Hyaluronidase in Intra-articular Steroid Injection Treating the Adhesive Capsulitis for Shoulder

Exclusion Criteria

• •Ultrasonographic diagnosis of other concomitant fundamental abnormalities causing shoulder pain such as rotator cuff tear, bicipital tendon rupture, calcific tendinopathy, and subacromial-subdeltoid bursitis
• •A history of shoulder injury
• •A history of more than 1 year of conservative treatment for chronic shoulder pain
• •Corticosteroid or hyaluronidase injections within the prior 6 months
• •Hemiplegic shoulder
• •Self-reported history consistent with scapula fracture or disarticulation
• •Ipsilaterally cervical herniated intervertebral disc or brachial plexus injury
• •Diabetes mellitus refractory to insulin therapy or glycated hemoglobin greater than 6.5
• •Refusal to participate in this study