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Comparison of Clinical Outcomes between Idiopathic Frozen Shoulder and Diabetic Frozen Shoulder After a Single Ultrasound-Guided Intra-Articular Corticosteroid Injection

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Author(s)
Chul-Hyun ChoHyo-Joon JinDu Hwan Kim
Keimyung Author(s)
Cho, Chul HyunKim, Du Hwan
Department
Dept. of Orthopedic Surgery (정형외과학)
Journal Title
Diagnostics
Issued Date
2020
Volume
10
Issue
6
Keyword
bursitisintra-articular injectionsdiabetes mellitusadrenal cortex hormones
Abstract
There is no consensus on the use of intra-articular corticosteroid injections in diabetic frozen shoulder (FS). Thus, we aimed to compare clinical outcomes after intra-articular corticosteroid injections in patients with diabetic FS and idiopathic FS. Data collected from 142 FS patients who received glenohumeral joint intra-articular corticosteroid injections were retrospectively reviewed. Thirty-two patients were diagnosed with diabetic FS and 110 patients with idiopathic FS. Data including visual analog scale (VAS) for pain, American Shoulder and Elbow Surgeons (ASES) score, subjective shoulder value (SSV), and passive range of motion (ROM) were compared before the injection and at 3, 6, and 12 weeks after the injection. There were significant improvements in all outcomes (p < 0.001 for all parameters) through 12 weeks in both groups. There were no significant differences in all outcomes, except for ASES scores, between both groups at 3 weeks. However, there were significant differences in VAS score, SSVs, ASES scores, and passive ROMs, except for angle of abduction, between the two groups at 6 weeks and 12 weeks after injection. A single intra-articular steroid injection can be used as a conservative treatment for diabetic FS, but less effective than for idiopathic FS.
Keimyung Author(s)(Kor)
조철현
김두환
Publisher
School of Medicine (의과대학)
Citation
Chul-Hyun Cho et al. (2020). Comparison of Clinical Outcomes between Idiopathic Frozen Shoulder and Diabetic Frozen Shoulder After a Single Ultrasound-Guided Intra-Articular Corticosteroid Injection. Diagnostics, 10(6), 370–380. doi: 10.3390/diagnostics10060370
Type
Article
ISSN
2075-4418
Source
https://www.mdpi.com/2075-4418/10/6/370
DOI
10.3390/diagnostics10060370
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/43050
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
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