Role of Intra Articular Steroid Injection In Early Adhesive Capsulitis of Shoulder.

Adhesive capsulitis is a chronic disabling condition common in orthopaedic practise affecting 2-5% of the general population. The ideal treatment protocol for idiopathic adhesive capsulitis or frozen shoulder of the shoulder remains controversial. In the present study, we evaluated the role of intra articular corticosteroids steroid in treatment of adhesive capsulitis. All the patients presenting to us with stage 1 and stage 2 idiopathic adhesive capsulitis were included in the study. A total of 113 patients were enrolled, eight patients failed to complete the study and excluded leaving 105 patients in the study group. Twenty Seven patients with stage 1 and seventy eight with stage 2 comprised our study group. The mean age was 54 years (range: 33 to 81). Sixty-six patients were females and thirty nine were males.Early and prompt recognition of adhesive capsulitis (Stage I and Stage II) and treatment with intra articular corticosteroid may provide a chemical ablation of synovitis, thus limiting the subsequent development of fibrosis and shortening the natural history of the disease. We propose early administration of intra articular steroid in patients that permits rehabilitation and achieve good outcome.