Adeel Hamid, Syed Baqir Hussain Jafree, Rashid Saeed, Nusrat Ali.
Alternative Treatment of Shoulder Adhesive Capsulitis with Single Dose Intraarticular Sodium Hyaluronate.
Pak J Med Health Sci Jan ;6(4):888-91.

Objective: To check the efficacy of single dose intra-articular hyaluronate injection for treatment of patients with shoulder adhesive capsulitis Study design: Randomized clinical trial on 40 cases Setting: Department of Ohopaedics, Jinnah Hospital, Lahore. Duration with dates: 06 months (1st April 2012 to 30th September 2012). Subjects and methods: Forty patients with adhesive capsulitis, fulfilling the selection criteria were identified. After proper assessment including Constant shoulder score, all patients received intra-articular Sodium hyaluronte injection in the outpatient department. Patients were asked to take simple analgesics if required and follow similar home exercise programs for two weeks. Results: A total of 40 patients were included in the study. 13(32.5%) were males and 27(67.5%) were females. The age ranged from years 39-73 years. Mean age of patients was 55.11±7.16. Clinical improvement as assessed by Constant Shoulder Score was seen in 37/40 patients. Mean Constant Shoulder Score was 37.27±14.45 and after 2 weeks of treatment with sodium hyaluronate injection the mean score improved to 54.14±13.88. Conclusion: Although the study was done on a limited number of patients, it establishes single dose intra-articular Sodium hyaluronate injection as an effective and safe treatment alternative for the pain and disability associated with adhesive capsulitis.

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