ArticleClinical rheumatology2020
In shoulder adhesive capsulitis, ultrasound-guided anterior hydrodilatation in rotator interval is more effective than posterior approach: a randomized controlled study.
Article in Clinical rheumatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 24 papers.
What it found
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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
24 citing papers in PubMed, 46 citations in OpenAlex.
- Is there an additional benefit of ultrasound-guided coracohumeral ligament hydrorelease in cases with primary adhesive capsulitis undergoing ultrasound-guided shoulder hydrodilatation?Clinical rheumatology · 2025Trial
- Additive effect of glenohumeral joint hydrodilatation applied in addition to suprascapular nerve blockage in patients with adhesive capsulitis.BMC musculoskeletal disorders · 2024Trial
- Comparison of Outcomes of Two Different Corticosteroid Injection Approaches for Primary Frozen Shoulder: A Randomized Controlled Study.Journal of rehabilitation medicine · 2023Trial
- Ultrasound-guided percutaneous rotator interval approach for simulated adhesiolysis: A proof-of-concept feasibility and anatomical safety study.Journal of anesthesia and translational medicine · 2026Article
- Retrospective analysis of ultrasound-guided hydrodistension in patients with post-traumatic adhesive capsulitis of the shoulder.Musculoskeletal surgery · 2026Article
- Observational
- Article
- Functional Outcome of Hydrodilation in Adhesive Capsulitis of Shoulder.Journal of orthopaedic case reports · 2025Article
- Ultrasound-Guided Glenohumeral Joint Injection using a Modified Posterior Approach.Mediterranean journal of rheumatology · 2025Article
- Assessing injectate spread in ultrasound-guided capsular hydro dilatation for adhesive capsulitis: A comparative MRI study of anterior rotator interval vs. posterior glenohumeral joint approaches.Interventional pain medicine · 2025Article
- A comprehensive scoring system for the diagnosis and staging of adhesive capsulitis: development, application, and implications.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Review
- Adhesive capsulitis: the importance of early diagnosis and treatment.Journal of ultrasound · 2024Article
- Recurrence of the frozen shoulder after hydrodilatation, what is the true incidence?Shoulder & elbow · 2023Article
- Long-Term Outcomes of Ultrasound-Guided Hydrodistension for Adhesive Capsulitis: A Prospective Observational Study.Tomography (Ann Arbor, Mich.) · 2023Observational
- Ultrasound-Guided Infiltrative Treatment Associated with Early Rehabilitation in Adhesive Capsulitis Developed in Post-COVID-19 Syndrome.Medicina (Kaunas, Lithuania) · 2023Article
- Ultrasound-guided interventions of the upper extremity joints.Skeletal radiology · 2023Review
- Comparison of the spread pattern of medial-to-lateral and lateral-to-medial rotator interval injections: A cadaveric study.Interventional pain medicine · 2022Article
- Frozen shoulder.Nature reviews. Disease primers · 2022Review
- Glenohumeral Hydrodistension for Postoperative Stiffness After Arthroscopic Primary Rotator Cuff Repair.Orthopaedic journal of sports medicine · 2022Article
Corrections and comments
- Erratum issued
Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Shoulder adhesive capsulitis, also called frozen shoulder, is a musculoskeletal disorder associated with pain and functional disability. This study aimed to compare the effectiveness of shoulder ultrasound-guided hydrodilatation with corticosteroid, via rotator interval (RI) anteriorly, versus posterior approach, in adhesive capsulitis patients. All patients received exercise program following injection. PATIENTS AND
methodsA prospective randomized controlled study among 60 consecutive adhesive capsulitis patients was randomized into two equal groups. Group I received ultrasound-guided hydrodilatation with corticosteroid, saline, and local anesthetic via posterior intra-articular approach; group II received the same ultrasound-guided hydrodilatation via anterior rotator interval approach. Both groups received guided stretching exercises for 3 months after injection. Baseline and 3 months evaluation of pain by visual analogue scale (VAS), shoulder pain and disability index (SPADI), and range of motion (ROM) had been recorded for all patients.
resultsBoth groups showed significant improvement 3 months after hydrodilatation regarding VAS pain, external rotation, and SPADI. Only in group II (RI anterior approach) improvement was observed regarding flexion and abduction. There was no improvement regarding extension or internal rotation in either group. When comparing the improvement in both groups after hydrodilatation, group II (anterior approach) showed a statistically significant higher level of improvement regarding VAS pain (p = 0.003), SPADI, flexion, abduction, and external rotation, compared to group I (p < 0.001). Extension, internal rotation, and adduction were not different.
conclusionsUltrasound-guided anterior rotator interval hydrodilatation for adhesive capsulitis, followed by guided exercise, is clinically and functionally more effective than the conventional posterior approach.
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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.