Sardar Sohail Afsar, Mohammed Gulzar, Mohammad Idrees, Iqtidar Ullah Babar.
Results of Intra-articular injection of methylprednisolone in idiopathic adhesive capsulitis.
Pak J Surg Jan ;30(1):45-50.

Objectives: To evaluate the results of intra-articular injection of methylprednisolone in patients with idiopathic adhesive capsulitis. Methodology: Th e study was descriptive study on patients with frozen shoulder at Orthopaedic Outpatient Department (OPD) of Peshawar Institute of Medical Sciences, Hayatabad, Peshawar, Pakistan and Orthopaedic “A” Unit of Lady Reading Hospital, Peshawar, Pakistan from January 2013 to December 2013. Th e study included patients with fi rst episode of adhesive capsulitis for less than 6 month duration based on guidelines issued by the Dutch College of General Practitioners i.e. painful limited passive glenohumeral mobility, lateral (external) rotation restricted more than abduction and medical rotation. Patients not meeting inclusion criteria were excluded. Each patient was injected solution contained 5cc of 1% lidocaine HCl and 2cc (80 mg) methylprednisolone acetate. Documentation of shoulder function was made with the use of goniometer and by obtaining simple shoulder test (STT ) which is developed by University of Washington, shoulder service, department of Orthopaedics. Th ey were assessed for improvement in pain using Visual Analogue Score (VAS). Results: Mean age was 53.51 years+8.3. 76% belonged to 5th and 6th decade of life. 43 were males and 57 females. In 58 patients non dominant shoulder was involved. 7 patients were lost during follow up. Pain improved from 6.06 (SD+0.94) to 2.16 (SD+0.97) with P value <0.0001 on VAS. All phase-I patients made functional recovery according to Simple Shoulder Test with mean Simple Shoulder Test score improved from 59.44% to 88.57% (P value <0.0001). Out of 70 phase-II patients 47 made functional recovery with mean Simple Shoulder Test score of improving from 36.89% to 84.13% (P-value <0.0001). Conclusion: Intra-articular corticosteroid injection in early stages of adhesive capsulitis improved the symptoms and range of motion and is good therapeutic option.

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