Hydrodilatation With Hypertonic Dextrose Solution Injection After Intra-articular Steroid Injection for Frozen Shoulder

• Status: Not yet recruiting
• Trial end date: 2024-12-31
• Target enrollment: 0
• Participant gender: All

Summary

This study aims to investigate whether intra-articular corticosteroid injection, followed by hypertonic dextrose injection and shoulder joint capsular distension, is more effective than saline injection and shoulder joint capsular distension for treating frozen shoulder.

• Phase: N/A
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Tri-Service General Hospital

Criteria

Inclusion Criteria:

1. The diagnosis of frozen shoulder is determined by physicians through an evaluation of the patient's medical history, physical examination, and assessment of X-ray and ultrasound reports.

2. The duration of symptoms should be more than 3 months.

3. There should be a decrease of at least 30 degrees in a minimum of two shoulder joint angles (shoulder flexion, abduction, and external rotation) compared to the corresponding angles on the healthy side.

Exclusion Criteria:

1. Ultrasound examination of the shoulder muscles must not reveal a complete tear or massive tear of the rotator cuff tendon or evidence of calcific tendinitis.

2. Presence of systemic rheumatic disease.

3. History of previous shoulder fracture or undergoing surgical intervention.

4. Receipt of shoulder joint injections within the last 3 months.

5. Acute cervical nerve root compression.

6. Current status of pregnancy or breastfeeding.

7. Poorly controlled diabetes (since intravenous glucose injection may cause temporary blood sugar elevation).

8. Patients with a history of cancer.