Shoulder adhesive capsulitis: epidemiology and predictors of surgery

Kingston, Kiera A; Curry, Emily J.; Galvin, Joseph W.; Li, Xinning

doi:10.1016/j.jse.2018.04.004

Cited by 106 publications

(96 citation statements)

References 17 publications

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“…However, limited information exists regarding its impact on satisfaction and outcomes. 33 Our study did not find a notable relationship regarding the type of medical insurance. This could be due to the nature of the specific disorder evaluated in this study, which could result differently in other chronic or elective disorders.…”

Section: Discussioncontrasting

confidence: 66%

Socioeconomic Factors Influencing Self-reported Outcomes After Posterior Wall Fractures of the Acetabulum: Lessons Learned From a Hispanic Population

et al. 2020

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Introduction: Demographic and socioeconomic factors are important determinants that may affect patient self-reported outcomes after acetabular fracture surgery. Hispanics, as a minority group, have an increased tendency to suffer demographic and socioeconomic disparities. At the present time, there is scant information regarding their role among Hispanic patients with acetabular fractures. The aim of this study was to investigate whether demographic or socioeconomic factors would affect satisfaction and self-reported functional outcomes in Hispanic patients who endured open reduction and internal fixation (ORIF) of posterior wall fractures of the acetabulum. Methods: A cross-sectional study of 78 patients with posterior wall fracture of the acetabulum treated with ORIF from 2011 to 2017 was performed. Data from demographics (age, sex, and body mass index [BMI]) and socioeconomic factors (household income, highest educational level achieved, employment status, type of medical insurance, workers' compensation involvement, and injury-related litigation process) were obtained and compared with the Short Musculoskeletal Form Assessment-46 (SMFA-46) questionnaire using a multivariable logistic regression analysis. Results: Unemployment was the most significant variable associated with dissatisfaction among 15 of the 46 responses of the SMFA-46 ( P < 0.048). Patients who had an overweight or obese BMI and had an age of 41 years or older exhibited significantly worse outcomes in 7 of the 46 questions ( P < 0.049). Finally, women were less likely to be satisfied in 1 of the 46 questions ( P = 0.028). No notable difference was observed in any of the SMFA-46 responses regarding insurance plan, educational level, workers' compensation involvement, and injury-related litigation process. Discussion: A strong association exists between dissatisfaction after ORIF of posterior wall fractures of the acetabulum and employment status, BMI, and age among the Hispanic population. Addressing socioeconomic factors can be critical to overcome dissatisfaction and improve functional status among Hispanic patients with acetabular fractures.

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Section: Discussioncontrasting

confidence: 66%

Socioeconomic Factors Influencing Self-reported Outcomes After Posterior Wall Fractures of the Acetabulum: Lessons Learned From a Hispanic Population

et al. 2020

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“…Furthermore, they found that obesity was 1.26 times more common among patients with ACoS than among controls. Kingston et al concluded that obesity is significantly associated with ACoS and should be considered as a modifiable risk factor [16]. In the present study, the prevalence of obesity was significantly higher in the case group than in the control group (Table 1).…”

Section: Discussionsupporting

confidence: 47%

Risk of Herpes Zoster in Patients with Adhesive Capsulitis of the Shoulder

Hsu

Lin

et al. 2020

IJERPH

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Background: Physical diseases, such as infection, and emotional distress are associated with herpes zoster (HZ). However, the relationship between adhesive capsulitis of the shoulder (ACoS) and HZ remains unknown. Objective: This study investigated the risk of HZ development in patients with ACoS. Methods: We analyzed the Longitudinal Health Insurance Database, a subset of 1 million beneficiaries from the National Health Insurance Research Database. Patients newly diagnosed with ACoS during the 2000–2012 period were the case group. Each patient with ACoS was matched to a control, according to age and index year, through frequency matching. HZ was the primary event in this study. Results: A total of 60,478 patients were included and each group contained 30,239 patients. The risk of HZ infection in the case cohort was 1.28 times that of the control cohort. ACoS increased the risk of HZ infection in each age group, particularly among patients aged younger than 50 [adjusted hazard ratio (aHR) = 1.52, 95% confidence interval (CI): 1.31–1.75]. Relative to the control group, the hazard ratio of HZ for male patients (aHR = 1.40, 95% CI: 1.26–1.55) in the case group was higher than that for female patients (aHR = 1.22, 95% CI: 1.13–1.32). Conclusion: Patients with ACoS have a higher risk of HZ development, particularly among those aged younger than 50 years. The effect of ACoS on HZ development among young adults requires attention.

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“…Furthermore, adhesive capsulitis more commonly affects the nondominant than the dominant shoulder. 4,5 Once the diagnosis of adhesive capsulitis is correctly made (which can be difficult at times), initial treatment commonly involves a course of physical therapy (PT) focusing on gentle, progressive stretching with or without a glenohumeral corticosteroid injection. 6 Supplemental treatments to physical therapy are numerous and include corticosteroid injections, antiinflammatory medications, hydrodilation, and capsular release with manipulation under anesthesia.…”

mentioning

confidence: 99%

Adhesive Capsulitis: Demographics and Predictive Factors for Success Following Steroid Injections and Surgical Intervention

Erickson

Shishani

Bishop

et al. 2019

Arthroscopy, Sports Medicine, and Rehabilitation

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Purpose: Examine demographic factors of all patients treated for adhesive capsulitis by a single surgeon, report the treatments and outcomes of these patients, and determine the effectiveness of various treatments, including corticosteroid injections and operative intervention in relation to risk factors for adhesive capsulitis. Methods: All patients treated for adhesive capsulitis by a single surgeon between 2008 to 2014 with minimum 2 years' follow-up were identified via charts and operative reports and were eligible for inclusion. Demographic information including sex and medical comorbidities was documented. Preintervention and postintervention shoulder range of motion was recorded. Specific treatment information (number of corticosteroid injections, etc) was collected. Treatment outcomes were then compared as an aggregate and among varying comorbidities. Results: Overall, 1377 patients were treated for adhesive capsulitis (946 women vs 431 men [P ¼ .001]). For patients with adhesive capsulitis: a higher percentage of men than women had diabetes (24.8% vs 17.3% [P ¼ .001]); nondiabetic patients had better forward flexion at initial presentation than patients with diabetes (114 vs 108 [P ¼ .015]); more patients with diabetes required capsular release than nondiabetic patients (13% vs 7.3% [P ¼ .003]); more nondiabetic patients resolved adhesive capsulitis without corticosteroid or surgical intervention than patients with diabetes (83.6% vs 61.7% [P ¼ .001]); more nondiabetic patients resolved adhesive capsulitis after single corticosteroid injection than did patients with diabetes (95.9% vs 86.7% [P ¼ .001]). Multiple intraarticular corticosteroid injections provided no added benefit over a single injection in resolving adhesive capsulitis in patients with diabetes and nondiabetic patients. Conclusion: In shoulder adhesive capsulitis, women and patients with diabetes are more commonly affected, patients with diabetes respond less favorably to physical therapy in isolation and physical therapy plus corticosteroid injections than nondiabetic patients. No benefit from multiple intraarticular corticosteroid injections was seen compared with a single intraarticular corticosteroid injection in patients with diabetes and nondiabetic patients. Patients with diabetes and nondiabetic patients have functional improvement after capsular release and manipulation if conservative treatment for adhesive capsulitis fails. Level of Evidence: III, case control.

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Shoulder adhesive capsulitis: epidemiology and predictors of surgery

Cited by 106 publications

References 17 publications

Socioeconomic Factors Influencing Self-reported Outcomes After Posterior Wall Fractures of the Acetabulum: Lessons Learned From a Hispanic Population

Socioeconomic Factors Influencing Self-reported Outcomes After Posterior Wall Fractures of the Acetabulum: Lessons Learned From a Hispanic Population

Risk of Herpes Zoster in Patients with Adhesive Capsulitis of the Shoulder

Adhesive Capsulitis: Demographics and Predictive Factors for Success Following Steroid Injections and Surgical Intervention

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