Ultrasound-guided injection via the rotator interval for treatment of frozen shoulder

doi:10.3877/cma.j.issn.1672-6448.2022.04.006

Abstract

Abstract:

Objective

To explore the feasibility and clinical effect of ultrasound-guided injection via the rotator interval into the glenohumeral joint and subdeltoid bursa for the treatment of frozen shoulder.

Methods

From March 2020 to March 2021 at our hospital, 65 patients diagnosed with frozen shoulder were treated by ultrasound-guided injection via the rotator interval into the glenohumeral joint and subdeltoid bursa. Ultrasound examination was performed before the treatment and the shortest distance from the biceps longhead tendon to the skin and the thickness of the coracohumeral ligament were measured. The visual analogue scale (VAS) scores, Constant scores, and University of California, Los Angeles (UCLA) scores before the treatment and at 1 week, 1 month, and 3 months after the treatment were recorded to evaluate the clinical effect.

Results

The average shortest distance from the biceps longhead tendon to the skin was (11.81±2.52) mm, and the average thickness of the coracohumeral ligament was (2.69±0.42) mm. Compared to pretreatment value, VAS scores decreased significantly at 1 week, 1 month, and 3 months after treatment (P＜0.008). The Constant and UCLA scores at 1 month and 3 months after treatment were significantly increased compared with those before the treatment (P＜0.016); compared with the values at 1 month after treatment, the Constant and UCLA scores were not significantly improved at 3 months after treatment (P＞0.016). The degree of pain, activities of daily living, range of motion of the shoulder joint, and muscle strength in the Constant scale were significantly improved at 1 month and 3 months after treatment compared with those before treatment (P＜0.016); compared with those at 1 month after treatment, there was no further improvement in the degree of pain, activities of daily living, range of motion of the shoulder joint, and muscle strength at 3 months after treatment (P＞0.016).

Conclusion

Ultrasound-guided injection via the rotator interval into the glenohumeral joint and subdeltoid bursa could be a feasible method for frozen shoulder.

Key words: Frozen shoulder, Ultrasonography, interventional, Rotator interval

Xianghui Chen, Jing Yang, Yaqiong Zhu, Siming Chen, Yuexiang Wang, Jie Tang. Ultrasound-guided injection via the rotator interval for treatment of frozen shoulder[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2022, 19(04): 311-316.

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URL: https://chaosheng.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1672-6448.2022.04.006

https://chaosheng.cma-cmc.com.cn/EN/Y2022/V19/I04/311

Figures/Tables 9

References 23

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评分	例数	治疗前	治疗后1周	治疗后1个月	治疗后3个月	统计值	P值
VAS疼痛评分	65	7.0（6.0，8.5）	4.0（2.5，6.0）^a	3.0（2.0，4.0）^{a b}	2.0（1.0，3.0）^{a b c}	＜0.001	＜0.05
UCLA评分	65	14.0（12.0，16.0）	-	26.0（23.0，29.0）^d	27.0（24.5，29.0）^d	＜0.001	＜0.05
Constant评分	65	46.0（38.5，55.0）	-	63.0（58.0，70.0）^d	66.0（60.0，70.5）^d	＜0.001	＜0.05

评分	例数	治疗前	治疗后1周	治疗后1个月	治疗后3个月	统计值	P值
VAS疼痛评分	65	7.0（6.0，8.5）	4.0（2.5，6.0）^a	3.0（2.0，4.0）^{a b}	2.0（1.0，3.0）^{a b c}	＜0.001	＜0.05
UCLA评分	65	14.0（12.0，16.0）	-	26.0（23.0，29.0）^d	27.0（24.5，29.0）^d	＜0.001	＜0.05
Constant评分	65	46.0（38.5，55.0）	-	63.0（58.0，70.0）^d	66.0（60.0，70.5）^d	＜0.001	＜0.05

随访时间	例数	Constant评分项目
随访时间	例数	疼痛程度	日常生活能力	肩关节活动度	肌力
治疗前	65	0.1（0.1，5.0）	6.0（5.0，8.0）	16.0（14.0，21.0）	20.0（20.0，25.0）
治疗后1个月	65	10.0（10.0，10.0）^a	10.0（9.0，11.0）^a	20.0（16.0，24.0）^a	25.0（25.0，25.0）^a
治疗后3个月	65	10.0（10.0，15.0）^a	10.0（9.0，12.0）^a	20.0（16.0，24.0）^a	25.0（25.0，25.0）^a
统计值		＜0.001	＜0.001	＜0.001	＜0.001
P值		＜0.05	＜0.05	＜0.05	＜0.05

随访时间	例数	Constant评分项目
随访时间	例数	疼痛程度	日常生活能力	肩关节活动度	肌力
治疗前	65	0.1（0.1，5.0）	6.0（5.0，8.0）	16.0（14.0，21.0）	20.0（20.0，25.0）
治疗后1个月	65	10.0（10.0，10.0）^a	10.0（9.0，11.0）^a	20.0（16.0，24.0）^a	25.0（25.0，25.0）^a
治疗后3个月	65	10.0（10.0，15.0）^a	10.0（9.0，12.0）^a	20.0（16.0，24.0）^a	25.0（25.0，25.0）^a
统计值		＜0.001	＜0.001	＜0.001	＜0.001
P值		＜0.05	＜0.05	＜0.05	＜0.05

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