Frozen Shoulder


A randomised controlled study of 191 patients from South Korea prospectively compared the clinical outcomes of patients with idiopathic adhesive capsulitis treated by a single corticosteroid injection in different locations of the shoulder. Pain relief and patient satisfaction were assessed with a visual analog scale and functional outcomes were evaluated with the American Shoulder and Elbow Surgeons score up to 24 weeks after the treatment. Patients treated with corticosteroids achieved faster pain relief and had greater satisfaction levels than patients treated with medication during the first 16 weeks after treatment.  Shoulder motion and function improved in all groups at final follow-up. However, shoulder motion in the injection groups recovered faster than in those treated with medication. At 24 weeks after treatment, no significant differences in shoulder motion or functional outcomes were found among the 4 groups. Ref: Efficacies of corticosteroid injection at different sites of the shoulder for the treatment of adhesive capsulitis. Shin SJ, Lee SY.J Shoulder Elbow Surg. 2013 Apr;22(4):521-7.