Abstract

TORRES, Byron  and  CHAVES LARA, Carlos. Corticoesteroide oral vs. intrarticular en el tratamiento de la capsulitis adhesiva. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2023, vol.88, n.4, pp.386-391. ISSN 1852-7434.  http://dx.doi.org/https://doi.org/10.15417/issn.1852-7434.2023.88.4.1647.

Introduction: Adhesive capsulitis is a condition defined by thickening of the shoulder joint capsule, which clinically translates into discomfort and progressive loss of range of motion, with conservative therapy being the initial option. In this study, we evaluate the use of intra-articular corticosteroid injections for the treatment of this condition. Materials and Methods: A retrospective analysis was conducted between 2015 and 2020, assessing the outpatient records of patients diagnosed with adhesive capsulitis or frozen shoulder and treated with corticosteroids either orally or intra-articularly. Results: A total of 19 patients were analyzed, 8 received oral treatment and 11 received intra-articular injection, with both groups showing considerable improvement, with the difference that the patients in the articular corticosteroid group reported long-term improvement. Conclusion: Corticosteroids have been found to be effective in the treatment of adhesive capsulitis both orally and by intra-articular injection; however, intra-articular corticosteroids have proved to be more effective in the long term.

Keywords : Adhesive capsulitis of the shoulder; oral corticosteroid; corticosteroid injection; pain; range of motion.

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