Functional outcome of single periarticular injection of steroid at shoulder for Periarthritis of shoulder – A prospective study
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 4
Abstract
Introduction: Adhesive capsulitis (frozen shoulder) affects 2% to 5% of the adult population. The accuracy rate of intraarticular injections at shoulder was 52.4% in a study by Hegedus et al. Periarticular placement may allow sufficient steroid to diffuse into an adjacent joint and so achieve a partial response. Issues that remain to be clarified include whether the accuracy of needle placement and anatomical site influences efficacy. Due to these uncertainties we decided to do this study. Materials and Methods: A Prospective study analyzing the functional outcome of 34 cases of Single Periarticular injection of Steroid at Shoulder for Periarthritis of shoulder was conducted. The surgeon confirmed with C-arm image that the needle was periarticular and ‘not intraarticular’ and instilled the injection of 40 mg of Triamcinolone acetate. Findings were recorded and Outcomes were measured before the injection and during all the followups. Statistical Evaluation was made and Conclusions were arrived at. Results: There were 34 patients (36 shoulders) treated with periarticular injection of steroid. The improvement in abduction was 38.11 degrees with p value 0.001, which is statistically significant. Improvement in flexion was 39.19 degrees. The improvement in Constant score was 21.22 with p value 0.001 which is statistically significant. Conclusion: A single Periarticular injection of steroid for Periarthritis of shoulder provides good improvement in Abduction and Flexion. Its results are the same as with intraarticular injections. Blind injections without fluoroscopic guidance will give the same results as those with fluoroscopic guidance.
Authors and Affiliations
Pandurangaiah Srinivas, Shaikh B Nazeer
Keywords
Related Articles
- EP ID EP482579
- DOI 10.22271/ortho.2017.v3.i4j.95
- Views 128
- Downloads 0
The efficacy of periarticular local infiltration in pain management after bipolar hip hemiarthroplasty
Introduction: Hip fracture is still one of the most common injuries among the elderly, the incidence rate rises exponentially with age and the aging of the population will therefore ensure that hip fracture continues to...
Is trochanteric fixation nail a better implant in the management of intertrochanteric fracture in elderly compared to dynamic hip screw
Background: Intertrochanteric fractures are the most common fractures in elderly and have devastating sequence if not managed properly. The ultimate goal in the management of Intertrochanteric fracture is early mobilizat...
Results of primary hemireplacement arthroplasty in comminuted unstable fracture of intertrochanteric region in old age patients
A prospective study of 20 patients having comminuted unstable intertrochanteric fracture 31A2 according to AO classification treated with cemented bipolar was done between April 2008 to September 2010 at Sir T Hospital,...
Functional outcome of surgical management of floating knee injuries in adults (Ipsilateral femoral and tibia fractures) and its prognostic indicators
Background: Ipsilateral femoral and tibial fractures are termed as floating knee injuries [1, 2]. They range from simple diaphyseal fractures to complex intraarticular fractures. Combinations of diaphyseal, metaphyseal a...
A short term outcome of septic arthritis of hip in children
Introduction: Despite recent clinical and scientific advances in orthopaedic care, pyogenic arthritis of hip in infancy and childhood remains a vexing and controversial problem. Although advent of antibiotic therapy decr...