Pericapsular vs Intra-Articular Injection in Adhesive Capsulitis

Summary

Adhesive capsulitis is a common and disabling shoulder disorder characterized by progressive pain and restricted active and passive range of motion, leading to significant limitations in daily activities and reduced quality of life. Corticosteroid injections are widely used to relieve pain and improve shoulder function; however, the optimal injection site remains a matter of debate. While ultrasound-guided intra-articular injections are considered a standard treatment, ultrasound-guided pericapsular injections have recently emerged as a potential alternative by targeting the inflamed capsular tissues directly. The primary objective of this study is to compare the clinical effectiveness of ultrasound-guided pericapsular corticosteroid injection with ultrasound-guided intra-articular corticosteroid injection in patients diagnosed with adhesive capsulitis. The study aims to determine whether one injection technique provides superior improvements in pain, shoulder range of motion, functional status, and patient-reported outcomes.

Timeline

Start

2023-08-15

Primary completion

2023-12-20

Completion

2024-03-05

Publications

• Background Sharif M, Khan MS, Ahmed TK, Aziz W, Rasheed U, Zammurrad S, Iqbal A, Mumtaz H, Hussain HU, Hasan M, Erum S. Comparison of efficacy three-site versus single-site steroid injections for the treatment of adhesive capsulitis. Ann Med Surg (Lond). 2022 Jun 28;79:104071. doi: 10.1016/j.amsu.2022.104071. eCollection 2022 Jul.
• Background Buchbinder R, Hoving JL, Green S, Hall S, Forbes A, Nash P. Short course prednisolone for adhesive capsulitis (frozen shoulder or stiff painful shoulder): a randomised, double blind, placebo controlled trial. Ann Rheum Dis. 2004 Nov;63(11):1460-9. doi: 10.1136/ard.2003.018218.
• Background Grey RG. The natural history of "idiopathic" frozen shoulder. J Bone Joint Surg Am. 1978 Jun;60(4):564. No abstract available.

Drugs

Indications