Evidence map›Paper›PMID 31737653›Full record

SynthesisBioMed research international2019

Intra-Articular versus Subacromial Corticosteroid Injection for the Treatment of Adhesive Capsulitis: A Meta-Analysis and Systematic Review.

Xiaoke Shang, Zhong Zhang, Xuelin Pan, Jian Li, Qi Li

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BioMed research international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

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  16. Hydrodilatation with corticosteroids is the most effective conservative management for frozen shoulder.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Xiaoke ShangDepartment of Orthopedic Surgery, People's Hospital of Ningxia Hui Autonomous Region, Yinchuan 750000, China.
Zhong ZhangDepartment of Orthopedic Surgery, West China Hospital of Sichuan University, Sichuan University, Chengdu, Sichuan 610041, China.
Xuelin PanDepartment of Orthopedic Surgery, West China Hospital of Sichuan University, Sichuan University, Chengdu, Sichuan 610041, China.
Jian LiDepartment of Orthopedic Surgery, West China Hospital of Sichuan University, Sichuan University, Chengdu, Sichuan 610041, China.ORCID https://orcid.org/0000-0002-2620-3821
Qi LiDepartment of Orthopedic Surgery, West China Hospital of Sichuan University, Sichuan University, Chengdu, Sichuan 610041, China.ORCID https://orcid.org/0000-0003-3583-979X
Sichuan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdhesive capsulitis is one of the most well-known causes of pain and stiffness of the shoulder. Corticosteroid injections have been used for many years. However, it is still controversial where corticosteroid should be injected, whether subacromial or intra-articular.

objectiveThe objective of this meta-analysis was to compare the effects of intra-articular (IA) and subacromial (SA) corticosteroid injections for the treatment of adhesive capsulitis. MATERIALS AND

methodsFour foreign databases and two Chinese databases were searched for RCTs and quasi-RCTs involving the comparison of IA and SA corticosteroid injection for the treatment of adhesive capsulitis. The Cochrane risk of bias tool and PEDro score were used to evaluate the quality of the studies. The primary clinical outcomes including VAS, Constant score, ASES score, and ROM were collected. The secondary outcome of corticosteroid-related adverse reactions was also compared between the two groups. The results were evaluated and compared at five time points. Subgroup analyses were performed to further explore the differences between groups.

resultsEight RCTs and one quasi-RCT, involving 512 participants, were identified and included in this meta-analysis. All studies were of low risk of bias and medium-high quality with the PEDro score ≥5 points. The pooled effect showed that there was no significant difference in the primary outcomes between IA injection and SA injection, with an exception of VAS at 2-3 weeks (

conclusionsWhen corticosteroid injection is used to treat adhesive capsulitis, both injection sites can be selected. However, due to the scarcity of related studies, more rigorous trials are needed to confirm the current findings.

Indexed as

Adrenal Cortex HormonesBursitisHumansInjections, Intra-ArticularPain MeasurementRange of Motion, ArticularShoulderShoulder JointShoulder PainAdrenal Cortex Hormones

Identifiers

PMID31737653
PMCPMC6815644
OpenAlexW2980772303

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.