J Korean Acad Rehabil Med.  1999 Feb;23(1):117-123.

The Effect of Intraarticular Injection of Hyaluronic Acid and Steroid in Adhesive Capsulitis of Shoulder

• Kim HW
• Kim HS
• Ahn KH

Abstract

OBJECTIVE
To evaluate the efficacy of intraarticular injection of hyaluronic acid and steroid in adhesive capsulitis of shoulder. METHOD: 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.
RESULTS
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.
CONCLUSION
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.

Keyword

Adhesive capsulitis of shoulder; Hyaluronic acid; Intraarticular injection

MeSH Terms

Adhesives*
Bursitis*
Humans
Hyaluronic Acid*
Injections, Intra-Articular*
Lidocaine
Range of Motion, Articular
Shoulder Joint
Shoulder*
Triamcinolone
Adhesives
Hyaluronic Acid
Lidocaine
Triamcinolone