Intra-Articular along with Subacromial Corticosteroid Injection in Diabetic Patients with Adhesive Capsulitis

Background: to compare intra-articular plus subacromial corticosteroid injection with a single intra-articular injection in diabetics with adhesive capsulitis.materials and methods: a total of fifty-four diabetic patients were randomized into corticosteroid injection in both intra-articular and subacromial sites (group a) and one intra-articular injection (group b). pain by a visual analog scale (vas), shoulder range of motion, and functional state by the american shoulder and elbow score was assessed before injection, and at follow-up months.results: the pain vas scores of group a were considerably lower than group b at the first-month follow-up visit (p=0.01). the range of motion in forward-elevation and internal rotation at three-month follow-up visits was significantly higher in group a than in group b (p=0.035, p=0.04, respectively). no notable differences in the range of motion in forward-elevation, internal rotation, and external rotation between groups at the final follow-up visit were seen. though a significant difference in the ases between groups at the third-month follow-up visit (p=0.03), the ases score at the final sixth-month follow-up was similar in both groups (p=0.7).conclusion: in diabetic adhesive capsulitis of the shoulder, subacromial combined with intra-articular steroid injections has superior subjective outcomes compared to single intra-articular corticosteroid injection.