Author/Authors :
hilal, ghizlane université sidi mohammed ben abdellah - faculté de médecine et de pharmacie de fès, centre hospitalier universitaire (chu hassan ii) - service de rhumatologie, Fès, Morocco , akasbi, nessrine université sidi mohammeh ben abdellah - faculté de médecine et de pharmacie, centre hospitalier universitaire (chu hassan ii) - service de rhumatologie, Fès, Morocco , harzy, taoufik université sidi mohammeh ben abdellah - faculté de médecine et de pharmacie, centre hospitalier universitaire (chu hassan ii) - service de rhumatologie, Fès, Morocco
Abstract :
Adhesive capsulitis is a common pathological condition of the shoulder characterized by painful restriction of range of motion (ROM) of the glenohumeral joint. Currently, no consensus has been reached regarding the best treatment. Hyaluronic acid (HA) injection is a promising procedure that can result in significant improvement in active and passive ROM, alleviating pain and improving shoulder function. We systematically reviewed current literature in order to evaluate the best evidence about the effectiveness of intra-articular HA injection for the treatment of Adhesive capsulitis. We selected studies comparing clinical outcomes of patients treated with HA in association or not with conventional therapy. Improvement was noted in terms of ROM, constant scores and pain in patients affected by Adhesive capsulitis treated with intra-articular HA injections. When compared with cortisone intra-articular injection, HA have equivalent clinical outcomes.
