Shoulder adhesive capsulitis: manipulation and arthroscopic arthrolysis or intra-articular steroid injections?

Carli, Angelo De; Vadalà, Antonio; Perugia, Dario; Frate, Luciano; Iorio, Carlo; Fabbri, Mattia; Ferretti, Andrea

doi:10.1007/s00264-011-1330-7

Cited by 54 publications

(69 citation statements)

References 21 publications

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“…The most common cause of post-traumatic contracture is shortening of soft tissue, primarily inflammations, and later capsular thickening. Recently, the most dominant method used is arthroscopic capsular release, which improves shoulder mobility to a great extent and reduces pain [12,13]. Our results show it clearly.…”

Section: Discussionsupporting

confidence: 74%

Functional results and patient satisfaction after arthroscopic capsular release of idiopathic and post-traumatic stiff shoulder

Tršek¹,

Čičak²,

Žunac³

et al. 2014

International Orthopaedics (SICOT)

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Purpose The purpose of this prospective study was to compare the functional results and patient satisfaction after arthroscopic shoulder capsular release in patients with idiopathic and posttraumatic stiff shoulder. Methods The study included 50 patients who underwent arthroscopic capsular release after failure of conservative treatment. The etiology of stiffness was either idiopathic (25 patients) or post-traumatic (25 patients). There were 28 women and 22 men with an average age of 49 years (range, 32-70 years). All patients were treated with physical therapy for a mean of six months (range, 3-12 months) before surgery. Range of motion was measured three times: 48 hours after surgery, then one month and six months after surgery. Results Constant score showed improvement for both groups of patients in the period of six months after surgery. In the group with idiopathic stiffness the score increased from 36 to 86, while in the group with post-traumatic stiff shoulder the score advanced from 32 to 91. The idiopathic stiff shoulder group had an improved active forward flexion from 90 to 161°, external rotation from 10 to 40°, and internal rotation from L5 to L1. In the post-traumatic stiff shoulder groupthe forward flexion was improved from 95 to 170°, external rotation from 13 to 40°and internal rotation from L4 to L1. Conclusion There was an improvement of range of motions and patients' satisfaction after arthroscopic shoulder capsular release and manipulation under anesthesia, equally in idiopathic and post-traumatic stiff shoulder, compared to the situation before surgery. Post-traumatic contracture patients expressed higher level of satisfaction with their shoulder function than the idiopathic stiff shoulder patients.

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Section: Discussionsupporting

confidence: 74%

Functional results and patient satisfaction after arthroscopic capsular release of idiopathic and post-traumatic stiff shoulder

Tršek¹,

Čičak²,

Žunac³

et al. 2014

International Orthopaedics (SICOT)

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“…10,14,15 The analysis of the results of disease treatment through scales assessing range of motion and strength only provides researchers with a single-faceted view of the patient's health conditions. 9,16,17 However, the progress of research on QoL outcomes contributes to the perception of patients regarding their health and life by providing a validated subjective score of their symptoms, free from medical bias. 1,3,4,6,14 The main objective of this study was to assess QoL and FC in adhesive capsulitis patients using two assessment instruments, WHOQOL-BREF and DASH.…”

Section: Discussionmentioning

confidence: 99%

“…20 The DASH score confirms major functional disability caused by adhesive capsulitis in the affected shoulder as cited in the literature. 7,9,14 SSNB is one of the treatment options for adhesive capsulitis. 8,16 It was used alone in the present research, on a weekly basis, with no simultaneous physiotherapy or any other additional method.…”

Section: Discussionmentioning

confidence: 99%

“…8 Studies of adhesive capsulitis patients most often involve symptoms such as pain and range of motion scales to analyze treatment results. 9,10 QoL and FC simultaneous assessment is not included in these studies, so this paper may contribute to patients' perception of their health status and treatment efficacy.…”

mentioning

confidence: 99%

“…The impairment of everyday activities such as bathing, getting dressed and driving interferes significantly with an individual's QoL. 7 There are numerous treatments, including suprascapular nerve blocks (SSNB), [7][8][9] which is an effective and safe procedure in the treatment of chronic diseases affecting the shoulder. The suprascapular nerve is the most important sensory nerve in the shoulder and is susceptible to blocking with local anesthetics.…”

mentioning

confidence: 99%

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Patient-reported measures of quality of life and functional capacity in adhesive capsulitis

Fernandes

2017

Rev. Assoc. Med. Bras.

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Objective: To evaluate patient-reported measures of quality of life and functional capacity in adhesive capsulitis before and after suprascapular nerve block treatment; to analyze the influence of clinical and sociodemographic variables on both the outcome and correlation between the respective instruments. Method: A prospective clinical study was performed with adhesive capsulitis patients. Inclusion criteria were clinical diagnosis of adhesive capsulitis and a shoulder imaging test. The WHOQOL-BREF and DASH instruments were administered before and after treatment. A Constant test score of 55 points was used as a cutoff point for discontinuation of treatment. Mean values were compared using paired t-test and Wilcoxon. The Pearson or Spearman coefficients were used for correlation analysis. Multiple linear regression analysis was carried out using variables with p<0.20 as predictors in univariate analysis and WHOQOL domains and DASH as outcomes. The significance level was 5%. Results: Forty-three patients were evaluated. The comparison between WHOQOL-BREF and DASH mean values before and after the blocks, p<0.05. DASH correlated negatively with the physical, psychological and environmental WHOQOL-BREF domains. Older patients and those with higher levels of education influenced the improvement in patients' quality of life and functional capacity. Conclusion:The improvement of adhesive capsulitis with treatment involves an improvement in quality of life and functional capacity. The greater functional capacity of the shoulder matches a better quality of life for patients. Age and education level are the variables that most influence improvement in quality of life and functional capacity.

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Comparison of Treatments for Frozen Shoulder

et al. 2020

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Key Points Question Are any treatment modalities for frozen shoulder associated with better outcomes than other treatments? Findings In this meta-analysis of 65 studies with 4097 participants, intra-articular corticosteroid was associated with increased short-term benefits compared with other nonsurgical treatments, and its superiority appeared to last for as long as 6 months. The addition of a home exercise program and/or electrotherapy or passive mobilizations may be associated with added benefits. Meaning The results of this study suggest that intra-articular corticosteroid should be offered to patients with frozen shoulder at first contact.

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Shoulder adhesive capsulitis: manipulation and arthroscopic arthrolysis or intra-articular steroid injections?

Cited by 54 publications

References 21 publications

Functional results and patient satisfaction after arthroscopic capsular release of idiopathic and post-traumatic stiff shoulder

Functional results and patient satisfaction after arthroscopic capsular release of idiopathic and post-traumatic stiff shoulder

Patient-reported measures of quality of life and functional capacity in adhesive capsulitis

Comparison of Treatments for Frozen Shoulder

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