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Evidence-Based Orthopaedics   |    
Arthrographic Distension with Saline and Steroid Reduced Pain and Disability and Improved Range of Motion in the Short Term in Patients with Painful Stiff Shoulder

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Source of funding: This work was supported by a research grant from the Cabrini Clinical Education and Research Institute.
For correspondence: R. Buchbinder, Department of Clinical Epidemiology, Cabrini Hospital, Malvern, Victoria, Australia. E-mail address: rachelle.buchbinder@med.monash.edu.au
Buchbinder R, Green S, Forbes A, Hall S, Lawler G. Arthrographic Joint Distension with Saline and Steroid Improves Function and Reduces Pain in Patients with Painful Stiff Shoulder: Results of a Randomised, Double Blind, Placebo Controlled Trial.
Ann Rheum Dis.
2004 Mar;63:302-9.

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2004 Aug 01;86(8):1837-1837
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Question: In patients with a painful stiff shoulder for =3 months, is arthrographic distension with normal saline solution and corticosteroid effective for improving function, pain, and range of motion?Design: Randomized (allocation concealed), blinded (patients, health-care providers, and outcome assessor), placebo-controlled trial with 3, 6, and 12 weeks of follow-up.Setting: Community-based rheumatology practices in Victoria, Australia.Patients: 46 patients who were =18 years of age (mean age 57 y, 80% women), had pain and stiffness in predominantly 1 shoulder for =3 months (range, 96 to 402 d), and had restriction of passive motion of >30° in =2 planes of movement. Exclusion criteria included severe pain (>7 of 10 on visual analog scale) at rest, previous arthrographic distension, systemic inflammatory joint disease, osteoarthritis of the shoulder, calcification about the shoulder joint, and clinical suspicion of a complete rotator cuff tear. Follow-up was complete.
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