Evidence map›Paper›PMID 41355823›Full record

ArticleWorld journal of orthopedics2025

Improving accuracy for intra-articular injections for capsulitis of the shoulder by changing the injection technique.

Jan M A Mens, Ronald T M Van Kalmthout

Abstract read
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Article in World journal of orthopedics, 2025. 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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0citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Jan M A MensDepartment of Huisartsgeneeskunde, Erasmus University Rotterdam, Rotterdam 3015 GD, Zuid-Holland, Netherlands. info@janmens.nl.
Ronald T M Van KalmthoutMSK-Clinic Leiden, VAOG, Leiden 2332 AA, Zuid-Holland, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe accuracy of blind intra-articular injections in the shoulder is rather low. Inaccurate injections tend to lead to poorer treatment outcomes. The "Delaware posterior bone touch technique" has shown higher accuracy in young, slender, healthy volunteers than the classical "Cyriax technique".

aimTo investigate whether the Delaware technique would also be more accurate in older patients with capsulitis.

methodsWe analyzed the files of 100 consecutive patients with capsulitis who were treated with an intra-articular injection containing a mixture of triamcinolone, lidocaine, and air. After the injection, the shoulder was moved to determine whether a squishing sound could be produced. The squishing sound was interpreted as an accurate injection. The scores with the new Delaware technique were compared against those with the Cyriax technique in a previous study.

resultsSquishing was heard after 87% of the injections. This was 13% (10% points) more than the 77% in the previous study (

conclusionThe Delaware technique was significantly more accurate than the Cyriax technique also in middle aged patients with capsulitis. We hypothesize that the difference is caused by a lower risk that a part of the opening of the needle is still outside the capsule.

Indexed as

AccuracyCapsulitisGlucocorticoidIntra-articular injectionsShoulder

Identifiers

PMID41355823
PMCPMC12679091

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