{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T19:15:38Z","timestamp":1791832538881,"version":"4.3.4"},"reference-count":35,"publisher":"Wiley","license":[{"start":{"date-parts":[[2019,10,15]],"date-time":"2019-10-15T00:00:00Z","timestamp":1571097600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2019,10,15]]},"abstract":"<jats:p>\n                    <jats:italic>Background<\/jats:italic>\n                    . Adhesive capsulitis is one of the most well-known causes of pain and stiffness of the shoulder. Corticosteroid injections have been used for many years. However, it is still controversial where corticosteroid should be injected, whether subacromial or intra-articular.\n                    <jats:italic>Objective<\/jats:italic>\n                    . The objective of this meta-analysis was to compare the effects of intra-articular (IA) and subacromial (SA) corticosteroid injections for the treatment of adhesive capsulitis.\n                    <jats:italic>Materials and Methods<\/jats:italic>\n                    . Four foreign databases and two Chinese databases were searched for RCTs and quasi-RCTs involving the comparison of IA and SA corticosteroid injection for the treatment of adhesive capsulitis. The Cochrane risk of bias tool and PEDro score were used to evaluate the quality of the studies. The primary clinical outcomes including VAS, Constant score, ASES score, and ROM were collected. The secondary outcome of corticosteroid-related adverse reactions was also compared between the two groups. The results were evaluated and compared at five time points. Subgroup analyses were performed to further explore the differences between groups.\n                    <jats:italic>Results<\/jats:italic>\n                    . Eight RCTs and one quasi-RCT, involving 512 participants, were identified and included in this meta-analysis. All studies were of low risk of bias and medium-high quality with the PEDro score \u22655 points. The pooled effect showed that there was no significant difference in the primary outcomes between IA injection and SA injection, with an exception of VAS at 2-3 weeks (\n                    <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                      <mml:mrow>\n                        <mml:mi>P<\/mml:mi>\n                        <mml:mo>=<\/mml:mo>\n                        <mml:mn>0.02<\/mml:mn>\n                      <\/mml:mrow>\n                    <\/mml:math>\n                    ) and ROM of internal rotation at 8\u201312 weeks (\n                    <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\">\n                      <mml:mrow>\n                        <mml:mi>P<\/mml:mi>\n                        <mml:mo>=<\/mml:mo>\n                        <mml:mn>0.02<\/mml:mn>\n                      <\/mml:mrow>\n                    <\/mml:math>\n                    ). According to the results of subgroup analyses, the differences of VAS and ROM of internal rotation did not last beyond the 2-3-week time period. Additionally, SA injection had the advantage of avoiding adverse reactions from the corticosteroid, especially in avoiding a large fluctuation of serum blood glucose levels.\n                    <jats:italic>Conclusions<\/jats:italic>\n                    . When corticosteroid injection is used to treat adhesive capsulitis, both injection sites can be selected. However, due to the scarcity of related studies, more rigorous trials are needed to confirm the current findings.\n                  <\/jats:p>","DOI":"10.1155\/2019\/1274790","type":"journal-article","created":{"date-parts":[[2019,10,15]],"date-time":"2019-10-15T19:30:17Z","timestamp":1571167817000},"page":"1-12","source":"Crossref","is-referenced-by-count":31,"title":["Intra-Articular versus Subacromial Corticosteroid Injection for the Treatment of Adhesive Capsulitis: A Meta-Analysis and Systematic Review"],"prefix":"10.1155","volume":"2019","author":[{"given":"Xiaoke","family":"Shang","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, People\u2019s Hospital of Ningxia Hui Autonomous Region, Yinchuan 750000, China"},{"name":"Department of Orthopedic Surgery, West China Hospital of Sichuan University, Sichuan University, Chengdu, Sichuan 610041, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhong","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, West China Hospital of Sichuan University, Sichuan University, Chengdu, Sichuan 610041, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuelin","family":"Pan","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, West China Hospital of Sichuan University, Sichuan University, Chengdu, Sichuan 610041, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2620-3821","authenticated-orcid":true,"given":"Jian","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, West China Hospital of Sichuan University, Sichuan University, Chengdu, Sichuan 610041, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3583-979X","authenticated-orcid":true,"given":"Qi","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, West China Hospital of Sichuan University, Sichuan University, Chengdu, Sichuan 610041, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2019.02.003"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbspin.2015.06.014"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/7274517"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kez007"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1136\/ard.56.1.59"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2004.09.009"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.06.011"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2012.06.014"},{"issue":"12","key":"9","first-page":"771","volume":"65","year":"1998","journal-title":"Rev Rhum Engl Ed"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.11622\/smedj.2016146"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000007529"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.5312\/wjo.v9.i9.165"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d5928"},{"issue":"8","key":"14","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1093\/ptj\/83.8.713","volume":"83","year":"2003","journal-title":"Physical Therapy"},{"issue":"1","key":"15","first-page":"20","volume":"72","year":"1991","journal-title":"Arch Phys Med Rehabil"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2011.04.029"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2012.06.015"},{"issue":"3","key":"18","first-page":"77","volume":"25","year":"2014","journal-title":"IJPMR"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2015.11.009"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1007\/s12306-018-0538-8"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517744171"},{"issue":"40","key":"22","first-page":"277","volume":"2018","year":"2018","journal-title":"The Egyptian Rheumatologist"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.1097\/md.0000000000007529"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2014.06.015"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.1002\/jor.1100150316"},{"key":"26","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.00525"},{"key":"27","doi-asserted-by":"publisher","DOI":"10.6061\/clinics\/2016(06)07"},{"key":"28","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0000000000000358"},{"issue":"541","key":"29","first-page":"662","volume":"57","year":"2007","journal-title":"British Journal of General Practice"},{"key":"30","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.07.043"},{"key":"31","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513480475"},{"key":"32","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2016.09.034"},{"key":"33","doi-asserted-by":"publisher","DOI":"10.1191\/026921598673772420"},{"key":"34","doi-asserted-by":"publisher","DOI":"10.1002\/jcu.22201"},{"key":"35","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2016.10.012"}],"container-title":["BioMed Research International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2019\/1274790.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2019\/1274790.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2019\/1274790.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,24]],"date-time":"2021-01-24T17:48:16Z","timestamp":1611510496000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/bmri\/2019\/1274790\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10,15]]},"references-count":35,"alternative-id":["1274790","1274790"],"URL":"https:\/\/doi.org\/10.1155\/2019\/1274790","relation":{},"ISSN":["2314-6133","2314-6141"],"issn-type":[{"value":"2314-6133","type":"print"},{"value":"2314-6141","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,10,15]]}}}