Oral Versus Intra-articular Corticosteroid in the Treatment of Adhesive Capsulitis
Article Sidebar
Published:
Aug 17, 2023
Keywords:
Adhesive capsulitis of the shoulder, oral corticosteroid, corticosteroid injection, pain, range of motion
Main Article Content
Abstract
Introduction: Adhesive capsulitis is a condition defined by thickening of the shoulder joint capsule, which clinically translates into discomfort and progressive loss of range of motion, with conservative therapy being the initial option. In this study, we evaluate the use of intra-articular corticosteroid injections for the treatment of this condition.
Materials and Methods: A retrospective analysis was conducted between 2015 and 2020, assessing the outpatient records of patients diagnosed with adhesive capsulitis or frozen shoulder and treated with corticosteroids either orally or intra-articularly.
Results: A total of 19 patients were analyzed, 8 received oral treatment and 11 received intra-articular injection, with both groups showing considerable improvement, with the difference that the patients in the articular corticosteroid group reported long-term improvement.
Conclusion: Corticosteroids have been found to be effective in the treatment of adhesive capsulitis both orally and by intra-articular injection; however, intra-articular corticosteroids have proved to be more effective in the long term.
Materials and Methods: A retrospective analysis was conducted between 2015 and 2020, assessing the outpatient records of patients diagnosed with adhesive capsulitis or frozen shoulder and treated with corticosteroids either orally or intra-articularly.
Results: A total of 19 patients were analyzed, 8 received oral treatment and 11 received intra-articular injection, with both groups showing considerable improvement, with the difference that the patients in the articular corticosteroid group reported long-term improvement.
Conclusion: Corticosteroids have been found to be effective in the treatment of adhesive capsulitis both orally and by intra-articular injection; however, intra-articular corticosteroids have proved to be more effective in the long term.
Downloads
Download data is not yet available.
Metrics
Metrics Loading ...
Article Details
How to Cite
Torres, B., & Chaves Lara, C. (2023). Oral Versus Intra-articular Corticosteroid in the Treatment of Adhesive Capsulitis. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 88(4), 386-391. https://doi.org/10.15417/issn.1852-7434.2023.88.4.1647
Section
Clinical Research
Copyright (c) 2023 Revista de la Asociación Argentina de Ortopedia y Traumatología
Manuscript acceptance by the Journal implies the simultaneous non-submission to any other journal or publishing house. The RAAOT is under the Licencia Creative Commnos Atribución-NoComercial-Compartir Obras Derivadas Igual 4.0 Internacional (CC-BY-NC.SA 4.0) (http://creativecommons.org/licences/by-nc-sa/4.0/deed.es). Articles can be shared, copied, distributed, modified, altered, transformed into a derivative work, executed and publicly communicated, provided a) the authors and the original publication (Journal, Publisher and URL) are mentioned, b) they are not used for commercial purposes, c) the same terms of the license are maintained.
In the event that the manuscript is approved for its next publication, the authors retain the copyright and will assign to the journal the rights of publication, edition, reproduction, distribution, exhibition and communication at a national and international level in the different databases. data, repositories and portals.
It is hereby stated that the mentioned manuscript has not been published and that it is not being printed in any other national or foreign journal.
The authors hereby accept the necessary modifications, suggested by the reviewers, in order to adapt the manuscript to the style and publication rules of this Journal.
References
1. Alsubheen SA, Nazari G, Bobos P, MacDermid JC, Overend TJ, Faber K. Effectiveness of nonsurgical interventions for managing adhesive capsulitis in patients with diabetes: A systematic review. Arch Phys Med Rehabil 2019;100(2):350-65. https://doi.org/10.1016/j.apmr.2018.08.181
2. Candela V, Giannicola G, Passaretti D, Venditto T, Gumina S. Adhesive capsulitis of the shoulder: pain intensity and distribution. Musculoskelet Surg 2017;101(Suppl 2):153-8. https://doi.org/10.1007/s12306-017-0488-6
3. Redler LH, Dennis ER. Treatment of adhesive capsulitis of the shoulder. J Am Acad Orthop Surg 2019;27(12):e544-e554. https://doi.org/10.5435/JAAOS-D-17-00606
4. Ewald A. Adhesive capsulitis: a review. Am Fam Physician 2011;83(4):417-22. PMID: 21322517
5. Wang W, Shi M, Zhou C, Shi Z, Cai X, Lin T, et al. Effectiveness of corticosteroid injections in adhesive capsulitis
of shoulder: A meta-analysis. Medicine (Baltimore) 2017;96(28):e7529. https://doi.org/10.1097/MD.0000000000007529
6. Ramirez J. Adhesive capsulitis: Diagnosis and management. Am Fam Physician 2019;99(5):297-300.
PMID: 30811157
7. Neviaser AS, Hannafin JA. Adhesive capsulitis: a review of current treatment: A review of current treatment. Am J Sports Med 2010;38(11):2346-56. https://doi.org/10.1177/0363546509348048
8. Kelley MJ, Shaffer MA, Kuhn JE, Michener LA, Seitz AL, Uhl TL, et al. Shoulder pain and mobility deficits:
adhesive capsulitis: Clinical practice guidelines linked to the international classification of functioning, disability,
and health from the orthopaedic section of the American physical therapy association. J Orthop Sports Phys Ther
2013;43(5):A1-31. https://doi.org/10.2519/jospt.2013.0302
9. Hsu JE, Anakwenze OA, Warrender WJ, Abboud JA. Current review of adhesive capsulitis. J Shoulder Elbow Surg
2011;20(3):502-14. https://doi.org/10.1016/j.jse.2010.08.023
10. Neviaser AS, Neviaser RJ. Adhesive capsulitis of the shoulder. J Am Acad Orthop Surg 2011;19(9):536-42.
https://doi.org/10.5435/00124635-201109000-00004
11. Yip M, Francis AM, Roberts T, Rokito A, Zuckerman JD, Virk MS. Treatment of adhesive capsulitis of the shoulder: A critical analysis review. JBJS Rev 2018;6(6):e5-e5. https://doi.org/10.2106/JBJS.RVW.17.00165
12. Kingston K, Curry EJ, Galvin JW, Li X. Shoulder adhesive capsulitis: epidemiology and predictors of surgery. J
Shoulder Elbow Surg 2018;27(8):1437-43. https://doi.org/10.1016/j.jse.2018.04.004
13. Noten S, Meeus M, Stassijns G, Van Glabbeek F, Verborgt O, Struyf F. Efficacy of different types of mobilization techniques in patients with primary adhesive capsulitis of the shoulder: A systematic review. Arch Phys Med Rehabil 2016;97(5):815-25. https://doi.org/10.1016/j.apmr.2015.07.025
14. Shang X, Zhang Z, Pan X, Li J, Li Q. Intra-articular versus subacromial corticosteroid injection for the treatment of adhesive capsulitis: A meta-analysis and systematic review. BioMed Res Int 2019;2019:1274790.
https://doi.org/10.1155/2019/1274790
15. Fields BKK, Skalski MR, Patel DB, White EA, Tomasian A, Gross JS, et al. Adhesive capsulitis: review of imaging
findings, pathophysiology, clinical presentation, and treatment options. Skeletal Radiol 2019;48(8):1171-84.
https://doi.org/10.1007/s00256-018-3139-6
16. Struyf F, Meeus M. Current evidence on physical therapy in patients with adhesive capsulitis: what are we missing? Clin Rheumatol 2014;33(5):593-600. https://doi.org/10.1007/s10067-013-2464-3
17. Koh KH. Corticosteroid injection for adhesive capsulitis in primary care: a systematic review of randomised clinical trials. Singapore Med J 2016;57(12):646-57. https://doi.org/10.11622/smedj.201614
18. Sun Y, Lu S, Zhang P, Wang Z, Chen J. Steroid injection versus physiotherapy for patients with adhesive capsulitis of the shoulder: A PRIMSA systematic review and meta-analysis of randomized controlled trials. Medicine (Baltimore) 2016;95(20):e3469. https://doi.org/10.1097/MD.0000000000003469
19. Cho CH, Bae KC, Kim DH. Treatment strategy for frozen shoulder. Clin Orthop Surg 2019;11(3):249-57.
https://doi.org/10.4055/cios.2019.11.3.249
20. Angst F, Schwyzer H-K, Aeschlimann A, Simmen BR, Goldhahn J. Measures of adult shoulder function: Disabilities of the arm, shoulder, and hand questionnaire (DASH) and its short version (QuickDASH), shoulder
pain and disability index (SPADI), American shoulder and elbow surgeons (ASES) society standardized shoulder. Arthritis Care Res (Hoboken) 2011;63(Suppl 11):S174-S188. https://doi.org/10.1002/acr.20630
21. Jain TK, Sharma NK. The effectiveness of physiotherapeutic interventions in treatment of frozen shoulder/adhesive capsulitis: a systematic review. J Back Musculoskeletal Rehabil 2014;27(3):247-73.
https://doi.org/10.3233/BMR-130443
2. Candela V, Giannicola G, Passaretti D, Venditto T, Gumina S. Adhesive capsulitis of the shoulder: pain intensity and distribution. Musculoskelet Surg 2017;101(Suppl 2):153-8. https://doi.org/10.1007/s12306-017-0488-6
3. Redler LH, Dennis ER. Treatment of adhesive capsulitis of the shoulder. J Am Acad Orthop Surg 2019;27(12):e544-e554. https://doi.org/10.5435/JAAOS-D-17-00606
4. Ewald A. Adhesive capsulitis: a review. Am Fam Physician 2011;83(4):417-22. PMID: 21322517
5. Wang W, Shi M, Zhou C, Shi Z, Cai X, Lin T, et al. Effectiveness of corticosteroid injections in adhesive capsulitis
of shoulder: A meta-analysis. Medicine (Baltimore) 2017;96(28):e7529. https://doi.org/10.1097/MD.0000000000007529
6. Ramirez J. Adhesive capsulitis: Diagnosis and management. Am Fam Physician 2019;99(5):297-300.
PMID: 30811157
7. Neviaser AS, Hannafin JA. Adhesive capsulitis: a review of current treatment: A review of current treatment. Am J Sports Med 2010;38(11):2346-56. https://doi.org/10.1177/0363546509348048
8. Kelley MJ, Shaffer MA, Kuhn JE, Michener LA, Seitz AL, Uhl TL, et al. Shoulder pain and mobility deficits:
adhesive capsulitis: Clinical practice guidelines linked to the international classification of functioning, disability,
and health from the orthopaedic section of the American physical therapy association. J Orthop Sports Phys Ther
2013;43(5):A1-31. https://doi.org/10.2519/jospt.2013.0302
9. Hsu JE, Anakwenze OA, Warrender WJ, Abboud JA. Current review of adhesive capsulitis. J Shoulder Elbow Surg
2011;20(3):502-14. https://doi.org/10.1016/j.jse.2010.08.023
10. Neviaser AS, Neviaser RJ. Adhesive capsulitis of the shoulder. J Am Acad Orthop Surg 2011;19(9):536-42.
https://doi.org/10.5435/00124635-201109000-00004
11. Yip M, Francis AM, Roberts T, Rokito A, Zuckerman JD, Virk MS. Treatment of adhesive capsulitis of the shoulder: A critical analysis review. JBJS Rev 2018;6(6):e5-e5. https://doi.org/10.2106/JBJS.RVW.17.00165
12. Kingston K, Curry EJ, Galvin JW, Li X. Shoulder adhesive capsulitis: epidemiology and predictors of surgery. J
Shoulder Elbow Surg 2018;27(8):1437-43. https://doi.org/10.1016/j.jse.2018.04.004
13. Noten S, Meeus M, Stassijns G, Van Glabbeek F, Verborgt O, Struyf F. Efficacy of different types of mobilization techniques in patients with primary adhesive capsulitis of the shoulder: A systematic review. Arch Phys Med Rehabil 2016;97(5):815-25. https://doi.org/10.1016/j.apmr.2015.07.025
14. Shang X, Zhang Z, Pan X, Li J, Li Q. Intra-articular versus subacromial corticosteroid injection for the treatment of adhesive capsulitis: A meta-analysis and systematic review. BioMed Res Int 2019;2019:1274790.
https://doi.org/10.1155/2019/1274790
15. Fields BKK, Skalski MR, Patel DB, White EA, Tomasian A, Gross JS, et al. Adhesive capsulitis: review of imaging
findings, pathophysiology, clinical presentation, and treatment options. Skeletal Radiol 2019;48(8):1171-84.
https://doi.org/10.1007/s00256-018-3139-6
16. Struyf F, Meeus M. Current evidence on physical therapy in patients with adhesive capsulitis: what are we missing? Clin Rheumatol 2014;33(5):593-600. https://doi.org/10.1007/s10067-013-2464-3
17. Koh KH. Corticosteroid injection for adhesive capsulitis in primary care: a systematic review of randomised clinical trials. Singapore Med J 2016;57(12):646-57. https://doi.org/10.11622/smedj.201614
18. Sun Y, Lu S, Zhang P, Wang Z, Chen J. Steroid injection versus physiotherapy for patients with adhesive capsulitis of the shoulder: A PRIMSA systematic review and meta-analysis of randomized controlled trials. Medicine (Baltimore) 2016;95(20):e3469. https://doi.org/10.1097/MD.0000000000003469
19. Cho CH, Bae KC, Kim DH. Treatment strategy for frozen shoulder. Clin Orthop Surg 2019;11(3):249-57.
https://doi.org/10.4055/cios.2019.11.3.249
20. Angst F, Schwyzer H-K, Aeschlimann A, Simmen BR, Goldhahn J. Measures of adult shoulder function: Disabilities of the arm, shoulder, and hand questionnaire (DASH) and its short version (QuickDASH), shoulder
pain and disability index (SPADI), American shoulder and elbow surgeons (ASES) society standardized shoulder. Arthritis Care Res (Hoboken) 2011;63(Suppl 11):S174-S188. https://doi.org/10.1002/acr.20630
21. Jain TK, Sharma NK. The effectiveness of physiotherapeutic interventions in treatment of frozen shoulder/adhesive capsulitis: a systematic review. J Back Musculoskeletal Rehabil 2014;27(3):247-73.
https://doi.org/10.3233/BMR-130443