Mohammad Siraj, Wasim Anwar, Malik Javed Iqbal, Noor Rahman, Salik Kashif, Asghar Khan, Israr Ahmad.
Effectiveness of intra-articular corticosteroid injection in the treatment of idiopathic frozen shoulder.
J Surg Pak Jan ;17(2):57-60.

Objective: To determine the efficacy of intra-articular corticosteroids in the treatment of idiopathic frozen shoulder. Study design: Quasi experimental. Place & Duration of study: Department of Orthopedics Surgery Hayatabad Medical Complex Peshawar, from February 2010 to October 2010. Methodology: In this study, 113 cases of idiopathic frozen shoulder were selected by non-probability consecutive sampling technique at the outpatient department. Patients received a single intra-articular injection of corticosteroid (methylprednisolone) followed by physiotherapy for four weeks. Shoulder pain and disability index (SPADI) was used as main outcome measure of pain relief and disability. Results: Mean age of the patients was 49 ±9.3 year. Using SPADI, the mean baseline pain and disability scores were 81±7.2 and 79.5±7.6 respectively which significantly improved to 14.5±7.4 and 25.6±18.2 at 4th week of intra-articular injection in the affected glenohumeral joint with p value of 0.000 and 0.040 respectively. Conclusion: Intra-articular steroid injection is an effective and reliable modality of treatment for relieving pain and decreasing disability in idiopathic frozen shoulder.

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