{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T03:53:26Z","timestamp":1790913206025,"version":"4.1.0"},"reference-count":13,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:00:00Z","timestamp":1785888000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:00:00Z","timestamp":1785888000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Adhesive capsulitis (AC) is characterized by progressive fibrosis of the glenohumeral capsule, with the rotator interval (RI) as a key pathological site. Ultrasound\u2010guided hydrodilation of the RI (Yoong technique) is an established intervention, but traversal of a thickened coracohumeral ligament (CHL) can be technically challenging and painful. This study reports preliminary 2\u2010year outcomes of a modified technique targeting the subacromial\u2013subdeltoid (SASD) bursa at the RI, combined with immediate postinjection manipulation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective case series was conducted on 13 patients with AC in the frozen phase treated between January 2023 and September 2023 at a single sports medicine clinic. The modified technique involved ultrasound\u2010guided SASD bursa injection (20\u2009mL mixture: 4\u2009mL 1% lidocaine, 15\u2009mL 5% dextrose, 1\u2009mL triamcinolone acetonide 40\u2009mg) with mechanical fenestration of the CHL, followed by immediate shoulder manipulation. Outcomes included forward flexion, abduction, external rotation, Visual Analog Scale (VAS), and Quick DASH scores measured at baseline, 2, 12, 24, 52, and 104\u2009weeks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Mean age was 51.9\u2009years (SD 7.52); 92.3% were female; 53.8% had diabetes. Significant improvements were observed across all outcomes (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Forward flexion improved from 76.6\u00b0 (SD 6.3\u00b0) at baseline to 178.6\u00b0 (SD 3.7\u00b0) at 104\u2009weeks; abduction from 60.6\u00b0 (SD 6.3\u00b0) to 178.8\u00b0 (SD 2.7\u00b0); external rotation from 31.3\u00b0 (SD 9.1\u00b0) to 78.0\u00b0 (SD 3.6\u00b0). VAS decreased from 5.6 (SD 0.9) to 0 at 52 and 104\u2009weeks. Quick DASH improved from 86.7 (SD 5.8) to 0.2 (SD 0.7) at 104\u2009weeks. No complications were reported.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This modified SASD\u2010targeted injection technique, combined with immediate manipulation, was associated with sustained pain relief and functional improvement over 2\u2009years in a small cohort of AC patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/os.70405","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T12:24:50Z","timestamp":1785932690000},"page":"2217-2223","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Modified Yoong Ultrasound\u2010Guided Rotator Interval Injection for Adhesive Capsulitis: A 2\u2010Year Follow\u2010Up"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4566-9704","authenticated-orcid":false,"given":"Azwan Aziz","family":"Mohamad","sequence":"first","affiliation":[{"name":"Department of Orthopedic and Traumatology, Faculty of Medicine Universiti Kebangsaan Malaysia  Cheras Wilayah Persekutuan Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0993-0349","authenticated-orcid":false,"given":"Norlelawati","family":"Mohamad","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Traumatology, Faculty of Medicine Universiti Kebangsaan Malaysia  Cheras Wilayah Persekutuan Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-7330-7428","authenticated-orcid":false,"given":"Muhammad Karbela Reza","family":"Ramlan","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Traumatology, Faculty of Medicine Universiti Kebangsaan Malaysia  Cheras Wilayah Persekutuan Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2189-7641","authenticated-orcid":false,"given":"Nik Kamarul","family":"Arif","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Traumatology, Faculty of Medicine Universiti Kebangsaan Malaysia  Cheras Wilayah Persekutuan Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7794-2707","authenticated-orcid":false,"given":"Badrul Akmal Hisham Md","family":"Yusoff","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Traumatology, Faculty of Medicine Universiti Kebangsaan Malaysia  Cheras Wilayah Persekutuan Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,5]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-018-5604-y"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics15151924"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-014-2047-7"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/jum.15117"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/1274790"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.15557\/JoU.2024.0032"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s43465-021-00351-3"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/tomography9050147"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2015.11.009"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/bmb\/ldad018"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jseint.2025.03.008"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/17581869.2024.2435803"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19159715"}],"container-title":["Orthopaedic 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