OBJECTIVE To investigate the short-term effects and advantages of sono-guided capsular distension, compared with fluoroscopically guided capsular distension in adhesive capsulitis of shoulder. METHOD In this prospective, randomized, and controlled trial, 23 patients (group A) were given an intra-articular injection of a mixture of 0.5% lidocaine (9 ml), contrast dye (10 ml), and triamcinolone...

Arthroscopy is not as commonly performed at the shoulder as at the knee, but in both cases distension of thejoint by injection ofsaline is used to facilitate insertion of the arthroscope. At the knee the prominence of bony landmarks makes injection a simple procedure. The shoulder is deeply situated and more difficult to palpate, so that inadvertent injection of saline into the soft tissues aro...

Background: Shoulder impingement is a common diagnosis for patients with pain and dysfunction of shoulder joint. Due to its chronicity clinical manifestation the syndrome, there need find new therapies that collaborate improve management. Methods: A hospital based descriptive, epidemiological study was conducted 150 patients. The were divided in following three groups 50 each: Platelet-rich pla...

OBJECTIVES To compare the long term effectiveness of local steroid injections administered by general practitioners with practice based physiotherapy for treating patients presenting in primary care with new episodes of unilateral shoulder pain. METHODS Adults consulting with shoulder pain were recruited by their general practitioner. Patients were randomly allocated to receive either cortico...

The relative contribution of the lymph and blood in the absorption of darbepoetin alfa (DA) from different s.c. injection sites was determined using a central lymph-cannulated sheep model. DA was administered to parallel groups either as a bolus i.v. injection (0.5 mug/kg) into the jugular vein or as a bolus s.c. injection (2 mug/kg) into the interdigital space, the abdomen, or the shoulder. In...

PURPOSE The primary aim of this study was to assess the effectiveness of possible interventions for hemiplegic shoulder pain. The secondary aim was to investigate whether reduction of subluxation or spasticity can decrease shoulder pain and whether a change in shoulder pain is related to change in passive shoulder external rotation. METHOD MEDLINE, EMBASE, CINAHL and the Cochrane Central Regi...

BACKGROUND AND PURPOSE Shoulder pain is frequent after stroke and interferes with the rehabilitative process and outcome. However, treatments used for hemiplegic shoulder pain are limited and largely ineffective. This prospective, randomized, double-blind controlled study was conducted to compare the efficacies of botulinum toxin type A (BoNT-A) and triamcinolone acetonide (TA) on hemiplegic sh...

BACKGROUND Role substitution is a strategy employed to assist health services manage the growing demand for musculoskeletal care. Corticosteroid injection is a common treatment in this population but the efficacy of its prescription and delivery by physiotherapists has not been established against orthopaedic standards. This paper investigates whether corticosteroid injection given by a physiot...

Abstract Background Supraspinatus tendon is a part of the rotator cuff shoulder, partial or full-thickness tear can affect secondary to trauma repeated microtrauma. The aim present study evaluate efficacy platelet-rich plasma (PRP) injection in comparison physical therapy for treatment chronic supraspinatus tears. Results At beginning study, there were no significant differences between both gr...

Objectives: The Anti-Freaze-F trial will assess the feasibility of conducting a large randomised controlled to whether intra-articular injection anti-TNF (adalimumab) can reduce pain and improve function in people with predominant early stage frozen shoulder. Methods analysis: We are multi-centre, study, an embedded qualitative sub...