The Success Rate of Posterior Approach Glenohumeral Injection in Patients with Adhesive Capsulitis.

, Kim, Joon Sung; , Kwon, Jeong Yi; , Lim, Ji Eun; , Ko, Young Jin; , Shin, Jae Eun; , Jeung, In Suek; , Choi, Hang Joon

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2005;29(5):479-482.

Kim, Joon Sung , Kwon, Jeong Yi , Lim, Ji Eun , Ko, Young Jin , Shin, Jae Eun , Jeung, In Suek , Choi, Hang Joon

¹Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Korea. rface77@freechal.com
²Department of Physical Medicine and Rehabilitation, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea.

동결견 환자에서 후방 접근법에 의한 관절강내 주사요법 성공률

김준성, 권정이, 임지은, 고영진, 신재은¹, 정인숙, 최항준

가톨릭대학교 의과대학 재활의학교실, ¹성균관대학교 의과대학 삼성서울병원 재활의학교실

Abstract

Objective
Accuracy of injection in patient with adhesive capsulitis may significantly affect the clinical outcome. The purpose of this study was to evaluate the success rate of posterior approach glenohumeral injection in patients with adhesive capsulitis.
Method
Twenty-two patients who were clinically diagnosed with adhesive capsulitis were enrolled. They had sustained pain and limitation of motion in shoulder in spite of medication and physical therapy for at least 2 months and no history of trauma. Patients were received by a posterior approach glenohumeral injection of 2 ml radiographic contrast. Radiograph of the shoulder joint was taken immediately after the injection to determine success of the intra-articular injection.
Results
5 of the 22 procedures (22.7%) were judged to be accurately placed and in the others the contrast media was observed in the muscular and subcutaneous tissues.
Conclusion
This study showed that posterior approach glenohumeral injection in adhesive capsulitis was a difficult procedure. The low success rate of posterior approach glenohumeral injection in adhesive capsulitis would lead to repetitive injection and side-effect of corticosteroid. We consider fluoroscopy-guided intra-articular injection in adhesive capsulitis rather than posterior approach glenohumeral injection to increase the accuracy of intra-articular injection. (J Korean Acad Rehab Med 2005; 29: 479-482)

Key Words: Adhesive capsulitis, Posterior approach, Accuracy, Glenohumeral injection