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A Randomized Comparative Study of Blind versus Ultrasound Guided Glenohumeral Joint Injection of Corticosteroids for Treatment of Shoulder Stiffness.

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Title: A Randomized Comparative Study of Blind versus Ultrasound Guided Glenohumeral Joint Injection of Corticosteroids for Treatment of Shoulder Stiffness.
Authors: Hyo-Jin Lee1, Ji-Hoon Ok2, In Park2, Sung-Ho Bae2, Sung-Eun Kim2, Dong-Jin Shin1, Yang-Soo Kim1 kysoos@catholic.ac.kr
Source: Clinics in Shoulder & Elbow. Sep2015, Vol. 18 Issue 3, p120-127. 8p.
Subject Terms: *CORTICOSTEROIDS, *HORMONE therapy, *SHOULDER disorders, *GLENOHUMERAL joint, *THERAPEUTICS
Abstract: Background: We prospectively compared the response to blind and ultrasound-guided glenohumeral injection of corticosteroids for treatment of shoulder stiffness. Methods: A total of 77 patients with shoulder stiffness between April 2008 and March 2012 were recruited. Patients were randomized to receive either a blind (group 1, n=39) or ultrasound-guided (group 2, n=38) glenohumeral injection of 40 mg triamcinolone. The clinical outcomes and shoulder range of motion (ROM) before injection, at 3, 6, and 12 months after injection and at the last follow-up were assessed. The same rehabilitation program was applied in both groups during the follow-up period. Results: There was no significant difference in demographic data on age, sex, ROM, and symptom duration before injection between groups (p>0.05). There were no significant differences in ROM including forward flexion, external rotation at the side, external rotation at 90o abduction, and internal rotation, visual analogue scale for pain and functional outcomes including American Shoulder and Elbow Surgeons score, Simple Shoulder test between the two groups at any time point (p>0.05). Conclusions: Based on the current data, the result of ultrasound-guided glenohumeral injection was not superior to that of blind injection in the treatment of shoulder stiffness. We suggest that ultrasound-guided glenohumeral injection could be performed according to the patient's compliance and the surgeon's preference. Once familiar with the non-imaging-guided glenohumeral injection, it is an efficient and reliable method for the experienced surgeon. Ultrasound could be performed according to the surgeon's preference. [ABSTRACT FROM AUTHOR]
Copyright of Clinics in Shoulder & Elbow is the property of Korean Shoulder & Elbow Society and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Label: Title
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  Data: A Randomized Comparative Study of Blind versus Ultrasound Guided Glenohumeral Joint Injection of Corticosteroids for Treatment of Shoulder Stiffness.
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  Data: <searchLink fieldCode="AR" term="%22Hyo-Jin+Lee%22">Hyo-Jin Lee</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Ji-Hoon+Ok%22">Ji-Hoon Ok</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22In+Park%22">In Park</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Sung-Ho+Bae%22">Sung-Ho Bae</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Sung-Eun+Kim%22">Sung-Eun Kim</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Dong-Jin+Shin%22">Dong-Jin Shin</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Yang-Soo+Kim%22">Yang-Soo Kim</searchLink><relatesTo>1</relatesTo><i> kysoos@catholic.ac.kr</i>
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  Data: <searchLink fieldCode="JN" term="%22Clinics+in+Shoulder+%26+Elbow%22">Clinics in Shoulder & Elbow</searchLink>. Sep2015, Vol. 18 Issue 3, p120-127. 8p.
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  Data: *<searchLink fieldCode="DE" term="%22CORTICOSTEROIDS%22">CORTICOSTEROIDS</searchLink><br />*<searchLink fieldCode="DE" term="%22HORMONE+therapy%22">HORMONE therapy</searchLink><br />*<searchLink fieldCode="DE" term="%22SHOULDER+disorders%22">SHOULDER disorders</searchLink><br />*<searchLink fieldCode="DE" term="%22GLENOHUMERAL+joint%22">GLENOHUMERAL joint</searchLink><br />*<searchLink fieldCode="DE" term="%22THERAPEUTICS%22">THERAPEUTICS</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: We prospectively compared the response to blind and ultrasound-guided glenohumeral injection of corticosteroids for treatment of shoulder stiffness. Methods: A total of 77 patients with shoulder stiffness between April 2008 and March 2012 were recruited. Patients were randomized to receive either a blind (group 1, n=39) or ultrasound-guided (group 2, n=38) glenohumeral injection of 40 mg triamcinolone. The clinical outcomes and shoulder range of motion (ROM) before injection, at 3, 6, and 12 months after injection and at the last follow-up were assessed. The same rehabilitation program was applied in both groups during the follow-up period. Results: There was no significant difference in demographic data on age, sex, ROM, and symptom duration before injection between groups (p>0.05). There were no significant differences in ROM including forward flexion, external rotation at the side, external rotation at 90o abduction, and internal rotation, visual analogue scale for pain and functional outcomes including American Shoulder and Elbow Surgeons score, Simple Shoulder test between the two groups at any time point (p>0.05). Conclusions: Based on the current data, the result of ultrasound-guided glenohumeral injection was not superior to that of blind injection in the treatment of shoulder stiffness. We suggest that ultrasound-guided glenohumeral injection could be performed according to the patient's compliance and the surgeon's preference. Once familiar with the non-imaging-guided glenohumeral injection, it is an efficient and reliable method for the experienced surgeon. Ultrasound could be performed according to the surgeon's preference. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Clinics in Shoulder & Elbow is the property of Korean Shoulder & Elbow Society and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.5397/cise.2015.18.3.120
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        Text: English
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      – SubjectFull: CORTICOSTEROIDS
        Type: general
      – SubjectFull: HORMONE therapy
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      – SubjectFull: SHOULDER disorders
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      – SubjectFull: GLENOHUMERAL joint
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              Text: Sep2015
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