A comparison of outcomes in ultrasonography guided versus landmark guided corticosteroid injection for the treatment of adhesive capsulitis

Background: Adhesive capsulitis is a debilitating disease in an otherwise healthy individual. Intra-articular corticosteroid injections offer cost-effective, non-operative treatment option. However, it currently unclear whether ultrasound-guided injection relieves the symptoms of shoulder pain more effectively than if was delivered landmark-guided. Methods: Eighty patients with adhesive were randomized to two intervention groups - landmark guided and ultrasound (USG) guided. The functional status documented prior intervention. Following allocation, intra-articular steroid administered either under USG guidance or following identification site using landmarks. Follow-up done on day 5, 3 weeks, 6 12 weeks post procedure document status. Results: difference visual analogue score (VAS) between arms found be statistically significant favour technique only 5 21. On other hand, disability arm, shoulder, hand (DASH) 2 21, 42 84. Finally, our study, both flexion abduction 84 achieved improvement, favouring arm. Conclusions: Ultrasound may modestly better short-term outcome symptom relief when compared corticosteroids.