The purpose of this study is to compare the efficacy of intra-articular steroid injection, sodium hyaluronate injection, a combination of the two, and placebo in the treatment of adhesive capsulitis of the shoulder.

Inclusion Criteria:

• clinical diagnosis : Adhesive Capsulitis of the Shoulder

• defining of adhesive capsulitis

  • the presence of shoulder pain
  • limitation of both active and passive movements of the glenohumeral joint of ≥25% in at list 2 directions(abduction,flexion,external rotation,internal rotation), as compared with the contralateral shoulder

• duration : symptomatic for < 1 year

Exclusion Criteria:

• bilateral symptoms
• uncontrolled diabetes mellitus
• overt hypothyroidism or hyperthyroidism
• previous shoulder surgery
• previous glenohumeral joint injection within recent 6months
• trauma to the shoulder the last six months that required hospital care
• neurological symptoms
• allergy to injection material
• secondary adhesive capsulitis
• systemic inflammatory ds including rheumatoid arthritis
• degenerative arthritis of shoulder joint
• infectious arthritis of shoulder joint
• dislocation of shoulder joint
• blood coagulation disease
• rotator cuff tear
• serious mental illness
• pregnancy
• fracture in shoulder lesion
• CVA