Hydrodilatation With Corticosteroid for the Treatment of Adhesive Capsulitis: A Systematic Review

Catapano, Michael; Mittal, Nimish; Adamich, John; Kumbhare, Dinesh; Sangha, Harpreet

doi:10.1016/j.pmrj.2017.10.013

Cited by 31 publications

(36 citation statements)

References 38 publications

(83 reference statements)

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“…These findings resonate with its growing popularity and usage in clinical practice, 31 in spite of a lack of sufficient evidence on efficacy and safety. 32 33 …”

Section: Discussionmentioning

confidence: 99%

Experiences and perceptions of trial participants and healthcare professionals in the UK Frozen Shoulder Trial (UK FROST): a nested qualitative study

et al. 2021

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ObjectivesTo explore the experiences and perceptions of trial participants and healthcare professionals in the UK Frozen Shoulder Trial (UK FROST), a multicentre randomised controlled trial that compared manipulation under anaesthesia (MUA), arthroscopic capsular release (ACR) with a 12-week early structured physiotherapy programme (ESP) in people with unilateral frozen shoulder referred to secondary care.DesignNested qualitative study with semistructured interviews. We used constant comparison method to develop our themes.SettingThis qualitative study was nested within the UK FROST.Participants44 trial participants (ESP: 14; MUA: 15; ACR: 15), and 8 surgeons and 8 physiotherapists who delivered the treatments in the trial.ResultsTrial participants found UK FROST treatments acceptable and satisfactory in terms of content, delivery and treatment benefits. Participants in all arms experienced improvements in pain, shoulder movements, and function. Participants said they would choose the same treatment that they received in the trial.Surgeons and physiotherapists felt that the content and delivery of UK FROST treatments was not significantly different to their routine practice except for the additional number of physiotherapy sessions offered in the trial. They had mixed feelings about the effectiveness of UK FROST treatments. Both stressed the value of including hydrodilatation as a comparator of other treatment options. Physiotherapists raised concerns about the capacity to deliver the number of UK FROST physiotherapy sessions in routine clinical settings.Shared perceptions of trial participants, surgeons and physiotherapists were: (1) Pain relief and return of shoulder movements and function are important outcomes and (2) Adherence to exercises leads to better outcomes.ConclusionIn general, our findings indicated that trial participants, and surgeons and physiotherapists who delivered the treatments had positive experiences and perceptions in the UK FROST. Early qualitative investigations to explore the feasibility of delivering treatments in real-world settings are suggested in future trials in the frozen shoulder.Trial registration numberInternational Standard Randomised Controlled Trial Register, ID: ISRCTN48804508. Registered on 25 July 2014; Results

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“…These findings resonate with its growing popularity and usage in clinical practice, 31 in spite of a lack of sufficient evidence on efficacy and safety. 32 33 …”

Section: Discussionmentioning

confidence: 99%

Experiences and perceptions of trial participants and healthcare professionals in the UK Frozen Shoulder Trial (UK FROST): a nested qualitative study

et al. 2021

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“…Incorporating hydraulic distension with steroids could improve the effectiveness of intraarticular steroid injection in the treatment of the adhesive capsulitis [37]. The reported adverse effects of hydraulic distension are afterpains, loss of sensation and motor control in the affected arm, flushing, nausea, dizziness, and syncope [38,39]. These were rated as mild and brief, with complete spontaneous resolution [38].…”

Section: Current Trends In Hydraulic Distension 1 Therapeutic Mechanmentioning

confidence: 99%

“…The reported adverse effects of hydraulic distension are afterpains, loss of sensation and motor control in the affected arm, flushing, nausea, dizziness, and syncope [38,39]. These were rated as mild and brief, with complete spontaneous resolution [38]. Another important point is that the clinicians need to be concerned with an adverse effect like glenohumeral joint infection [40].…”

Section: Current Trends In Hydraulic Distension 1 Therapeutic Mechanmentioning

confidence: 99%

Updates on the treatment of adhesive capsulitis with hydraulic distension

Cho

2021

Yeungnam Univ J Med

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Adhesive capsulitis of the shoulder joint is a common disease characterized by pain at the insertional area of the deltoid muscle and decreased range of motion. The pathophysiological process involves fibrous inflammation of the capsule and intraarticular adhesion of synovial folds leading to capsular thickening and contracture. Regarding the multidirectional limitation of motion, a limitation in external rotation is especially prominent, which is related to not only global fibrosis but also to a localized tightness of the anterior capsule. Ultrasound and magnetic resonance imaging studies can be applied to rule out other structural lesions in the diagnosis of adhesive capsulitis. Hydraulic distension of the shoulder joint capsule provides pain relief and an immediate improvement in range of motion by directly expanding the capsule along with the infusion of steroids. However, the optimal technique for hydraulic distension is still a matter of controversy, with regards to the infusion volume and rupture of the capsule. By monitoring the real-time pressure-volume profile during hydraulic distension, the largest possible fluid volume can be infused without rupturing the capsule. The improvement in clinical outcomes is shown to be greater in capsule-preserved hydraulic distension than in capsule-ruptured distension. Moreover, repeated distension is possible, which provides additional clinical improvement. Capsule-preserved hydraulic distension with maximal volume is suggested to be an efficacious treatment option for persistent adhesive capsulitis.

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“…In a large systematic review done by Catapano et al which included 2276 studies, the authors conclude that hydrodilatation combined with corticosteroid injection possibly expedites recovery of pain-free range of motion and that the greatest benefit is in the first three months 24 . Noted by authors is the limitation of current studies which include small sample size, variation in injection techniques, and differing imaging guidance.…”

Section: Capsular Hydrodilatationmentioning

confidence: 99%

Current non-operative treatments for adhesive capsulitis: A Review

Chhatlani¹,

Oberle²,

Tekmyster³

2020

JRPMS

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This study aims to determine the best available non-operative approach for adhesive capsulitis and to create a guided treatment plan based on the research and evidence. An electronic search of multiple databases including PubMed, Cochrane Library, Wiley Online Library, Google Scholar, and Ovid Medline was completed. Search terms included “adhesive capsulitis”, “frozen shoulder”, “adhesive capsulitis treatments”, and “frozen shoulder treatments”. Exclusion criteria included articles that were published before the year 1984 and non-peer reviewed articles. Seventy-four articles were retrieved from the original search, and of those forty-nine articles were included and twenty-five were excluded. In the available research and literature, there is no clear consensus of one non-operative approach against the other. There is however clear evidence that intra-articular corticosteroid injections provide pain relief in the short term. There may be a role for the other non-operative interventions in the treatment for adhesive capsulitis but the current evidence does not support them being implemented as standalone treatment options. In order to determine the best available non-operative approach for adhesive capsulitis there is a need for higher quality randomized controlled trials moving forward. The available literature has limitations that would restrict one to formulate a consensus on a guided treatment plan.

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Hydrodilatation With Corticosteroid for the Treatment of Adhesive Capsulitis: A Systematic Review

Abstract: II.

Cited by 31 publications

References 38 publications

Experiences and perceptions of trial participants and healthcare professionals in the UK Frozen Shoulder Trial (UK FROST): a nested qualitative study

Experiences and perceptions of trial participants and healthcare professionals in the UK Frozen Shoulder Trial (UK FROST): a nested qualitative study

Updates on the treatment of adhesive capsulitis with hydraulic distension

Current non-operative treatments for adhesive capsulitis: A Review

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