• Zeeshan Khan Nazim, M Farhan Farhat, and Saleem Abbasi.
• Zeeshan Khan Nazim MS-Orthopedic and Trauma Surgery, Ex-Postgraduate Resident, Department of Orthopedics, PIMS, Islamabad, Pakistan.
• Pak J Med Sci. 2024 Aug 1; 40 (7): 141514191415-1419.

ObjectiveTo compare the efficacy of intra-articular steroid injection with ultrasound-guided supra-scapular nerve block in the management of frozen shoulder in terms of shoulder pain and disability index score and range of motion.MethodThis randomized controlled trial was conducted in orthopedic department, PIMS, Islamabad from 1st January, 2020 to 30th June, 2020. A total of 72 patients were randomly equally (n=36 each) allocated to Group-A (intra-articular steroid injection) and Group-B (supra-scapular nerve block). Adults above 18 years of both genders having diffuse shoulder pain were included. Cases of shoulder pain localized because of bicipital tendinitis, rotator cuff tear, pain due to acute trauma and those with osteoarthritis were excluded. Data was analyzed in SPSS version 22.0.ResultsPatients average age was 60.1 ± 6.29 in IASI and 58.0 ± 5.83 years in SSNB Group-And there were 19 (52.8%) males in IASI group compared to 15 (41.7%) in SSNB. At three weeks mean pain was significantly less in SSNB (57.1 ± 9.53 vs 49.4 ± 9.02) compared to IASI group (p-value, <0.001). The mean disability index was significantly low in SSNB (51.5 ± 5.10 vs 63.9 ± 5.14) versus IASI group (p-value, <0.001). At one week, three weeks and six weeks, mean external rotation was better in SSNB than IASI group (p-value, <0.001). The mean abduction was also better in SSNB group.ConclusionUltrasound guided supra-scapular nerve block is better than intra-articular steroid injection in managing frozen shoulder.Copyright: © Pakistan Journal of Medical Sciences.

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