Efficacy of Corticosteroid Injection Into Coracohumeral Ligament in Patients With Adhesive Capsulitis of the Shoulder
- Conditions
- Direct Coracohumeral Ligament Steroid Injection
- Interventions
- Procedure: Intraarticular triamcinolone injectionProcedure: Intraarticular Xylocaine injectionProcedure: Coracohumeral ligament triamcinolone injectionProcedure: Physiotherapy
- Registration Number
- NCT03013205
- Lead Sponsor
- National Taiwan University Hospital
- Brief Summary
Steroid injections are widely utilized to reduce inflammation and fibrosis in patients with the frozen shoulder. In this study, investigators will compare intra-articular steroid injections with direct coracohumeral ligament steroid injection to conventional intra-articular steroid injection. Investigators will measure the primary outcome as shoulder function improvement and secondary outcomes as ROM, pain scale and stiffness of coracohumeral ligament under elastogram.
- Detailed Description
Adhesive capsulitis of the shoulder, also known as the frozen shoulder, often leads to severe pain and shoulder range of motion limitation. Steroid injections are widely utilized to reduce inflammation and fibrosis. The thickening of the coracohumeral ligament was thought to play an important role in the pathogenesis of frozen shoulder, resulting in limited external rotation of the shoulder. While the elastogram of coracohumeral ligament will significantly increase stiffness under the shear-wave ultrasound (shear-wave elastography).
Therefore, in this study, investigators will compare intra-articular steroid injections with direct coracohumeral ligament steroid injection to conventional intra-articular steroid injection. Investigators will measure the primary outcome as shoulder function improvement and secondary outcomes as ROM, pain scale and stiffness of coracohumeral ligament under elastogram.
(the patient will not have additional risk of injection under ultrasound guidance)
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 60
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description PT+IA+CHL Intraarticular Xylocaine injection 1. Intraarticular triamcinolone injection 2. Intraarticular Xylocaine injection 3. Coracohumeral ligament triamcinolone injection 4. Physiotherapy PT+IA+CHL Coracohumeral ligament triamcinolone injection 1. Intraarticular triamcinolone injection 2. Intraarticular Xylocaine injection 3. Coracohumeral ligament triamcinolone injection 4. Physiotherapy PT+IA Intraarticular triamcinolone injection 1. Intraarticular triamcinolone injection 2. Intraarticular Xylocaine injection 3. Physiotherapy PT+IA+CHL Intraarticular triamcinolone injection 1. Intraarticular triamcinolone injection 2. Intraarticular Xylocaine injection 3. Coracohumeral ligament triamcinolone injection 4. Physiotherapy PT+IA+CHL Physiotherapy 1. Intraarticular triamcinolone injection 2. Intraarticular Xylocaine injection 3. Coracohumeral ligament triamcinolone injection 4. Physiotherapy PT+IA Intraarticular Xylocaine injection 1. Intraarticular triamcinolone injection 2. Intraarticular Xylocaine injection 3. Physiotherapy PT+IA Physiotherapy 1. Intraarticular triamcinolone injection 2. Intraarticular Xylocaine injection 3. Physiotherapy
- Primary Outcome Measures
Name Time Method Shoulder function (The Disabilities of the Arm, Shoulder and Hand Score, QuickDash) improvement 2 years shoulder function improvement (The Disabilities of the Arm, Shoulder and Hand Score, QuickDash), score 0-100
- Secondary Outcome Measures
Name Time Method Change of Visual analogue scale 2 years Visual analogue scale: scale 0-10
Stiffness of coracohumeral ligament under elastogram (KPa) 2 years Shoulder range of motion improvement 2 years Range of motion improvement: flexion, abduction, external rotation (degree)
Trial Locations
- Locations (1)
National Taiwan University Hospital
🇨🇳Test1, Test2, Taiwan