Rotator Interval vs Posterior Approach Ultrasound-guided Corticosteroid Injections in Primary Frozen Shoulder : A Meta-analysis of Randomized Controlled Trials
Copyright © 2023 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved..
OBJECTIVE: To compare the efficacy of rotator interval (RI) vs posterior approach (PA) ultrasound (US) guided corticosteroid injections into the glenohumeral (GH) joint in primary frozen shoulder (PFS).
DATA SOURCES: A systematic literature search for all relevant studies on Medline, Scopus, Embase, Web of Science, and Cochrane Central, up to January 2023 was conducted.
STUDY SELECTION: Randomized controlled trials that directly compared the US-guided corticosteroid injection into the RI and GH joint using PA in patients clinically and radiographically diagnosed with PFS.
DATA EXTRACTION: The primary outcome was pain, and the secondary outcomes were function, and range of motion (ROM). Two authors independently assessed the risk of bias using the Cochrane risk-of-bias tool version 2. A random-effects model and generic inverse variance method were performed. Effect sizes were estimated using mean difference (MD) and standardized mean difference (SMD).
DATA SYNTHESIS: A total of 5 clinical trials involving 323 subjects were included for the meta-analysis. US-guided corticosteroid injections into the RI revealed significant pain relief (MD 1.33 [95% confidence interval (CI) 0.20 to 2.46]; P=.02) and significant functional improvement (SMD 1.31 [95% CI 0.11 to 2.51]; P=.03) compared with the PA after 12 weeks.
CONCLUSION: The results suggest the injection of corticosteroid into RI space is more effective than PA after 12 weeks in improving both pain and functional scores in patients with PFS.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:105 |
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| Enthalten in: |
Archives of physical medicine and rehabilitation - 105(2024), 4 vom: 08. Apr., Seite 760-769 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Arrambide-Garza, Francisco Javier [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 08.04.2024 Date Revised 08.04.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.apmr.2023.08.026 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM361882254 |
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| 100 | 1 | |a Arrambide-Garza, Francisco Javier |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Rotator Interval vs Posterior Approach Ultrasound-guided Corticosteroid Injections in Primary Frozen Shoulder |b A Meta-analysis of Randomized Controlled Trials |
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| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2023 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved. | ||
| 520 | |a OBJECTIVE: To compare the efficacy of rotator interval (RI) vs posterior approach (PA) ultrasound (US) guided corticosteroid injections into the glenohumeral (GH) joint in primary frozen shoulder (PFS) | ||
| 520 | |a DATA SOURCES: A systematic literature search for all relevant studies on Medline, Scopus, Embase, Web of Science, and Cochrane Central, up to January 2023 was conducted | ||
| 520 | |a STUDY SELECTION: Randomized controlled trials that directly compared the US-guided corticosteroid injection into the RI and GH joint using PA in patients clinically and radiographically diagnosed with PFS | ||
| 520 | |a DATA EXTRACTION: The primary outcome was pain, and the secondary outcomes were function, and range of motion (ROM). Two authors independently assessed the risk of bias using the Cochrane risk-of-bias tool version 2. A random-effects model and generic inverse variance method were performed. Effect sizes were estimated using mean difference (MD) and standardized mean difference (SMD) | ||
| 520 | |a DATA SYNTHESIS: A total of 5 clinical trials involving 323 subjects were included for the meta-analysis. US-guided corticosteroid injections into the RI revealed significant pain relief (MD 1.33 [95% confidence interval (CI) 0.20 to 2.46]; P=.02) and significant functional improvement (SMD 1.31 [95% CI 0.11 to 2.51]; P=.03) compared with the PA after 12 weeks | ||
| 520 | |a CONCLUSION: The results suggest the injection of corticosteroid into RI space is more effective than PA after 12 weeks in improving both pain and functional scores in patients with PFS | ||
| 650 | 4 | |a Meta-Analysis | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Review | |
| 650 | 4 | |a Adhesive capsulitis | |
| 650 | 4 | |a Corticosteroid injection | |
| 650 | 4 | |a Frozen shoulder | |
| 650 | 4 | |a Intra-articular | |
| 650 | 4 | |a Meta-analysis | |
| 650 | 4 | |a Randomized controlled trial | |
| 650 | 4 | |a Rehabilitation | |
| 650 | 4 | |a Rotator interval | |
| 650 | 4 | |a Ultrasound | |
| 650 | 7 | |a Adrenal Cortex Hormones |2 NLM | |
| 700 | 1 | |a Guerrero-Zertuche, Juventino Tadeo |e verfasserin |4 aut | |
| 700 | 1 | |a Alvarez-Villalobos, Neri Alejandro |e verfasserin |4 aut | |
| 700 | 1 | |a Quiroga-Garza, Alejandro |e verfasserin |4 aut | |
| 700 | 1 | |a Espinosa-Uribe, Abraham |e verfasserin |4 aut | |
| 700 | 1 | |a Vilchez-Cavazos, Felix |e verfasserin |4 aut | |
| 700 | 1 | |a Salinas-Alvarez, Yolanda |e verfasserin |4 aut | |
| 700 | 1 | |a Rivera-Perez, Juan Antonio |e verfasserin |4 aut | |
| 700 | 1 | |a Elizondo-Omaña, Rodrigo Enrique |e verfasserin |4 aut | |
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