Intra-articular steroid for adhesive capsulitis: does hydrodilatation give any additional benefit? A randomized control trial
Objectives To assess the benefit offered by capsular hydrodilatation in addition to intra-articular steroid injections in cases of adhesive capsulitis, assess outcomes in diabetic patients with capsular hydrodilatation as compared to non-diabetics and correlate duration of symptoms with outcome base...
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| Veröffentlicht in: | Skeletal radiology 2020-05, Vol.49 (5), p.795-803 |
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| creator | Paruthikunnan, Samir M. Shastry, Praveen N. Kadavigere, Rajagopal Pandey, Vivek Karegowda, Lakshmikanth Halegubbi |
| description | Objectives
To assess the benefit offered by capsular hydrodilatation in addition to intra-articular steroid injections in cases of adhesive capsulitis, assess outcomes in diabetic patients with capsular hydrodilatation as compared to non-diabetics and correlate duration of symptoms with outcome based on the type of intervention given.
Materials and methods
This prospective double-blinded randomized control trial included patients presenting with clinical features of adhesive capsulitis with no evidence of rotator cuff pathology and randomized them into two groups—intra-articular steroid with hydrodilatation (distension group) and only intra-articular steroid (non-distension group) with intervention being performed as per the group allotted. Primary outcome measure was Shoulder Pain and Disability Index (SPADI) scores which were taken pre-intervention, at 1.5, 3 and 6 months post-intervention, which were assessed by generalized linear model statistics and Pearson correlation.
Results
Although there was statistically significant drop in SPADI in both groups over time [
F
(1.9, 137.6) = 112.2;
p
|
| doi_str_mv | 10.1007/s00256-019-03316-8 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_journals_2379987038</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A731359836</galeid><sourcerecordid>A731359836</sourcerecordid><originalsourceid>FETCH-LOGICAL-c495t-d3750465aea119d99c0c764eafe4266b46ea04a38cffad69f6d231f935694e883</originalsourceid><addsrcrecordid>eNp9kV1rHCEUhqU0NNukf6AXRej1pDo6ztibsoR-BAK9Sa7lrB43hplxq05hA_3vdbvpF5TihXB83nPe40vIS84uOGP9m8xY26mGcd0wIbhqhidkxaVom5Yr_pSsmFCyaYUcTsnznO8Z433fqWfkVPBBSt2xFfl2NZcEDaQS7DJCorlgisFRHxMFd4c5fEVqYZeXMZSQ31IXMdO7vUvRhREKlBBnuj1QMO-rxIVDBUa6wRl9KO_omiaYXZzCAzpqYx0YR1pSgPGcnHgYM754vM_I7Yf3N5efmuvPH68u19eNrS5L40TfMak6QOBcO60ts72SCB5lq9RGKgQmQQzWe3BKe-Vawb0WndISh0GckdfHvrsUvyyYi7mPS6oms2lFr_XQM_EHtYURTZh9rF9jp5CtWfeCi04PQlXq4h9UPQ6nULerO9f6X4L2KLAp5pzQm10KE6S94cwcgjTHIE0N0vwI0hy8vHp0vGwmdL8kP5OrgDgCuT7NW0y_V_pP2-8Plqlu</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2379987038</pqid></control><display><type>article</type><title>Intra-articular steroid for adhesive capsulitis: does hydrodilatation give any additional benefit? A randomized control trial</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Paruthikunnan, Samir M. ; Shastry, Praveen N. ; Kadavigere, Rajagopal ; Pandey, Vivek ; Karegowda, Lakshmikanth Halegubbi</creator><creatorcontrib>Paruthikunnan, Samir M. ; Shastry, Praveen N. ; Kadavigere, Rajagopal ; Pandey, Vivek ; Karegowda, Lakshmikanth Halegubbi</creatorcontrib><description>Objectives
To assess the benefit offered by capsular hydrodilatation in addition to intra-articular steroid injections in cases of adhesive capsulitis, assess outcomes in diabetic patients with capsular hydrodilatation as compared to non-diabetics and correlate duration of symptoms with outcome based on the type of intervention given.
Materials and methods
This prospective double-blinded randomized control trial included patients presenting with clinical features of adhesive capsulitis with no evidence of rotator cuff pathology and randomized them into two groups—intra-articular steroid with hydrodilatation (distension group) and only intra-articular steroid (non-distension group) with intervention being performed as per the group allotted. Primary outcome measure was Shoulder Pain and Disability Index (SPADI) scores which were taken pre-intervention, at 1.5, 3 and 6 months post-intervention, which were assessed by generalized linear model statistics and Pearson correlation.
Results
Although there was statistically significant drop in SPADI in both groups over time [
F
(1.9, 137.6) = 112.2;
p
< 0.001], mean difference in SPADI between the 2 groups was not statistically significant (1.53; CI:-3.7 to 6.8;
p
= 0.56). There was no significant difference between both groups among diabetics [
F
(1,38) = 0.04;
p
= 0.95] and no significant difference between diabetic and non-diabetic patients who received hydrodilatation [
F
(1.8, 60) = 2.26;
p
= 0.12]. There was no significant correlation between the reduction in SPADI scores and duration of symptoms in any subset of the study population.
Conclusion
Shoulder joint hydrodilatation offered no additional benefit compared to intra-articular steroid injections for shoulder adhesive capsulitis. Outcome for diabetics and non-diabetics were similar and there was no correlation between duration of symptoms and outcome.</description><identifier>ISSN: 0364-2348</identifier><identifier>EISSN: 1432-2161</identifier><identifier>DOI: 10.1007/s00256-019-03316-8</identifier><identifier>PMID: 31844950</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adhesion tests ; Adrenal Cortex Hormones - administration & dosage ; Adrenal Cortex Hormones - therapeutic use ; Adult ; Aged ; Bupivacaine ; Bursitis - diagnostic imaging ; Bursitis - drug therapy ; Comparative analysis ; Diabetes ; Diabetes mellitus ; Diabetics ; Dilatation - methods ; Distension ; Double-Blind Method ; Female ; Generalized linear models ; Humans ; Imaging ; Joint diseases ; Male ; Medical research ; Medicine ; Medicine & Public Health ; Medicine, Experimental ; Middle Aged ; Nuclear Medicine ; Orthopedics ; Pathology ; Population studies ; Prospective Studies ; Radiology ; Randomization ; Scientific Article ; Shoulder ; Shoulder Joint - diagnostic imaging ; Statistical analysis ; Statistical models ; Statistical significance ; Steroids ; Treatment Outcome ; Ultrasonography - methods ; Water - administration & dosage</subject><ispartof>Skeletal radiology, 2020-05, Vol.49 (5), p.795-803</ispartof><rights>ISS 2019</rights><rights>COPYRIGHT 2020 Springer</rights><rights>Skeletal Radiology is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c495t-d3750465aea119d99c0c764eafe4266b46ea04a38cffad69f6d231f935694e883</citedby><cites>FETCH-LOGICAL-c495t-d3750465aea119d99c0c764eafe4266b46ea04a38cffad69f6d231f935694e883</cites><orcidid>0000-0003-3486-8740</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00256-019-03316-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00256-019-03316-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31844950$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Paruthikunnan, Samir M.</creatorcontrib><creatorcontrib>Shastry, Praveen N.</creatorcontrib><creatorcontrib>Kadavigere, Rajagopal</creatorcontrib><creatorcontrib>Pandey, Vivek</creatorcontrib><creatorcontrib>Karegowda, Lakshmikanth Halegubbi</creatorcontrib><title>Intra-articular steroid for adhesive capsulitis: does hydrodilatation give any additional benefit? A randomized control trial</title><title>Skeletal radiology</title><addtitle>Skeletal Radiol</addtitle><addtitle>Skeletal Radiol</addtitle><description>Objectives
To assess the benefit offered by capsular hydrodilatation in addition to intra-articular steroid injections in cases of adhesive capsulitis, assess outcomes in diabetic patients with capsular hydrodilatation as compared to non-diabetics and correlate duration of symptoms with outcome based on the type of intervention given.
Materials and methods
This prospective double-blinded randomized control trial included patients presenting with clinical features of adhesive capsulitis with no evidence of rotator cuff pathology and randomized them into two groups—intra-articular steroid with hydrodilatation (distension group) and only intra-articular steroid (non-distension group) with intervention being performed as per the group allotted. Primary outcome measure was Shoulder Pain and Disability Index (SPADI) scores which were taken pre-intervention, at 1.5, 3 and 6 months post-intervention, which were assessed by generalized linear model statistics and Pearson correlation.
Results
Although there was statistically significant drop in SPADI in both groups over time [
F
(1.9, 137.6) = 112.2;
p
< 0.001], mean difference in SPADI between the 2 groups was not statistically significant (1.53; CI:-3.7 to 6.8;
p
= 0.56). There was no significant difference between both groups among diabetics [
F
(1,38) = 0.04;
p
= 0.95] and no significant difference between diabetic and non-diabetic patients who received hydrodilatation [
F
(1.8, 60) = 2.26;
p
= 0.12]. There was no significant correlation between the reduction in SPADI scores and duration of symptoms in any subset of the study population.
Conclusion
Shoulder joint hydrodilatation offered no additional benefit compared to intra-articular steroid injections for shoulder adhesive capsulitis. Outcome for diabetics and non-diabetics were similar and there was no correlation between duration of symptoms and outcome.</description><subject>Adhesion tests</subject><subject>Adrenal Cortex Hormones - administration & dosage</subject><subject>Adrenal Cortex Hormones - therapeutic use</subject><subject>Adult</subject><subject>Aged</subject><subject>Bupivacaine</subject><subject>Bursitis - diagnostic imaging</subject><subject>Bursitis - drug therapy</subject><subject>Comparative analysis</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetics</subject><subject>Dilatation - methods</subject><subject>Distension</subject><subject>Double-Blind Method</subject><subject>Female</subject><subject>Generalized linear models</subject><subject>Humans</subject><subject>Imaging</subject><subject>Joint diseases</subject><subject>Male</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Medicine, Experimental</subject><subject>Middle Aged</subject><subject>Nuclear Medicine</subject><subject>Orthopedics</subject><subject>Pathology</subject><subject>Population studies</subject><subject>Prospective Studies</subject><subject>Radiology</subject><subject>Randomization</subject><subject>Scientific Article</subject><subject>Shoulder</subject><subject>Shoulder Joint - diagnostic imaging</subject><subject>Statistical analysis</subject><subject>Statistical models</subject><subject>Statistical significance</subject><subject>Steroids</subject><subject>Treatment Outcome</subject><subject>Ultrasonography - methods</subject><subject>Water - administration & dosage</subject><issn>0364-2348</issn><issn>1432-2161</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kV1rHCEUhqU0NNukf6AXRej1pDo6ztibsoR-BAK9Sa7lrB43hplxq05hA_3vdbvpF5TihXB83nPe40vIS84uOGP9m8xY26mGcd0wIbhqhidkxaVom5Yr_pSsmFCyaYUcTsnznO8Z433fqWfkVPBBSt2xFfl2NZcEDaQS7DJCorlgisFRHxMFd4c5fEVqYZeXMZSQ31IXMdO7vUvRhREKlBBnuj1QMO-rxIVDBUa6wRl9KO_omiaYXZzCAzpqYx0YR1pSgPGcnHgYM754vM_I7Yf3N5efmuvPH68u19eNrS5L40TfMak6QOBcO60ts72SCB5lq9RGKgQmQQzWe3BKe-Vawb0WndISh0GckdfHvrsUvyyYi7mPS6oms2lFr_XQM_EHtYURTZh9rF9jp5CtWfeCi04PQlXq4h9UPQ6nULerO9f6X4L2KLAp5pzQm10KE6S94cwcgjTHIE0N0vwI0hy8vHp0vGwmdL8kP5OrgDgCuT7NW0y_V_pP2-8Plqlu</recordid><startdate>20200501</startdate><enddate>20200501</enddate><creator>Paruthikunnan, Samir M.</creator><creator>Shastry, Praveen N.</creator><creator>Kadavigere, Rajagopal</creator><creator>Pandey, Vivek</creator><creator>Karegowda, Lakshmikanth Halegubbi</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><orcidid>https://orcid.org/0000-0003-3486-8740</orcidid></search><sort><creationdate>20200501</creationdate><title>Intra-articular steroid for adhesive capsulitis: does hydrodilatation give any additional benefit? A randomized control trial</title><author>Paruthikunnan, Samir M. ; Shastry, Praveen N. ; Kadavigere, Rajagopal ; Pandey, Vivek ; Karegowda, Lakshmikanth Halegubbi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c495t-d3750465aea119d99c0c764eafe4266b46ea04a38cffad69f6d231f935694e883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adhesion tests</topic><topic>Adrenal Cortex Hormones - administration & dosage</topic><topic>Adrenal Cortex Hormones - therapeutic use</topic><topic>Adult</topic><topic>Aged</topic><topic>Bupivacaine</topic><topic>Bursitis - diagnostic imaging</topic><topic>Bursitis - drug therapy</topic><topic>Comparative analysis</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diabetics</topic><topic>Dilatation - methods</topic><topic>Distension</topic><topic>Double-Blind Method</topic><topic>Female</topic><topic>Generalized linear models</topic><topic>Humans</topic><topic>Imaging</topic><topic>Joint diseases</topic><topic>Male</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Medicine, Experimental</topic><topic>Middle Aged</topic><topic>Nuclear Medicine</topic><topic>Orthopedics</topic><topic>Pathology</topic><topic>Population studies</topic><topic>Prospective Studies</topic><topic>Radiology</topic><topic>Randomization</topic><topic>Scientific Article</topic><topic>Shoulder</topic><topic>Shoulder Joint - diagnostic imaging</topic><topic>Statistical analysis</topic><topic>Statistical models</topic><topic>Statistical significance</topic><topic>Steroids</topic><topic>Treatment Outcome</topic><topic>Ultrasonography - methods</topic><topic>Water - administration & dosage</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Paruthikunnan, Samir M.</creatorcontrib><creatorcontrib>Shastry, Praveen N.</creatorcontrib><creatorcontrib>Kadavigere, Rajagopal</creatorcontrib><creatorcontrib>Pandey, Vivek</creatorcontrib><creatorcontrib>Karegowda, Lakshmikanth Halegubbi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Skeletal radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Paruthikunnan, Samir M.</au><au>Shastry, Praveen N.</au><au>Kadavigere, Rajagopal</au><au>Pandey, Vivek</au><au>Karegowda, Lakshmikanth Halegubbi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intra-articular steroid for adhesive capsulitis: does hydrodilatation give any additional benefit? A randomized control trial</atitle><jtitle>Skeletal radiology</jtitle><stitle>Skeletal Radiol</stitle><addtitle>Skeletal Radiol</addtitle><date>2020-05-01</date><risdate>2020</risdate><volume>49</volume><issue>5</issue><spage>795</spage><epage>803</epage><pages>795-803</pages><issn>0364-2348</issn><eissn>1432-2161</eissn><abstract>Objectives
To assess the benefit offered by capsular hydrodilatation in addition to intra-articular steroid injections in cases of adhesive capsulitis, assess outcomes in diabetic patients with capsular hydrodilatation as compared to non-diabetics and correlate duration of symptoms with outcome based on the type of intervention given.
Materials and methods
This prospective double-blinded randomized control trial included patients presenting with clinical features of adhesive capsulitis with no evidence of rotator cuff pathology and randomized them into two groups—intra-articular steroid with hydrodilatation (distension group) and only intra-articular steroid (non-distension group) with intervention being performed as per the group allotted. Primary outcome measure was Shoulder Pain and Disability Index (SPADI) scores which were taken pre-intervention, at 1.5, 3 and 6 months post-intervention, which were assessed by generalized linear model statistics and Pearson correlation.
Results
Although there was statistically significant drop in SPADI in both groups over time [
F
(1.9, 137.6) = 112.2;
p
< 0.001], mean difference in SPADI between the 2 groups was not statistically significant (1.53; CI:-3.7 to 6.8;
p
= 0.56). There was no significant difference between both groups among diabetics [
F
(1,38) = 0.04;
p
= 0.95] and no significant difference between diabetic and non-diabetic patients who received hydrodilatation [
F
(1.8, 60) = 2.26;
p
= 0.12]. There was no significant correlation between the reduction in SPADI scores and duration of symptoms in any subset of the study population.
Conclusion
Shoulder joint hydrodilatation offered no additional benefit compared to intra-articular steroid injections for shoulder adhesive capsulitis. Outcome for diabetics and non-diabetics were similar and there was no correlation between duration of symptoms and outcome.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>31844950</pmid><doi>10.1007/s00256-019-03316-8</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-3486-8740</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0364-2348 |
| ispartof | Skeletal radiology, 2020-05, Vol.49 (5), p.795-803 |
| issn | 0364-2348 1432-2161 |
| language | eng |
| recordid | cdi_proquest_journals_2379987038 |
| source | MEDLINE; SpringerNature Journals |
| subjects | Adhesion tests Adrenal Cortex Hormones - administration & dosage Adrenal Cortex Hormones - therapeutic use Adult Aged Bupivacaine Bursitis - diagnostic imaging Bursitis - drug therapy Comparative analysis Diabetes Diabetes mellitus Diabetics Dilatation - methods Distension Double-Blind Method Female Generalized linear models Humans Imaging Joint diseases Male Medical research Medicine Medicine & Public Health Medicine, Experimental Middle Aged Nuclear Medicine Orthopedics Pathology Population studies Prospective Studies Radiology Randomization Scientific Article Shoulder Shoulder Joint - diagnostic imaging Statistical analysis Statistical models Statistical significance Steroids Treatment Outcome Ultrasonography - methods Water - administration & dosage |
| title | Intra-articular steroid for adhesive capsulitis: does hydrodilatation give any additional benefit? A randomized control trial |
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