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Glenohumeral joint injections: a review
Christopher Gross1, Aman Dhawan1, Daniel Harwood1
1Rush University Medical Center, Chicago, Illinois.
Sports Health
|January 16, 2014
Summary
Evidence for glenohumeral joint injections, including corticosteroids and hyaluronic acid for osteoarthritis and adhesive capsulitis, is limited. Current guidance relies primarily on expert opinion due to a lack of high-quality studies.
Area of Science:
- Orthopaedic Surgery
- Rheumatology
- Musculoskeletal Medicine
Background:
- Intra-articular glenohumeral joint injections are frequently administered for conditions like osteoarthritis and adhesive capsulitis.
- Limited evidence-based guidance exists for these common injectable treatments.
Purpose of the Study:
- To review the literature on glenohumeral injections.
- To clarify current evidence-based practices and identify knowledge gaps.
Main Methods:
- Comprehensive literature search of MEDLINE and EMBASE databases.
- Searched for studies on intra-articular corticosteroid and hyaluronic acid injections for osteoarthritis and adhesive capsulitis.
Main Results:
- 1 study on corticosteroid injections for osteoarthritis; 7 for adhesive capsulitis.
- 2 studies on hyaluronic acid for osteoarthritis; 3 for adhesive capsulitis.
- Limited comparative studies available.
Conclusions:
- Expert opinion currently guides corticosteroid injections for osteoarthritis.
- Expert opinion also guides hyaluronic acid injections for osteoarthritis and adhesive capsulitis.
- Significant deficits in understanding and evidence-based practice remain.
