ArticleZhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences2024
Efficacy comparison of sodium hyaluronate, corticosteroids, and autologous platelet-rich plasma in the treatment of primary frozen shoulder.
Article in Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesPrimary frozen shoulder is a shoulder joint disease that severely impacts the quality of life of patients, and intra-articular injection is a common treatment method. This study aims to evaluate and compare the therapeutic effects of sodium hyaluronate (SH), corticosteroids (CS), and autologous platelet-rich plasma (PRP) in the treatment primary frozen shoulder.
methodsA total of 117 patients diagnosed with primary frozen shoulder and treated with a single injection of SH, CS, or PRP into the glenohumeral joint under ultrasound guidance at the Third Xiangya Hospital of Central South University from January 1, 2020, to December 31, 2022, were included in the study. The patients were divided into a SH group, a CS group, and a PRP group. Clinical data of patients, including Visual Analogue Scale (VAS) pain score, range of motion, Constant score, and Disabilities of Arm, Shoulder, and Hand (DASH) score were collected before treatment and at 1, 3, and 6 months after treatment. The efficacy of these 3 intra-articular injection therapies for primary frozen shoulder was compared.
resultsCompared with the baseline, the SH, CS, and PRP groups all showed significant improvements in shoulder VAS pain scores, range of motion, Constant scores, and DASH scores at 6 months after treatment (all
conclusionsA single ultrasound-guided injection of SH, CS, or PRP into the glenohumeral joint can significantly improve pain degree, range of motion, and function in patients with primary frozen shoulder. Among these 3 injection therapies, CS may provide better short-term efficacy, while PRP may offer better long-term outcomes.
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