Effectiveness of USG-guided corticosteroid injection administered into the glenohumeral joint and oral prednisone treatment in patients with adhesive capsulitis

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dc.contributor.authorYildirim, Hatice Kubra
dc.contributor.authorErsoy, Yuksel
dc.contributor.authorBuyukavci, Raikan
dc.contributor.authorComruk, Emine Burcu
dc.date.accessioned2024-08-04T19:42:44Z
dc.date.available2024-08-04T19:42:44Z
dc.date.issued2024
dc.departmentİnönü Üniversitesien_US
dc.description.abstractAim: This study aims to compare the efficacy of ultrasonography-guided corticosteroid injection to the glenohumeral joint and oral steroid therapy on clinical response and inferior axillary pouch (AR) thickness measured by ultrasonography (USG) in patients with adhesive capsulitis (AC). Materials and Methods: Our prospective randomized study included 48 patients (18-65 years) with a diagnosis of AC. The first group (n=24) underwent USG-guided corticosteroid injection to glenohumeral joint. In the second group (n=24), oral prednisone was started at 0.5 mg/kg dose with the dosing schedule determined by decreasing and continued for 6 weeks. Both groups were also included in a standard physical therapy program (electrotherapy+exercises). The questionnaire, active and passive shoulder joint range of motion (ROM) measurements, Shoulder Pain and Disability Index (SPADI), evaluation of the joint with USG, and AR thickness measurements were performed. Results: There was a statistically significant increase in passive-active ROM values in all directions before and after the treatment (p<0.05) and decrease in AR values after the treatment (p<0.001) in both groups. However, there was no significant difference between the two groups. In addition, the decrease in inferior pouch thickness and the decrease in SPADI scores were positively correlated. Conclusion: Steroid injection into the glenohumeral joint and oral steroid use significantly reduced shoulder pain and disability and increased range of motion in AC patients. Moreover, both oral steroid and steroid injection treatments improved radiologic findings (by reducing AR), consistent with clinical response. Although both treatments were effective, they were not superior to each other.en_US
dc.identifier.doi10.5455/annalsmedres.2024.01.012
dc.identifier.endpage364en_US
dc.identifier.issn2636-7688
dc.identifier.issue5en_US
dc.identifier.startpage359en_US
dc.identifier.trdizinid1237732en_US
dc.identifier.urihttps://doi.org/10.5455/annalsmedres.2024.01.012
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/1237732
dc.identifier.urihttps://hdl.handle.net/11616/88643
dc.identifier.volume31en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofAnnals of Medical Researchen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleEffectiveness of USG-guided corticosteroid injection administered into the glenohumeral joint and oral prednisone treatment in patients with adhesive capsulitisen_US
dc.typeArticleen_US

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