Abstract

Primary adhesive capsulitis is generally idiopathic while the secondary adhesive capsulitis is associated with diabetes, trauma, cardiovascular disease, rotator cuff disease and impingement etc. Early treatment with Intra-articular corticosteroid may reduce synovitis, limits the development of capsular fibrosis and alters the natural history of the disease. We conducted this study to assess the efficacy of Intra-articular steroid on pain reduction and functional outcome in Adhesive Capsulitis of shoulderwith a comparison between anterior and posterior approach.
Methodology: Thiswas prospective cross-sectional study to compare ultrasound guided anterior and posterior intra-articular steroid injection in adhesive capsulitis of shoulder joint studied in 50 cases, 25 in each group.
Observations and Results:  The mean age in group A was 52.54 ±6.02 years and group B was 55.72 ±7.96 years. There were 12 (48%) and 13 (52%) male patients among Group A and Group B respectively. The mean duration of pain in patients in Group A was 3.45 ±1.81 months and in Group B was 3.90 ±3.06 months. There was significant reduction in mean SPADI score and VAS score within each group from before till after the treatment, with no significant difference in clinical or functional outcomes. The majority of patient had excellent outcomes i.e. 48% and 52% in Group A and B respectively, with no difference when compared statistically for procedure outcome. (p>0.05).
Conclusion: We observed a significant improvement in clinical and functional status of the patients with no observable difference between the anterior or posterior approach for intra-articular corticosteroid injection