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Journal of the Korean Academy of Rehabilitation Medicine 1999;23(1):117-123.
The Effect of Intraarticular Injection of Hyaluronic Acid and Steroid in Adhesive Capsulitis of Shoulder.
Kim, Hye Wan , Kim, Hee Sang , Ahn, Kyung Hoi
Department of Rehabilitation Medicine, Kyunghee University College of Medicine.
견관절 유착성 관절낭염에서 견관절강내 Hyaluronic Acid와 Steroid 주사약물의 효과
김혜완, 김희상, 안경회
경희대학교 의과대학 재활의학교실

To evaluate the efficacy of intraarticular injection of hyaluronic acid and steroid in adhesive capsulitis of shoulder.

Thirty-nine patients with adhesive capsulitis of shoulder were assigned at random to receive intraarticular injection into the glenohumeral joint. The treatment groups were divided into three: group A, triamcinolone 1 ml and 1% lidocaine 3 ml and normal saline 25 ml; group B, hyaluronic acid 2 ml and 1% lidocaine 3 ml and normal saline 25 ml; group C, hyaluronic acid 2 ml and 1% lidocaine 3 ml. The same physical therapy program was carried out for all patients. Pain was assessed by visual analogue scale (VAS) and range of motion (flexion, abduction, internal rotation and external rotation) was measured before injection, and at 30 minutes, 1 week and 2 weeks after injection.

The shoulder range of motion (ROM) and VAS of three groups were all improved at 30 minutes, 1 week and 2 weeks after injection compared with those of preinjection, but there was no significant difference in ROM and VAS among three groups.

We concluded that intraarticular injection of hyaluronic acid would be a good treatment method in adhesive capsulitis of shoulder, specially in patients with risk of steroid use.

Key Words: Adhesive capsulitis of shoulder, Hyaluronic acid, Intraarticular injection


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