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Journal of the Korean Academy of Rehabilitation Medicine 2002;26(1):73-80.
The Effect of Subacromial Bursa Injection of Hyaluronate in Patients with Adhesive Capsulitis of Shoulder Joint: Multicenter, Prospective Study.
Cho, Kang Hee , Song, Jung Young , Lee, Ho , Kim, Jin Sub , Rhee, Yong Girl
1Department of Rehabilitation Medicine, College of Medicine, Chungnam National University, Korea. jysong0409@hanmail.net
2Department of Orthopedic Surgery, College of Medicine, Hallym University, Korea.
3Department of Orthopedic Surgery, College of Medicine, Kyunghee University, Korea.
유착성 견관절낭염 환자에서 견봉하 활액낭 내 하이알루론산 주사의 효과 ⁣다기관, 전향적 연구⁣
조강희, 송정영, 이호, 김진섭1, 이용걸2
충남대학교 의과대학 재활의학교실, 1한림대학교 의과대학 정형외과학교실, 2경희대학교 의과대학 정형외과학교실

The goal of this study is to investigate the effect of subacromial bursa injection of hyaluronate in patients with adhesive capsulitis of shoulder.

Fifty nine patients with adhesive capsulitis of shoulder were injected with hyaluronate (Hyruan, LG chemical) 2.5 ml to subacromial bursa once a week for 5 weeks and randomly selected twenty eight patients among them were injected with Depomedrol 20 mg only at first week. The effect of hyaluronate injection was evaluated by pain (Visaul analogue scale), night pain, range of motion of shoulder, functional activities of daily living and patient's self satisfaction at preinjection, every week after first injection until 5th week, 8th and 12th week.

Visual analogue scale and night pain were signi-

ficantly decreased at 5th and 12th week compared with preinjection status. The range of motion of shoulder and functional activities of daily living significantly improved at 5th week and 12th week. Eighty eight percent (N=52) of patients reported as a little improved, improved or much improved at 5th week. No significant serious side effect of injection was found until 12th week.

Hyaluronate injection into subacromial bursa decreased pain and improved shoulder range of motion. It also improved functional activities of daily living of patients with adhesive capsulitis. So it is effective and safe for those patients, especially who cannot receive corticosteroid intraarticular injection. (J Korean Acad Rehab Med 2002; 26: 73-80)

Key Words: Hyaluronate, Hyaluronate, Adhesive capsulitis, Subacromial bursa injection, Shoulder, Pain


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