Comparative Analysis of Intra-articular Injection of Steroid and/or Sodium Hyaluronate in Adhesive Capsulitis
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The purpose of this study is to compare the efficacy of intra-articular steroid injection, sodium hyaluronate injection, a combination of the two, and placebo in the treatment of adhesive capsulitis of the shoulder.
Condition or disease
Procedure: isotonic saline injection into the glenohumeral jointProcedure: steroid injection into the glenohumeral jointProcedure: sodium hyaluronate injection into the glenohumeral jointProcedure: steroid and hyaluronate injection into the glenohumeral joint
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Ages Eligible for Study:
18 Years and older (Adult, Senior)
Sexes Eligible for Study:
Accepts Healthy Volunteers:
clinical diagnosis : Adhesive Capsulitis of the Shoulder
defining of adhesive capsulitis
the presence of shoulder pain
limitation of both active and passive movements of the glenohumeral joint of ≥25% in at list 2 directions(abduction,flexion,external rotation,internal rotation), as compared with the contralateral shoulder
duration : symptomatic for < 1 year
uncontrolled diabetes mellitus
overt hypothyroidism or hyperthyroidism
previous shoulder surgery
previous glenohumeral joint injection within recent 6months
trauma to the shoulder the last six months that required hospital care
allergy to injection material
secondary adhesive capsulitis
systemic inflammatory ds including rheumatoid arthritis