Comparison of ultrasound guided injection of hyaluronic acid, hyaluronidase enzyme and triamcinolone in the treatment of frozen shoulder

Shahid Beheshti University of Medical Sciences0 个研究点目标入组 90 人开始时间: 待定最近更新: 2023年10月16日

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•People aged 25 to 70 years have been diagnosed with adhesive capsulitis based on history and physical examination and did not respond to conservative treatments including non-steroidal pain relievers, exercise therapy and physical modalities.
•According to VAS criteria, they have scored 5 or higher.
•More than 30 degrees restriction of shoulder active range of motion in at least 2 of 4 directions of motion (abduction, flexion, external rotation and internal rotation) compared to the range of motion of the healthy shoulder (opposite side).
•Less than 6 months have passed since the onset of symptoms.

•History of shoulder trauma in the last 6 months
•History of humerus bone fracture, supraspinatus tear, subacromial bursitis, calcific tendonitis and acromioclavicular joint osteoarthritis
•Pregnancy and breastfeeding.
•The presence of nerve injury or the presence of neurological disorders that cause dysfunction of the upper limbs, including brachial plexus plexopathy, hemiplegia and peripheral nerve injury
•Known allergy or sensitivity to hyalase, hyaluronic acid, or corticosteroids
•Psychological problems
•History of shoulder surgery
•A patient who is unable to cooperate to check the range of motion due to severe pain
•History of shoulder intra-articular injection of corticosteroids and hyaluronic acid in the last 6 months
•Inflammatory systemic diseases, hypothyroidism, hyperthyroidism and diabetes
•Use of anticoagulants

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