Background: Painful shoulder is one of the commonest ailmaent encountered in the outpatient department of orthopedica now a days. One of the
ways to get relief from the pain is to instill intraarticular corticosteroids. Corticosteroid injections can be performed blind or with image guidance.
The objective of this study was to compare the accuracy and efcacy of image guided intraarticular corticosteroid injections in shoulder pain versus
blind, with specic reference to pain relief as per VAS and functional improvement as per constant score.
Objective : To compare the efcacy of image guided intra-articular corticosteroid injection in shoulder pain versus blind method of inltration,
with specic reference to
1. pain relief as per visual analogue score.
2. To compare post inltration functional improvement of as per constant score with these two methods.
Methods: The present Study included 50 adults with a history of pain around the shoulder of three or more than three months duration and were
divided into two groups of 25 patients each by simple computer based allocation.
Results: Both groups showed improvement as per CONSTANT SCORE, (26.64 to 72.00, an improvement of 45.36 in USG group and 27.48 to
58.60, an improvement of 31.12 in blind group with significant p value of 0.001).
Conclusion: USG inltration of corticosteroids in shoulder pain is a superior method compared to blind inltration as clearly established by
signicant improvement in pain and range of motion (ROM) of shoulder joint (more in ultrasonic group compared to blind group) probably due to
accurate needle placement and proper dosage of drug is delivered at the required site.
Image-Guided Versus Blind Corticosteroid Injections in Adults With Shoulder Pain: A Systematic Review and Meta-Analysis
