2021
DOI: 10.1016/j.arthro.2021.01.069
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A Multisite Injection Is More Effective Than a Single Glenohumeral Injection of Corticosteroid in the Treatment of Primary Frozen Shoulder: A Randomized Controlled Trial

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Cited by 23 publications
(53 citation statements)
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“…In the treatment of adhesive capsulitis, intra-articular injections appear superior to subacromial injections for shortterm pain control, and multisite injections may be superior to single-site injections for pain control and range of motion. 1,2,[11][12][13] Any injection is likely to be superior to physical therapy alone for short-term pain control. 1 However, the heterogeneity among the studies should be considered when individualizing a patient's treatment plan.…”
Section: Discussionmentioning
confidence: 99%
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“…In the treatment of adhesive capsulitis, intra-articular injections appear superior to subacromial injections for shortterm pain control, and multisite injections may be superior to single-site injections for pain control and range of motion. 1,2,[11][12][13] Any injection is likely to be superior to physical therapy alone for short-term pain control. 1 However, the heterogeneity among the studies should be considered when individualizing a patient's treatment plan.…”
Section: Discussionmentioning
confidence: 99%
“…12 In the Koraman et al prospective randomized comparative study, the multisite injection group received 2 mL of triamcinolone acetonide (40 mg/mL), 4 mL of bupivacaine (0.5%), and 34 mL of saline solution divided between the glenohumeral joint, posteroinferior capsule, subacromial space, posterosuperior capsule, biceps long head, and coracohumeral ligament. 13 The single injection group received 1 mL of triamcinolone acetonide (40 mg/mL) and 2 mL of bupivacaine (0.5%) in the glenohumeral joint. Both groups underwent ultrasound-guided injections.…”
Section: Review Of Evidencementioning
confidence: 99%
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“…I n the present issue of Arthroscopy, authors Koraman, Turkmen, Uygur, and Poyanli published an interesting paper entitled: "A Multisite Injection Is More Effective Than a Single Glenohumeral Injection of Corticosteroid in the Treatment of Primary Frozen Shoulder: A Randomized, Controlled Trial." 1 In it, the authors conclude that "both treatments were effective in patients with primary frozen shoulder. However, the multisite injection technique provided better pain palliation, better ROM restoration and better functional results than the single glenohumeral injection in patients with primary frozen shoulder who were treated with the same physiotherapy regimen.…”
Section: See Related Article On Page 2031mentioning
confidence: 99%
“…Various shoulder injection techniques have been used by orthopedic surgeons or radiologists in their efforts to perform arthrograms. These injection techniques include: (1) blind injections with structures that can be palpated from the body surface, such as the acromion and coracoid process; and (2) image-guided injections with fluoroscopic or ultrasonic guidance, using the anterior, posterior, or supraclavicular approach[ 2 - 5 ].…”
Section: Introductionmentioning
confidence: 99%