SynthesisThe British journal of general practice : the journal of the Royal College of General Practitioners2007
Shoulder adhesive capsulitis: systematic review of randomised trials using multiple corticosteroid injections.
Synthesis in The British journal of general practice : the journal of the Royal College of General Practitioners, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
47 citing papers in PubMed, 5 syntheses or guidelines pooled it, 131 citations in OpenAlex.
- Intra-Articular versus Subacromial Corticosteroid Injection for the Treatment of Adhesive Capsulitis: A Meta-Analysis and Systematic Review.BioMed research international · 2019Pooled it
- Corticosteroid injection for adhesive capsulitis in primary care: a systematic review of randomised clinical trials.Singapore medical journal · 2016Pooled it
- Pooled it
- Intra-articular and soft tissue injections, a systematic review of relative efficacy of various corticosteroids.Clinical rheumatology · 2014Pooled it
- Glenohumeral corticosteroid injections in adhesive capsulitis: a systematic search and review.PM & R : the journal of injury, function, and rehabilitation · 2014Pooled it
- Combined arthroscopic release with corticosteroid hydrodilatation versus corticosteroid hydrodilatation only in treating freezing-phase primary frozen shoulder: a randomized clinical trial.BMC musculoskeletal disorders · 2022Trial
- Intra-articular steroid for adhesive capsulitis: does hydrodilatation give any additional benefit? A randomized control trial.Skeletal radiology · 2020Trial
- Evaluating the Outcome of Two Different Regimes in Adhesive Capsulitis: A Prospective Clinical Study.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2020Trial
- Predicting outcome in frozen shoulder (shoulder capsulitis) in presence of comorbidity as measured with subjective health complaints and neuroticism.BMC musculoskeletal disorders · 2017Trial
- CORRClinical orthopaedics and related research · 2016Trial
- Adhesive capsulitis of the shoulder, treatment with corticosteroid, corticosteroid with distension or treatment-as-usual; a randomised controlled trial in primary care.BMC musculoskeletal disorders · 2016Trial
- Efficacy and safety of 2 Hz versus 100 Hz electroacupuncture for pain-dominant shoulder periarthritis: a study protocol for a single-center randomized controlled trial.Frontiers in medicine · 2026Article
- Patients with Frozen-Phase Frozen Shoulder Demonstrated Improvement of Pain and Mobility of Forward Elevation and Internal Rotation After a Single Glenohumeral Injection of Corticosteroids.Arthroscopy, sports medicine, and rehabilitation · 2025Article
- Need for intra-articular corticosteroid injections in patients with frozen shoulder.Orthopedic reviews · 2025Article
- The clinical course and outcomes following arthroscopic frozen shoulder 360° release.JSES international · 2024Article
- A mussel-inspired, antibacterial, antioxidant, injectable composite hydrogel for the sustain delivery of salvianolic acid B for the treatment of frozen shoulder.Bioactive materials · 2024Article
- A Narrative Review of Adhesive Capsulitis with Diabetes.Journal of clinical medicine · 2024Review
- Article
- Evidence for Combining Conservative Treatments for Adhesive Capsulitis.Ochsner journal · 2024Review
- Salvianolic acid B attenuates inflammation and prevent pathologic fibrosis by inhibiting CD36-mediated activation of the PI3K-Akt signaling pathway in frozen shoulder.Frontiers in pharmacology · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdhesive capsulitis is a common, painful, and disabling condition that has been managed with corticosteroid injections for over 50 years. There is debate over the use of single or multiple injections, but no systematic review has investigated the effects of administering multiple injections.
aimTo assess the efficacy of treating adhesive capsulitis of the shoulder with multiple corticosteroid injections. DESIGN OF STUDY: Systematic review.
methodAn English language search for randomised controlled trials was conducted from: MEDLINE, EMBASE, CINAHL, PEDro, SIGLE, National Technical Information Service, British National Bibliography, Index of Scientific and Technical Proceedings databases, and the Cochrane Library. Randomised controlled trials were identified from reference lists of review and eligible articles. The studies were assessed using a recognised rating system of methodological trial quality. The conclusions and results of the identified studies, based on their main outcome measures, were then summarised.
resultsNine randomised controlled trials were identified and four studies were rated as high quality. Three high quality studies showed a beneficial effect for the use of multiple corticosteroid injections with outcome measures of pain reduction, improved function, and increased range of shoulder movement.
conclusionThe evidence suggested that multiple injections were beneficial until 16 weeks from the date of the first injection. Up to three injections were beneficial, with limited evidence that four to six injections were beneficial. No evidence was found to support giving more than six injections.
Indexed as
Identifiers
17688763PMC2099674W2135308861What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.