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

View Disclosures and Other Information
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
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case


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.
Figures in this Article

    First Page Preview

    View Large
    First page PDF preview
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org


    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe

    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    SC - Department of Orthopaedic Surgery Medical Univerity of South Carlonina
    MA - Boston University Orthopedic Surgical Associates
    OK - The University of Oklahoma
    NY - Modern Chiropractic Care, P.C.