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

Launched by TRI-SERVICE GENERAL HOSPITAL · Dec 3, 2023

Keywords

ClinConnect Summary

This clinical trial is exploring a new treatment approach for frozen shoulder, a condition that causes pain and stiffness in the shoulder joint. The researchers want to see if a combination of a corticosteroid injection, followed by an injection of a special sugar solution (hypertonic dextrose), works better than a saline (salt water) injection for relieving symptoms and improving shoulder movement.

To participate in the trial, individuals must have been diagnosed with frozen shoulder for more than three months and have significant limitations in shoulder movement. However, certain conditions may exclude someone from participating, such as having a severe shoulder injury or certain medical issues like uncontrolled diabetes or a history of cancer. The trial is not yet recruiting participants, but if you meet the criteria, you could help researchers learn more about effective treatments for frozen shoulder. Participants will receive injections and will be monitored to see how well the treatments work.

Gender

ALL

Eligibility 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.