[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100622166":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":36,"centralContacts":37,"locations":47,"responsibleParty":67,"collaborators":36,"id":71,"slug":36,"hasResults":72,"nctId":73,"briefTitle":74,"officialTitle":75,"acronym":76,"eligibilityCriteria":77,"healthyVolunteers":72,"sex":78,"minAge":79,"maxAge":36,"enrollmentInfo":80,"targetDuration":36,"studyType":83,"phases":84,"briefSummary":86,"conditions":87,"keywords":94,"overallStatus":101,"whyStopped":36,"lastUpdateSubmitDate":102,"lastUpdatePostDateStruct":103,"startDateStruct":106,"completionDateStruct":108,"leadSponsor":110,"locationsCount":111},{"fullName":5,"class":6},"Universidade do Porto","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Hydrodistension Alone","ACTIVE_COMPARATOR","Participants assigned to this arm will undergo standard ultrasound-guided shoulder hydrodistension without any prior nerve block. The procedure consists of an anterior intra-articular injection of 20 mL of normal saline, 4 mL of ropivacaine, and 40 mg of methylprednisolone. This intervention represents the current standard treatment for adhesive capsulitis.",[13],"Procedure: Shoulder Hydrodistention",{"label":15,"type":16,"description":17,"interventionNames":18},"Suprascapular Nerve Block Followed by Shoulder Hydrodistension","EXPERIMENTAL","Participants in this arm will receive an ultrasound-guided suprascapular nerve block immediately before the hydrodistension procedure. The nerve block is performed at the suprascapular notch using 2 mL of ropivacaine. After the block, participants undergo standard anterior shoulder hydrodistension consisting of an intra-articular injection of 20 mL of normal saline, 4 mL of ropivacaine, and 40 mg of methylprednisolone. This combined approach is intended to improve procedural tolerance and potentially enhance clinical outcomes in adhesive capsulitis.",[13,19],"Procedure: suprascapular nerve block",[21,29],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"PROCEDURE","Shoulder Hydrodistention","Shoulder hydrodistension is performed using an anterior intra-articular approach. The procedure consists of an injection of 20 mL of normal saline, 4 mL of ropivacaine, and 40 mg of methylprednisolone into the glenohumeral joint, with the aim of capsular distension, pain reduction, and improvement of shoulder mobility.",[9,15],[27,28],"Hydrodilation","Glenohumeral Hydrodistension",{"type":22,"name":30,"description":31,"armGroupLabels":32,"otherNames":33},"suprascapular nerve block","The suprascapular nerve block is performed under ultrasound guidance at the suprascapular notch using an injection of 2 mL of ropivacaine. The block is administered immediately before shoulder hydrodistension with the aim of reducing procedural pain and improving patient tolerance.",[15],[34,35],"Suprascapular Block","SSNB",null,[38,43],{"name":39,"role":40,"phone":41,"phoneExt":36,"email":42},"Joao Manuel Rocha-Neves,, MD, MSc, MPH, PhD, MBA, FEBVS","CONTACT","910486230","joaorochaneves@hotmail.com",{"name":44,"role":40,"phone":45,"phoneExt":36,"email":46},"Joao Paulo Castro,, MD, MSc","+351914278223","joaofc22@hotmail.com",[48],{"facility":49,"status":36,"city":50,"state":51,"zip":52,"country":53,"countryCode":54,"cosmosGeoPoint":55,"geoPoint":60,"contacts":61},"Unidade Local de Saude São João, EPE","Porto","Porto District","4200-319","Portugal","PT",{"type":56,"coordinates":57},"Point",[58,59],-8.61097,41.1485,{"lat":59,"lon":58},[62,65],{"name":63,"role":40,"phone":64,"phoneExt":36,"email":46},"Joao Ferreira Castro, MD, MSc","914278223",{"name":66,"role":40,"phone":41,"phoneExt":36,"email":42},"Joao Manuel Rocha-Neves, MD, MSc, MPH, PhD, MBA, FEBVS",{"type":68,"investigatorFullName":69,"investigatorTitle":70,"investigatorAffiliation":5,"oldNameTitle":36,"oldOrganization":36},"PRINCIPAL_INVESTIGATOR","João Rocha Neves","MD, MSc, MPH, PhD, MBA, FEBVS","100622166",false,"NCT07380087","Suprascapular Nerve Block to Improve Tolerance and Outcomes of Shoulder Hydrodistension in Adhesive Capsulitis","Efficacy of Suprascapular Nerve Block on the Tolerability and Effectiveness of Shoulder Hydrodistension in Patients With Adhesive Capsulitis: A Randomized Clinical Trial","SHINE","Inclusion Criteria\n\n* Adults aged 18 years or older\n* Clinical diagnosis of adhesive capsulitis of the shoulder\n* Persistent pain and functional limitation despite initial conservative treatment\n* Ability to understand study procedures\n* Ability to provide written informed consent\n\nExclusion Criteria\n\n* Known allergy or hypersensitivity to ropivacaine or methylprednisolone\n* Active infection (local or systemic)\n* Uncontrolled coagulopathy or ongoing therapeutic anticoagulation\n* Recent surgery of the affected shoulder\n* Neurological disease affecting the upper limb\n* Pregnancy","ALL","18 Years",{"count":81,"type":82},50,"ESTIMATED","INTERVENTIONAL",[85],"NA","Adhesive capsulitis (\"frozen shoulder\") causes significant pain and loss of shoulder mobility. Shoulder hydrodistension is an established treatment that can improve movement and reduce symptoms, but the procedure itself may be painful and difficult for some patients to tolerate.\n\nThis randomized clinical trial will evaluate whether performing a suprascapular nerve block with local anesthetic immediately before hydrodistension can reduce pain during the procedure, improve patient comfort, and potentially enhance clinical outcomes.\n\nParticipants will be randomly assigned to one of two groups:\n\nhydrodistension alone, or\n\nsuprascapular nerve block followed by hydrodistension.\n\nPain, shoulder mobility, functional ability, psychological measures, and quality of life will be assessed at baseline, 1 month, and 3 months after the procedure. The study aims to determine whether adding a suprascapular nerve block provides better tolerability and improved recovery for patients with adhesive capsulitis.",[88,89,90,91,92,93],"Adhesive Capsulitis","Adhesive Capsulitis of Unspecified Shoulder","Adhesive Capsulitis, Shoulder","Frozen Shoulder","Shoulder Pain","Shoulder Stiffness",[95,96,92,97,98,99,100],"Shoulder Hydrodistension","Suprascapular Nerve Block","Shoulder Mobility","Randomized Clinical Trial","Pain Management","Rehabilitation","NOT_YET_RECRUITING","2026-01-26",{"date":104,"type":105},"2026-02-02","ACTUAL",{"date":107,"type":82},"2026-03-01",{"date":109,"type":82},"2028-07-31",{"name":5,"class":6},1]