COMPARISON OF INTRA-ARTICULAR METHYLPREDNISOLONE AND KETOROLAC INJECTIONS IN IMPROVING RANGE OF MOTION FOR DIFFERENT SHOULDER JOINT DISORDERS

  • Sumeera Matee Combined Military Hospital Mangla/National University of Medical Sciences (NUMS) Pakistan
  • Wasif Anwar Combined Military Hospital Mangla/National University of Medical Sciences (NUMS) Pakistan
  • Sami Wahid Combined Military Hospital Mangla/National University of Medical Sciences (NUMS) Pakistan
  • Saeed Bin Ayaz Combined Military Hospital Jhelum/National University of Medical Sciences (NUMS) Pakistan
  • Rana Shahid Combined Military Hospital Mangla/National University of Medical Sciences (NUMS) Pakistan
  • Nadeem Ahmed Sheikh Combined Military Hospital Quetta/National University of Medical Sciences (NUMS) Pakistan
Keywords: Intraarticular injections, Methylprednisolone, Ketorolac, Shoulder joint

Abstract

Objective: To compare the efficacy of intra-articular injection of methyl prednisolone with ketorolac for improvement in range of motion in various shoulder joint disorders.

Study Design: Quasi-experimental study.

Place and Duration of Study: Departments of Internal and Rehabilitation Medicine, Combined Military Hospital Mangla, from Nov 2018 to May 2019.

Methodology: Through non-probability consecutive sampling, patients with shoulder disorders were enrolled in the study and divided into two groups. Group A received intra articular corticosteroid injection and group B received intra-articular Ketorolac injection. Outcome was measured in terms of improvement in shoulder range of motion.

Results: A total of 60 patients were selected, 40 (66.7%) male and 20 (33.3%) female. 30 (50%) patients had adhesive capsulitis, 24 (40%) had rotator cuff syndrome and 6 (10%) had impingement syndrome. 24 patients received methyl prednisolone acetate injection while 36 received ketorolac injection. There was no significant difference in the mean gain in flexion, extension, abduction, internal or external rotation between both groups (p=0.224, p=0.261, p=0.884, p=0.238, and p=0.584 respectively).

Conclusion: There was no significant difference in efficacy of corticosteroid and ketorolac when injected intra-articularly in shoulder joint disorders.

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Published
2021-06-29
How to Cite
Matee, S., Anwar, W., Wahid, S., Ayaz, S., Shahid, R., & Sheikh, N. (2021). COMPARISON OF INTRA-ARTICULAR METHYLPREDNISOLONE AND KETOROLAC INJECTIONS IN IMPROVING RANGE OF MOTION FOR DIFFERENT SHOULDER JOINT DISORDERS. PAFMJ, 71(3), 818-22. https://doi.org/10.51253/pafmj.v71i3.3380
Section
Original Articles