Sharif Muhammad, Khan Muhammad Sufyan, Ahmed Tayyeba Khursheed, Aziz Wajahat, Rasheed Uzma, Zammurrad Shazia, Iqbal Arslan, Mumtaz Hassan, Hussain Hassan Ul, Hasan Mohammad, Erum Sheeza
PGR Rheumatology Dept PIMS, Pakistan.
Registrar Rheumatology Deptt PIMS, Pakistan.
Ann Med Surg (Lond). 2022 Jun 28;79:104071. doi: 10.1016/j.amsu.2022.104071. eCollection 2022 Jul.
Frozen shoulder or adhesion capsulitis is a frequent ailment that causes pain and progressively restricts both active and passive shoulder motions. It is estimated that it affects 2%-5% of the general population and up to 20% of diabetes mellitus patients.We aimed to compare the effectiveness of three-site steroid injections against one-site injections in the treatment of adhesive capsulitis.
The Rheumatology Department of Pakistan Institute of Medical Sciences in Islamabad conducted this cross-sectional study. Between August 2021 to December 2021. The study comprised a total of 98 patients. This study included patients of both genders with shoulder pain between the ages of 40 and 70.Patients were divided into two groups & dosage was given at Sub-coracoid, Subacromial, and Posterior Capsule.The CONSTANT score was used to assess patients three times (Initial, 3months & 6 months later).
The average age, gender distribution, and dominant/non-dominant side ratio of the participants were nearly identical between the two groups. More patients in group B (77.22 8.17) had a higher mean CONSTANT score than those in group A (72.73 7.05). Patients were checked in on again after three and six months.
The three-site injection technique is a safe and effective method for frozen shoulder. It provides an early recovery and improved shoulder function with a reduced frequency of relapse as compared to single-site injection techniques.
肩周炎或粘连性关节囊炎是一种常见疾病，会引起疼痛并逐渐限制肩部的主动和被动活动。据估计，它影响2%-5%的普通人群，在糖尿病患者中这一比例高达20%。我们旨在比较三点注射类固醇与单点注射在治疗粘连性关节囊炎方面的有效性。
伊斯兰堡巴基斯坦医学科学研究所风湿病科进行了这项横断面研究。时间为2021年8月至2021年12月。该研究共纳入98例患者。研究纳入年龄在40至70岁之间、有肩部疼痛的男女患者。患者被分为两组，并在喙突下、肩峰下和后关节囊处给药。使用CONSTANT评分对患者进行三次评估（初始、3个月和6个月后）。
两组参与者的平均年龄、性别分布以及优势侧/非优势侧比例几乎相同。B组（77.22±8.17）的平均CONSTANT评分高于A组（72.73±7.05），且B组有更多患者。在三个月和六个月后对患者进行了再次检查。
三点注射技术是治疗肩周炎的一种安全有效的方法。与单点注射技术相比，它能使患者更早康复，改善肩部功能，且复发频率降低。
