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首页> 外文期刊>Clinical rheumatology >Comparing the accuracy and efficacy of ultrasound-guided versus blind injections of steroid in the glenohumeral joint in patients with shoulder adhesive capsulitis
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Comparing the accuracy and efficacy of ultrasound-guided versus blind injections of steroid in the glenohumeral joint in patients with shoulder adhesive capsulitis

机译：比较肩粘性胶囊患者Glenohumeral关节在胶质形状关节中的超声引导与盲注的准确性和疗效

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摘要

Shoulder adhesive capsulitis is a condition mainly characterized by a decreased range of motion (ROM), with a lifelong prevalence of 2-5 %. Intra-articular steroid injection is an important treatment in this disease. It has been suggested that ultrasound-guided (US-guided) intra-articular injections are more accurate and effective than blind injections. This randomized clinical trial was designed to compare efficacy and accuracy of US-guided injections versus blind injections of steroid in the glenohumeral joint. Forty-one patients diagnosed with shoulder adhesive capsulitis were included. Patients randomly underwent intra-articular injection either blind or under guidance of ultrasound by a specialist. Immediately after injection, radiograms were obtained to assess the accuracy of injection. Demographic characteristics, their functional status, the severity of pain, and the ROM were gathered and compared between the two groups. Twenty patients in the US-guided group and 21 in the blind group finished the 4-week period of the study. Improvements in pain, ROM, and functional score after 1 and 4 weeks were more prominent in the US-guided group, but the differences were not statistically significant, except for the changes in extension where the improvements were significantly higher in the US-guided group (p = 0.01). The accuracy of injections was also higher in the US-guided group (90 % vs. 76.19 %), but the differences were not found to be significant (p = 0.24). US-guided injections can be more accurate and yield better improvements in pain, ROM, and function of the patients, but they cost more and are time-consuming.
机译：肩胶囊炎是一种主要特征，主要是减少的运动范围（ROM），终身流行率为2-5％。关节内固醇注射是这种疾病的重要治疗方法。已经提出，超声引导（US-POWEDIVED）内关节内注射更准确，有效地有效。该随机临床试验旨在比较美国引导注射的功效和准确性与胶质形状关节中的类固醇盲注射。包括诊断患有肩部胶囊毛细管炎的四十一名患者。患者随机接受关节内注射的盲目或通过专家的超声引导。注射后立即，获得放射线以评估注射的准确性。人口统计学特征，其功能状态，疼痛的严重程度，并在两组之间进行比较。二十名患者在美国引导群体和21例在盲人群中完成了4周的研究期。在1和4周后疼痛，ROM和功能得分的改善在美国引导群体中更加突出，但差异在统计学上没有统计学意义，除了在美国引导群体的改进显着提高的延期变化之外（p = 0.01）。美国引导群中注射的准确性也较高（90％对76.19％），但发现差异是显着的（p = 0.24）。我们引导的注射可以更准确，并在患者的疼痛，ROM和功能中产生更好的改善，但它们的成本越来越多，并且是耗时的。

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