Gebellí-Jové Joan Tomàs, Buñuel-Viñau Antonio, Canela-Capdevila Marta, Camps Jordi, Sabench Fàtima, Iftimie-Iftimie Petrea
Department of Orthopedic Surgery and Traumatology, Hospital Sant Pau i Santa Tecla, Institut d'Investigació Sanitària Pere Virgili, Universitat Rovira i Virgili, Tarragona, Spain.
Biochemical Research Unit, Hospital Universitari de Sant Joan, Institut d'Investigació Sanitària Pere Virgili, Universitat Rovira i Virgili, Reus, Spain.
Shoulder Elbow. 2025 Jul;17(3):274-281. doi: 10.1177/17585732241239030. Epub 2024 Mar 20.
This study aimed to compare hydrodilatation with or without corticosteroid administration on the outcomes of patients with shoulder adhesive capsulitis.
This was a prospective, randomized, blinded study of 82 patients with adhesive capsulitis treated with hydrodilatation with corticosteroids (HDC) or without corticosteroids (HDA). Assessments were performed at 48 h and 1, 3, 6, and 12 months.
Pain in HDC patients was significantly lower after 48 h of treatment than that of HDA, and the functional scales were better after the first month. These differences were maintained after 1 year. (visual analog scale: 0.8 1.6, = 0.018; shoulder pain and disability index: 4.8 9.8, = 0.003; simple shoulder test: 11.4 8.7, = 0.008; subjective shoulder value: 96.6 90.1, = 0.024).
We found that hydrodilatation with corticosteroids improved pain levels, shoulder function, and subjective perception of shoulder status compared to hydrodilatation without corticosteroids.
本研究旨在比较在肩部粘连性关节囊炎患者中，进行或不进行皮质类固醇注射的关节腔扩张术的治疗效果。
这是一项针对82例粘连性关节囊炎患者的前瞻性、随机、双盲研究，患者接受了皮质类固醇关节腔扩张术（HDC）或非皮质类固醇关节腔扩张术（HDA）治疗。在48小时以及1、3、6和12个月时进行评估。
治疗48小时后，HDC组患者的疼痛明显低于HDA组，且第一个月后的功能量表评分更好。这些差异在1年后仍然存在。（视觉模拟量表：0.8对1.6，P = 0.018；肩部疼痛和残疾指数：4.8对9.8，P = 0.003；简易肩部测试：11.4对8.7，P = 0.008；主观肩部评分：96.6对90.1，P = 0.024）。
我们发现，与非皮质类固醇关节腔扩张术相比，皮质类固醇关节腔扩张术可改善疼痛程度、肩部功能以及对肩部状况的主观感受。
