Purpose <p>We aimed to compare the improvements in pain at 1-month and in pain and functional outcomes at 1-year between the ultrasound (USG)- guided suprascapular notch (SSN) steroid injections and the USG-guided intra-articular (IA) steroid injections in the treatment of frozen shoulder.</p> Methods <p>Two sequential groups were compared: the first group underwent USG-guided SSN steroid injections (SSN group, <i>n</i> = 29), and the second group underwent USG-guided IA steroid injections (IA group, <i>n</i> = 35).</p> Results <p>At 1 month, significantly greater proportion of patients had &gt; 50% improvement in pain in the IA group [94%(<i>n</i> = 33] than in the SSN group [72%(<i>n</i> = 21), <i>p</i> = 0.03]. At 1-year, the SSN and IA groups did not differ in the Oxford shoulder score or the visual analogue scale pain score.</p> Conclusion <p>USG-guided IA steroid injection offers superior pain relief than USG-guided SSN steroid injection in the short-term in treatment of frozen shoulder.</p>

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Ultrasound-guided intra-articular steroid injection or ultrasound-guided suprascapular notch steroid injection for frozen shoulder? A sequential comparative study with a 1-year follow-up

  • Dipit Sahu,
  • Himanshu S. Choudhary,
  • Neha Gaikwad,
  • Sonam Gupta

摘要

Purpose

We aimed to compare the improvements in pain at 1-month and in pain and functional outcomes at 1-year between the ultrasound (USG)- guided suprascapular notch (SSN) steroid injections and the USG-guided intra-articular (IA) steroid injections in the treatment of frozen shoulder.

Methods

Two sequential groups were compared: the first group underwent USG-guided SSN steroid injections (SSN group, n = 29), and the second group underwent USG-guided IA steroid injections (IA group, n = 35).

Results

At 1 month, significantly greater proportion of patients had > 50% improvement in pain in the IA group [94%(n = 33] than in the SSN group [72%(n = 21), p = 0.03]. At 1-year, the SSN and IA groups did not differ in the Oxford shoulder score or the visual analogue scale pain score.

Conclusion

USG-guided IA steroid injection offers superior pain relief than USG-guided SSN steroid injection in the short-term in treatment of frozen shoulder.