Predictive Factors of Intra-articular Corticosteroid Injections with Ultrasound-Guided Posterior Capsule Approach for Patients with Primary Adhesive Capsulitis.
Journal
American journal of physical medicine & rehabilitation
ISSN: 1537-7385
Titre abrégé: Am J Phys Med Rehabil
Pays: United States
ID NLM: 8803677
Informations de publication
Date de publication:
25 Sep 2023
25 Sep 2023
Historique:
medline:
27
9
2023
pubmed:
27
9
2023
entrez:
26
9
2023
Statut:
aheadofprint
Résumé
Adhesive capsulitis (AC) affects the shoulder joint, causing pain and limiting motion. In clinical practice, the effectiveness of injections varies, and the factors influencing their success remain unclear. This study investigates the predictors of effective corticosteroid injections in patients with primary AC. This retrospective study enrolled AC patients aged >35 years who received intra-articular corticosteroid injections. The response was determined based on patients' pain and range-of-motion (ROM) three months after the injection. Demographic data, medical comorbidities, and radiographic parameters (critical shoulder angle [CSA] and acromial index [AI]) were compared between the effective and noneffective groups. Receiver operating-characteristic (ROC) curves and logistic regression were used to identify the predictors of injection effectiveness. This study included 325 patients with primary AC, who were divided into responder (189 patients, 58.2%) and non-responder (136 patients, 41.8%) groups. The ROC curve revealed that the AI score indicated favorable discrimination for predicting a poor response to injections, whereas the CSA score did not. Logistic regression revealed that the pain period, diabetes mellitus, and AI are predictors of non-responders to injections. Long pain duration, the presence of diabetes mellitus, and an AI score of >0.711 were predictors of non-response to corticosteroid injections for primary AC patients.
Sections du résumé
BACKGROUND
BACKGROUND
Adhesive capsulitis (AC) affects the shoulder joint, causing pain and limiting motion. In clinical practice, the effectiveness of injections varies, and the factors influencing their success remain unclear. This study investigates the predictors of effective corticosteroid injections in patients with primary AC.
DESIGN
METHODS
This retrospective study enrolled AC patients aged >35 years who received intra-articular corticosteroid injections. The response was determined based on patients' pain and range-of-motion (ROM) three months after the injection. Demographic data, medical comorbidities, and radiographic parameters (critical shoulder angle [CSA] and acromial index [AI]) were compared between the effective and noneffective groups. Receiver operating-characteristic (ROC) curves and logistic regression were used to identify the predictors of injection effectiveness.
RESULTS
RESULTS
This study included 325 patients with primary AC, who were divided into responder (189 patients, 58.2%) and non-responder (136 patients, 41.8%) groups. The ROC curve revealed that the AI score indicated favorable discrimination for predicting a poor response to injections, whereas the CSA score did not. Logistic regression revealed that the pain period, diabetes mellitus, and AI are predictors of non-responders to injections.
CONCLUSION
CONCLUSIONS
Long pain duration, the presence of diabetes mellitus, and an AI score of >0.711 were predictors of non-response to corticosteroid injections for primary AC patients.
Identifiants
pubmed: 37752075
doi: 10.1097/PHM.0000000000002340
pii: 00002060-990000000-00313
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
Conflicts of interest. The authors certify that there is no conflict of interest with any financial organization regarding the material discussed in the manuscript.