 45degrees to 100 degrees (average gain 55 degrees) and external rotation from 30 degrees to 90 degrees (average gain 60 degree). Conclusion: Intra-articular steroid injection was effective in improving the range of movement and decreasing pain in frozen shoulder. (Rawal Med J 2012;37:34-37).

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