Randomized Controlled Trial for Efficacy of Capsular Distension for Adhesive Capsulitis: Fluoroscopy-Guided Anterior Versus Ultrasonography-Guided Posterolateral Approach
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective To find the most effective procedure to treat adhesive capsulitis of the shoulder, we evaluated the clinical effects of an ultrasonographic-guided anterior approach capsular distension and a fluoroscopy-guided posterolateral approach capsular distension. We expected the anterior approach to be better than the posterolateral approach because the rotator interval, a triangular anatomic area in the anterosuperior aspect of the shoulder, which is considered an important component of the pathology of adhesive capsulitis.Methods Participants were randomly assigned to two groups: 27 patients in group A were injected by an anterior approach with 2% lidocaine (5 mL), contrast dye (5 mL), triamcinolone (40 mg), and normal saline (9 mL) under fluoroscopic guidance in the operating room. Twenty-seven patients in group B were injected using a posterolateral approach with 2% lidocaine (5 mL), triamcinolone (40 mg), and normal saline (14 mL) under ultrasonographic guidance. After injection, all patients received physiotherapy four times in the first postoperative week and then two times each week for eight more weeks. Treatment effects were assessed using the shoulder pain and disability index (SPADI), visual numeric scale (VNS), passive range of motion (PROM), hand power (grip and pinch) at baseline and at one week, five and nine weeks after injection. Results SPADI, VNS, PROM, and hand power improved in one week, five and nine weeks in both groups. Statistically significant differences were not observed in SPADI, VNS, PROM, or hand power between groups. Conclusion Ultrasonography-guided capsular distension by a posterolateral approach has similar effects to fluoroscopy-guided capsular distension by an anterior approach.
Abstract
Objective To find the most effective procedure to treat adhesive capsulitis of the shoulder, we evaluated the clinical effects of an ultrasonographic-guided anterior approach capsular distension and a fluoroscopy-guided posterolateral approach capsular distension. We expected the anterior approach to be better than the posterolateral approach because the rotator interval, a triangular anatomic area in the anterosuperior aspect of the shoulder, which is considered an important component of the pathology of adhesive capsulitis.Methods Participants were randomly assigned to two groups: 27 patients in group A were injected by an anterior approach with 2% lidocaine (5 mL), contrast dye (5 mL), triamcinolone (40 mg), and normal saline (9 mL) under fluoroscopic guidance in the operating room. Twenty-seven patients in group B were injected using a posterolateral approach with 2% lidocaine (5 mL), triamcinolone (40 mg), and normal saline (14 mL) under ultrasonographic guidance. After injection, all patients received physiotherapy four times in the first postoperative week and then two times each week for eight more weeks. Treatment effects were assessed using the shoulder pain and disability index (SPADI), visual numeric scale (VNS), passive range of motion (PROM), hand power (grip and pinch) at baseline and at one week, five and nine weeks after injection. Results SPADI, VNS, PROM, and hand power improved in one week, five and nine weeks in both groups. Statistically significant differences were not observed in SPADI, VNS, PROM, or hand power between groups. Conclusion Ultrasonography-guided capsular distension by a posterolateral approach has similar effects to fluoroscopy-guided capsular distension by an anterior approach.
참고문헌 (26)
- Neviaser AS, "Adhesive capsulitis of the shoulder", J Am Acad Orthop Surg, 19, pp.536~542 (2011)
- Rizk TE, "Frozen shoulder", Semin Arthritis Rheum, 11, pp.440~452 (1982)
- Marx RG, "Intra-articular corticosteroid injection for the treatment of idiopathic adhesive capsulitis of the shoulder", HSS J, 3, pp.202~207 (2007)
- Griesser MJ, "Adhesive capsulitis of the shoulder: a systematic review of the effectiveness of intra-articular corticosteroid injections", J Bone Joint Surg Am, 93, pp.1727~1733 (2011)
- Huang CC, "Treating frozen shoulder with ultrasound-guided pulsed mode radiofrequency lesioning of the suprascapular nerve: two cases", Pain Med, 11, pp.1837~1840 (2010)
- Chen HS, "Treatment of frozen shoulder with intra-articular injection of botulinum toxin in shoulder joints", Med Hypotheses, 77, pp.305~307 (2011)
- Thomas WJ, "Treatment of frozen shoulder by manipulation under anaesthetic and injection: does the timing of treatment affect the outcome?", J Bone Joint Surg Br, 93, pp.1377~1381 (2011)
- Andren L, "treatment of rigid shoulders by joint distension during arthrography", Acta Orthop Scand, 36, pp.45~53 (1965)
- Quraishi NA, "Thawing the frozen shoulder: a randomised trial comparing manipulation under anaesthesia with hydrodilatation", J Bone Joint Surg Br, 89, pp.1197~1200 (2007)
- Piotte F, "Effects of repeated distension arthrographies combined with a home exercise program among adults with idiopathic adhesive capsulitis of the shoulder", Am J Phys Med Rehabil, 83, pp.537~546 (2004)
- Park KD, "Treatment effects of ultrasound-guided capsular distension with hyaluronic acid in adhesive capsulitis of the shoulder", Arch Phys Med Rehabil, 94, pp.264~270 (2013)
- Vad VB, "The role of capsular distention in adhesive capsulitis", Arch Phys Med Rehabil, 84, pp.1290~1292 (2003)
- Tveita EK, "Hydrodilatation, corticosteroids and adhesive capsulitis:a randomized controlled trial", BMC Musculoskelet Disord, 9, pp.53~ (2008)
- Gondim Teixeira PA, "Adhesive capsulitis of the shoul der: value of inferior glenohumeral ligament signal changes on T2-weighted fat-saturated images", AJR Am J Roentgenol, 198, pp.W589~W596 (2012)
- Gaskill TR, "The rotator interval: pathology and management", Arthroscopy, 27, pp.556~567 (2011)
- Harryman DT 2nd, "The role of the rotator interval capsule in passive motion and stability of the shoulder", J Bone Joint Surg Am, 74, pp.53~66 (1992)
- Ewald A, "Adhesive capsulitis: a review", Am Fam Physician, 83, pp.417~422 (2011)
- Ki Deok Park, "Comparison of Sono-guided Capsular Distension with Fluoroscopically Capsular Distension in Adhesive Capsulitis of Shoulder", Annals of Rehabilitation Medicine, 36(1), pp.88~97 (2012), 대한재활의학회
- Uhthoff HK, "Primary frozen shoulder: global capsular stiffness versus localized contracture", Clin Orthop Relat Res, 456, pp.79~84 (2007)
- Park SK, "Hydraulic management of frozen shoulder", J Korean Acad Rehabil Med, 16, pp.147~153 (1992)
- Levine WN, "Nonoperative management of idiopathic adhesive capsulitis", J Shoulder Elbow Surg, 16, pp.569~573 (2007)
- Park GY, "Comparison of intraarticular steroid injection with and without capsular distension in adhesive capsulitis of the shoulder", J Korean Acad Rehabil Med, 24, pp.1174~1179 (2000)
- 최은석, "동결견 환자의 관절조영술 소견과 관절낭 팽창파열술의 효과", Annals of Rehabilitation Medicine, 25(2), pp.278~283 (2001), 대한재활의학회
- 김준성, "동결견 환자의 관절낭 팽창술 시 수동관절운동의 부가적인 파열 효과", Annals of Rehabilitation Medicine, 32(3), pp.324~326 (2008), 대한재활의학회
- Dupeyron A, "Heterogeneous assessment of shoulder disorders: validation of the Standardized Index of Shoulder Function", J Rehabil Med, 42, pp.967~972 (2010)
- Staples MP, "Shoulder-specific disability measures showed acceptable construct validity and responsiveness", J Clin Epidemiol, 63, pp.163~170 (2010)