Comparison of Sono-guided Capsular Distension with Fluoroscopically Capsular Distension in Adhesive Capsulitis of Shoulder
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Objective To investigate the short-term effects and advantages of sono-guided capsular distension, compared with fl uoroscopically guided capsular distension in adhesive capsulitis of shoulder. Method In this prospective, randomized, and controlled trial, 23 patients (group A) were given an intra-articular injection of a mixture of 0.5% lidocaine (9 ml), contrast dye (10 ml), and triamcinolone (20 mg); they received the injection once every 2 weeks, for a total of 6 weeks, under sono-guidance. Twenty-five patients (group B)were treated similarly, under fl uoroscopic guidance. Instructions for the self-exercise program were given to all subjects, without physiotherapy and medication. Eff ects were then assessed using a visual numeric scale (VNS),and the shoulder pain and disability index (SPADI), as well as a range of shoulder motion examinations which took place at the beginning of the study and 2 and 6 weeks after the last injection. Incremental cost-eff ective ratio (ICER), eff ectiveness, preference, and procedure duration were evaluated 6 weeks post-injection. Results The VNS, SPADI, and shoulder motion range improved 2 weeks after the last injection and continued to improve until 6 weeks, in both groups. However, no statistical differences in changes of VNS, SPADI, ROM, and eff ectiveness were found between these groups. Patients preferred sono-guided capsular distension to fl uoroscopically guided capsular distension due to diff erences in radiation hazards and positional convenience. Procedure time was shorter for sono-guided capsular distension than for fl uoroscopically guided capsular distension. Conclusion Sono-guided capsular distension has comparable effects with fluoroscopically guided capsular distension for treatment of adhesive capsulitis of the shoulder. Sono-guided capsular distension can be substituted for fl uoroscopic capsular distension and can be advantageous from the viewpoint of radiation hazard mitigation,time, cost-eff ectiveness and convenience.
Abstract
Objective To investigate the short-term effects and advantages of sono-guided capsular distension, compared with fl uoroscopically guided capsular distension in adhesive capsulitis of shoulder. Method In this prospective, randomized, and controlled trial, 23 patients (group A) were given an intra-articular injection of a mixture of 0.5% lidocaine (9 ml), contrast dye (10 ml), and triamcinolone (20 mg); they received the injection once every 2 weeks, for a total of 6 weeks, under sono-guidance. Twenty-five patients (group B)were treated similarly, under fl uoroscopic guidance. Instructions for the self-exercise program were given to all subjects, without physiotherapy and medication. Eff ects were then assessed using a visual numeric scale (VNS),and the shoulder pain and disability index (SPADI), as well as a range of shoulder motion examinations which took place at the beginning of the study and 2 and 6 weeks after the last injection. Incremental cost-eff ective ratio (ICER), eff ectiveness, preference, and procedure duration were evaluated 6 weeks post-injection. Results The VNS, SPADI, and shoulder motion range improved 2 weeks after the last injection and continued to improve until 6 weeks, in both groups. However, no statistical differences in changes of VNS, SPADI, ROM, and eff ectiveness were found between these groups. Patients preferred sono-guided capsular distension to fl uoroscopically guided capsular distension due to diff erences in radiation hazards and positional convenience. Procedure time was shorter for sono-guided capsular distension than for fl uoroscopically guided capsular distension. Conclusion Sono-guided capsular distension has comparable effects with fluoroscopically guided capsular distension for treatment of adhesive capsulitis of the shoulder. Sono-guided capsular distension can be substituted for fl uoroscopic capsular distension and can be advantageous from the viewpoint of radiation hazard mitigation,time, cost-eff ectiveness and convenience.
참고문헌 (28)
- Binder AI, "Frozen shoulder: a long-term prospective study", Ann Rheum Dis, 43, pp.361~364 (1984)
- Neviaser TJ, "Arthroscopy of the shoulder", Orthop Clin North Am, 18, pp.361~372 (1987)
- Andersen NH, "Frozen shoulder: arthroscopy and manipulation under general anesthesia and early passive motion", J Shoulder Elbow Surg, 7, pp.218~222 (1998)
- Murnaghan JP, "Adhesive capsulitis of the shoulder: current concepts and treatment", Orthopedics, 11, pp.153~158 (1988)
- Gam AN, "Treatment of “frozen shoulder” with distension and glucorticoid compared with glucorticoid alone. A randomised controlled trial", Scand J Rheumatol, 27, pp.425~430 (1998), A randomised controlled trial
- Rizk TE, "Treatment of adhesive capsulitis (frozen shoulder) with arthrographic capsular distension and rupture", Arch Phys Med Rehabil, 75, pp.803~807 (1994)
- Vad VB, "The role of capsular distention in adhesi ve capsulitis", Arch Phys Med Rehabil, 84, pp.1290~1292 (2003)
- Fareed DO, "Office management of frozen shoulder syndrome. Treatment with hydraulic distension under local anesthesia", Clin Orthop Relat Res, 242, pp.177~183 (1989)
- Tveita EK, "Hydrodilatation, corticosteroids and adhesive capsulitis: a randomized controlled trial", BMC Musculoskelet Disord, 9, pp.53~ (2008)
- Arslan S, "Comparison of the effi cacy of local corticosteroid injection and physical therapy for the treatment of adhesive capsulitis", Rheumatol Int, 21, pp.20~23 (2001)
- Calis M, "Is intraarticular sodium hyaluronate injection an alternative treatment in patients with adhesive capsulitis?", Rheumatol Int, 26, pp.536~540 (2006)
- Roach KE, "Development of a shoulder pain and disability index", Arthritis Care Res, 4, pp.143~149 (1991)
- Zaghi S, "Brain stimulation for the treatment of pain: a review of costs, clinical effects, and mechanisms of treatment for three diff erent central neuromodulatory approaches", J Pain Manag, 2, pp.339~352 (2009)
- Fareed DO, "Office management of frozen shoulder syndrome. Treatment with hydraulic distension under local anesthesia", Clin Orthop Relat Res, 242, pp.177~183 (1989)
- Mclaughlin HL, , Bull Hosp Joint Dis, 12, pp.383~393 (1951)
- Rodeo SA, "Immunolocalization of cytokines and their receptors in adhesive capsulitis of the shoulder", J Orthop Res, 15, pp.427~436 (1997)
- Neviaser JS, "Adhesive capsulitis of the shoulder : a study ofthe pathologic fi ndings in periarthritis of the shoulder", J Bone Joint Surg, 27, pp.211~222 (1945)
- de Jong BA, "Intraarticular triamcinolone acetonide injection in patients with capsulitis of the shoulder: a comparative study of two dose regimens", Clin Rehabil, 12, pp.211~215 (1998)
- Bulgen DY, "Frozen shoulder: prospective clinical study with an evaluation of three treatment regimens", Ann Rheum Dis, 43, pp.353~360 (1984)
- Dacre JE, "Injections and physiotherapy for the painful stiff shoulder", Ann Rheum Dis, 48, pp.322~325 (1989)
- Rizk TE, "Corticosteroid injections in adhesive capsulitis: investigation of their value and site", Arch Phys Med Rehabil, 72, pp.20~22 (1991)
- Yamakado K., "The targeting accuracy of subacromial injection to the shoulder: an arthrographic evaluation", Arthroscopy, 18, pp.887~891 (2002)
- Partington PF, "Diagnostic injection around the shoulder: hit and miss?", J Shoulder Elbow Surg, 7, pp.147~150 (1998), A cadaveric study of injection accuracy
- Connell D, "Adhesive capsulitis: role of MR imaging in diff erential diagnosis", Eur Radiol, 12, pp.2100~2106 (2002)
- Van Holsbeeck MT, "Sonography of the shoulder, In Musculoskeletal ultrasound, 2nd ed", pp.504~505 (2001), Mosby Inc
- Homsi C, "Ultrasound in adhesive capsulitis of the shoulder: is assessment of the coracohumeral ligament a valuable diagnostic tool?", Skeletal Radiol, 35, pp.673~678 (2006)
- Berlin L, "Radiation-induced skin injuries and fl uoroscopy", AJR Am J Roentgenol, 177, pp.21~25 (2001)
- Fishman SM, "Radiation safety in pain medicine", Reg Anesth Pain Med, 27, pp.296~305 (2002)