Mohammad Amin Aslani - Knee and Sports Medicine Research Center, Milad hospital, Tehran, Iran
Fateme Mirzaee - Knee and Sports Medicine Research Center, Milad hospital, Tehran, Iran
Arvin Najafi - Department of Orthopedics, School of Medicine Shahid Madani Hospital, Alborz University of Medical Sciences, Alborz, Iran
Mohamad Javad Moghaddam - Department of Orthotics and Prosthetics, Isfahan University of Medical Sciences, Isfahan, Iran
Zohreh Zafarani - Knee and Sports Medicine Research Center, Milad hospital, Tehran, Iran
Hamidreza Aslani - Knee and Sports Medicine Research Center, Milad hospital, Tehran, Iran- Department of Orthopedics, Akhtar Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

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=۰.۰۱). 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=۰.۰۳۵, P=۰.۰۴, 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=۰.۰۳), the ASES score at the final sixth-month follow-up was similar in both groups (P=۰.۷).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.

Adhesive capsulitis, Diabetes mellitus, Corticosteroid, Intra-articular injection