Comparison of Clinical Outcomes between Idiopathic Frozen Shoulder and Diabetic Frozen Shoulder After a Single Ultrasound-Guided Intra-Articular Corticosteroid Injection
Abstract
:1. Introduction
2. Materials and Methods
2.1. Patients
2.2. Treatment Protocol
2.3. Outcome Assessment
2.4. Statistical Analysis
3. Results
3.1. Patients’ Characteristics
3.2. Changes in Outcome Measurements for Patients with Diabetic or Idiopathic FS
3.3. Comparison of Clinical Outcomes Between Idiopathic and Diabetic FS at Each Point
4. Discussion
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Variable | Diabetic FS Group | Idiopathic FS Group | p-Value |
---|---|---|---|
Number of patients | 32 | 110 | |
Age | 56.8 ± 8.2 | 56.6 ± 8.6 | 0.497 |
Male:female (no.) | 18:14 | 38:72 | 0.039 |
Right:left (no.) | 13:19 | 52:58 | 0.550 |
Duration of symptoms (months) | 7.2 ± 6.0 | 6.8 ± 6.8 | 0.364 |
Initial clinical score | |||
VAS | 7.7 ± 1.8 | 7.3 ± 1.7 | 0.276 |
ASES | 33.8 ± 14.9 | 34.4 ± 15.3 | 0.698 |
SSV | 39.4 ± 17.4 | 37.4 ± 17.9 | 0.546 |
Initial ROM | |||
Forward flexion | 118.9 o ± 20.9° | 118.3 o ± 23.2° | 0.933 |
Abduction | 104.2 o ± 24.1° | 103.3 o ± 24.7° | 0.747 |
External rotation | 37.7 o ± 12.0° | 37.8 o ± 16.8° | 0.706 |
Internal rotation † | 16.2 ± 3.0 | 16.5 ± 2.6 | 0.419 |
Baseline | 3 Weeks | 6 Weeks | 12 Weeks | Time Effect (p-Values) | ||||||
---|---|---|---|---|---|---|---|---|---|---|
Diabetic FS Group | Idiopathic FS Group | Diabetic FS Group | Idiopathic FS Group | Diabetic FS Group | Idiopathic FS Group | Diabetic FS Group | Idiopathic FS Group | Diabetic FS Group | Idiopathic FS Group | |
VAS | 7.7 ± 1.8 | 7.3 ± 1.7 | 2.8 ± 1.5 | 2.4 ± 1.3 | 2.8 ± 1.6 | 1.9 ± 1.3 | 3.3 ± 1.9 | 2.0 ± 1.4 | <0.001 | <0.001 |
ASES | 33.8 ± 14.9 | 34.4 ± 14.3 | 71.6 ± 11.8 | 77.2 ± 12.2 | 74.7 ± 12.8 | 83.1 ± 11.6 | 70.8 ± 16.2 | 82.8 ± 13.3 | <0.001 | <0.001 |
SSV | 39.4 ± 17.4 | 37.4 ± 17.9 | 69.2 ± 13.3 | 74.0 ± 12.2 | 70.6 ± 12.6 | 80.8 ± 12.8 | 66.6 ± 17.4 | 80.4 ± 14.8 | <0.001 | <0.001 |
FF | 118.9° ± 20.9° | 112.3° ± 23.1° | 146.7° ± 17.1° | 149.3° ± 18.3° | 151.4° ± 15.0° | 157.3° ± 14.4° | 149.5° ± 21.5° | 159.3° ± 13.6° | <0.001 | <0.001 |
ABD | 104.7° ± 24.1° | 103.3° ± 24.7° | 134.8° ± 22.5° | 140.3° ± 23.6° | 143.1° ± 19.3° | 148.9° ± 21.0° | 139.4° ± 28.2° | 149.9° ± 21.4° | <0.001 | <0.001 |
ER | 37.7° ± 12.0° | 37.8° ± 16.8° | 54.4° ± 11.1° | 58.3° ± 13.4° | 58.4° ± 12.2° | 65.7° ± 11.6° | 58.1° ± 15.1° | 65.9° ± 11.4° | <0.001 | <0.001 |
IR | 16.2 ± 3.0 | 16.5 ± 2.6 | 12.3 ± 2.8 | 11.7 ± 2.7 | 11.8 ± 3.0 | 10.1 ± 2.5 | 11.7 ± 3.3 | 9.7 ± 2.8 | <0.001 | <0.001 |
VAS | ASES | SSV | FF | ABD | ER | IR | |
---|---|---|---|---|---|---|---|
Baseline | 0.276 | 0.698 | 0.546 | 0.933 | 0.747 | 0.706 | 0.419 |
3 weeks | 0.110 | 0.027 * | 0.065 | 0.322 | 0.172 | 0.128 | 0.392 |
6 weeks | 0.003 * | 0.001 * | <0.001 * | 0.034 * | 0.096 | 0.008 * | 0.002 * |
12 weeks | <0.001 * | 0.001 * | <0.001 * | 0.021 * | 0.066 | 0.009 * | 0.002 * |
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Cho, C.-H.; Jin, H.-J.; Kim, D.H. Comparison of Clinical Outcomes between Idiopathic Frozen Shoulder and Diabetic Frozen Shoulder After a Single Ultrasound-Guided Intra-Articular Corticosteroid Injection. Diagnostics 2020, 10, 370. https://doi.org/10.3390/diagnostics10060370
Cho C-H, Jin H-J, Kim DH. Comparison of Clinical Outcomes between Idiopathic Frozen Shoulder and Diabetic Frozen Shoulder After a Single Ultrasound-Guided Intra-Articular Corticosteroid Injection. Diagnostics. 2020; 10(6):370. https://doi.org/10.3390/diagnostics10060370
Chicago/Turabian StyleCho, Chul-Hyun, Hyo-Joon Jin, and Du Hwan Kim. 2020. "Comparison of Clinical Outcomes between Idiopathic Frozen Shoulder and Diabetic Frozen Shoulder After a Single Ultrasound-Guided Intra-Articular Corticosteroid Injection" Diagnostics 10, no. 6: 370. https://doi.org/10.3390/diagnostics10060370