Department of Rehabilitation Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.
Advanced Medical Technology Laboratory, Healcerion Co., Ltd., Seoul, Korea.
J Back Musculoskelet Rehabil. 2022;35(4):901-910. doi: 10.3233/BMR-210170.
Ultrasound is increasingly being utilized in the diagnosis and treatment of adhesive capsulitis.
To compare the therapeutic effects and advantages of combined handheld ultrasound and fluoroscopy-guided intra-articular corticosteroid injection with those of conventional ultrasound-guided corticosteroid injection in adhesive capsulitis of the shoulder.
A total of 39 patients diagnosed with adhesive capsulitis of the shoulder were randomly assigned into two groups. Group A patients (n= 19) underwent combined handheld ultrasound and fluoroscopy-guided corticosteroid injection and group B patients (n= 20) underwent conventional ultrasound-guided corticosteroid injection to the intra-articular space of the shoulder twice. Treatment efficacy was assessed at 2 and 6 weeks after the final injection, based on the verbal numeric pain scale, Shoulder Pain and Disability Index, and range of motion. Secondary outcome measures were the accuracy and procedure time.
Both injection methods were effective in the treatment of adhesive capsulitis. No significant differences in treatment efficacy and injection accuracy were observed between the two groups (p> 0.05).
This study showed no statistical differences in treatment efficacy between 2 groups. However, the combined use of ultrasound and fluoroscopy can increase the accuracy of injection compared with conventional ultrasound alone.
超声在粘连性肩关节囊炎的诊断和治疗中应用越来越广泛。
比较手持超声联合透视引导下关节内注射糖皮质激素与常规超声引导下关节内注射糖皮质激素治疗粘连性肩关节囊炎的疗效和优势。
将 39 例确诊为粘连性肩关节囊炎的患者随机分为两组。A 组（n=19）患者行手持超声联合透视引导下糖皮质激素注射，B 组（n=20）患者行常规超声引导下肩关节腔内糖皮质激素注射，2 次为 1 个疗程。末次注射后 2、6 周，采用视觉模拟评分法、肩关节疼痛和功能障碍指数、关节活动度评估治疗效果。次要结局指标为准确性和操作时间。
两种注射方法均能有效治疗粘连性肩关节囊炎。两组间治疗效果和注射准确性差异均无统计学意义（p>0.05）。
本研究显示两组间治疗效果无统计学差异。然而，与单纯常规超声相比，超声联合透视可提高注射的准确性。
