Article

Epaule gelée - Epaule bloquée
Patients diagnosed as having adhesive capsulitis after clinical examinations and
radiologic and ultrasonographic study. Under either US-guided or a blind technique, patients received a 20-mg intra-articular injection of
triamcinolone mixed with 1.5mL 2% lidocaine and 4mL normal saline in the first
week followed by 5 weekly injections of sodium hyaluronate. MAIN OUTCOME MEASURES:
A visual analog scale for pain intensity, range of motion (ROM) of the
shoulder (flexion, abduction, external rotation, and internal rotation), and
general shoulder function during daily activities at preinjection as a baseline
and then every week after injection for 6 weeks for each patient. RESULTS: Twenty
patients out of 22 in the blind injection group and 20 out of 21 in the US-guided
group finished the entire 6-week study period. The improvement in pain intensity,
ROM, and shoulder function score was significantly greater in the US-guided
injection group than in the blind injection group by the second week
postinjection (P<.05). However, there were no further significant differences in
the improvement between the 2 groups beyond the third week. CONCLUSIONS:
US-guided intra-articular injections may offer advantages over a blind technique
for the treatment of adhesive capsulitis and may deliver clinical benefits during
the first few weeks of treatment. This finding suggests that the improved
targeting to the intra-articular space by using US can result in better treatment
of adhesive capsulitis.

Langue : ANGLAIS