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. 2003 Jan 20;2003(1):CD004016. doi: 10.1002/14651858.CD004016

Williams 1975.

Methods Randomised controlled trial. 
 Blinding: no. Loss to follow‐up: unclear 
 Appropriate statistical analysis: unclear
Participants Number of patients in study not reported. Inclusion criteria: 
 restriction of abduction and external rotation of shoulder for more than one month
Interventions Group 1: 50mg hydrocortisone acetate injection into glenohumeral joint weekly for 3 weeks 
 Group 2: stellate ganglion block with 10ml of 0.5% Marcaine weekly for 3 weeks. 
 All patients were shown active shoulder exercises to perform at home and patients were allowed to continue NSAIDs.
Outcomes Assessed at baseline, weekly for 4 weeks and at 3 months 
 1) active elevation of shoulder 
 2) passive external rotation 
 3) night pain 
 4) analgesic consumption 
 5) patient's assessment of their condition from 0‐100% whether for better or for worse.
Notes Abstract only. No data reported, thus included in review but not in meta‐analysis. 
 Reported that half patients in both group assessed their improvement as 75% or more, a quarter as more than 25% improved and one fifth as no improvement at all with similar findings reported for range of movement. There were no reported differences in outcome between treatment groups at 4 weeks and 3 months.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk D ‐ Not used