Authors : Krishna Subramanyam, Krishna Subramanyam, Sameer Chaitanya Sahini, Sameer Chaitanya Sahini, Satish Kumar, Satish Kumar, Prasad Raju Ampajwalam, Prasad Raju Ampajwalam
DOI : 10.18231/j.ijor.2019.009
Volume : 5
Issue : 2
Year : 2019
Page No : 35-41
Purpose: The purpose of this study is to assess the role of distension hydrodilatation and viscosupplementation of the glenohumeral joint in the management of frozen shoulder.
Materials and Methods: A total of 50 Patients suffering with frozen shoulder presented to Yashoda hospital, malakpet, Hyderabad. All patients were treated by distension hydrodilatation and viscosupplementation under fluoroscopy (C-ARM) guidance as a day care procedure. The study period was from August 2018 to February 2019. All the patients were followed-up for a minimum period of 6months to maximum 1 year. The mean age of the study group was 45.86 years.
Results: All cases were assessed by oxford shoulder score (OSS) and visual analogue score (VAS) pre-procedure and post-procedure. All the patients regained near normal to normal shoulder movements in all directions by the end of 3rd week. Complete pain relief was seen by 2 weeks following the procedure. There was decrease in Oxford Shoulder Score (OSS) by mean of 18.22 (pre-procedure was 31.34 and post-procedure was 13.12), Visual Analogue Scale (VAS) mean was also decreased from 8.42 to 1.14. 43 of 50 patients obtained full free range of movements. Remaining 7 patients had restriction of terminal rotational movements, 3 of 7 patients had restriction of 100 of external rotation, 4 of 7 had restriction of 100 of internal rotation.
Conclusion: Distension hydrodilatation and viscosupplementation is a definitive treatment modality in patients with frozen shoulder. It results in significant and sustained relief of pain and also results in regaining of full range of shoulder movements.
Keywords: Frozen shoulder, Distension hydrodilatation, Viscosupplementation.