TREATMENT OF ADHESIVE CAPSULITIS WITH THE TRIPLE PROCEDURE: INTRA-ARTICULAR INJECTION WITH CORTICOSTEROIDS, HYDRODILATION AND SHOULDER MANIPULATION UNDER SEDATION
ABSTRACT Objective: There are several conservative treatment options for adhesive capsulitis (AC), but no previous study combines hydrodilation, corticosteroid injection and joint manipulation under sedation (triple procedure), followed by daily home exercises. Methods: Patients included were evalu...
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Sociedade Brasileira de Ortopedia e Traumatologia
2025-01-01
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| Series: | Acta Ortopédica Brasileira |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522024000601401&lng=en&tlng=en |
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| author | Mauro Emilio Conforto Gracitelli Jorge Henrique Assunção Micael de Mesquita Paiva Fernando Brandão de Andrade e Silva Arnaldo Amado Ferreira Neto Eduardo Angeli Malavolta |
| author_facet | Mauro Emilio Conforto Gracitelli Jorge Henrique Assunção Micael de Mesquita Paiva Fernando Brandão de Andrade e Silva Arnaldo Amado Ferreira Neto Eduardo Angeli Malavolta |
| author_sort | Mauro Emilio Conforto Gracitelli |
| collection | DOAJ |
| description | ABSTRACT Objective: There are several conservative treatment options for adhesive capsulitis (AC), but no previous study combines hydrodilation, corticosteroid injection and joint manipulation under sedation (triple procedure), followed by daily home exercises. Methods: Patients included were evaluated before the procedure, at 30 days, 3, 6 and 12 months after treatment in prospective cohort. The outcomes used were the ASES, UCLA, SANE, VAS scales and passive range of motion (ROM). Results: 65 shoulders of 63 patients were included. The mean ASES score progressed from 37.7 ± 17.9 to 94.1 ± 10.3 at 12 months after the procedure (p < 0.001). The mean UCLA went from 15.9 ± 5 to 33.2 ± 2.8 and SANE from 50.4 ± 18.3 to 94.3±9.0. At 12 months, the passive elevation improved from 114°±24° to 176° ± 6°, external rotation in neutral from 29° ± 17° to 72° ± 11° and internal rotation in neutral from 18.6 ± 3.6 points to 9.4 ± 2.4 points. No patient presented a fracture after manipulation. Conclusions: Treatment with the triple procedure resulted in a statistically and clinically relevant improvement in functional results and gains in shoulder range of motion, with no reports of complications. Level of evidence IV, Prospective study. |
| format | Article |
| id | doaj-art-aa99b467a4a64aca94c9522115f9f8c9 |
| institution | Kabale University |
| issn | 1413-7852 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Acta Ortopédica Brasileira |
| spelling | doaj-art-aa99b467a4a64aca94c9522115f9f8c92025-01-21T07:35:07ZengSociedade Brasileira de Ortopedia e TraumatologiaActa Ortopédica Brasileira1413-78522025-01-0132610.1590/1413-785220243206e281046TREATMENT OF ADHESIVE CAPSULITIS WITH THE TRIPLE PROCEDURE: INTRA-ARTICULAR INJECTION WITH CORTICOSTEROIDS, HYDRODILATION AND SHOULDER MANIPULATION UNDER SEDATIONMauro Emilio Conforto Gracitellihttps://orcid.org/0000-0002-0214-9576Jorge Henrique Assunçãohttps://orcid.org/0000-0002-2566-3471Micael de Mesquita Paivahttps://orcid.org/0000-0002-9675-2412Fernando Brandão de Andrade e Silvahttps://orcid.org/0000-0003-3025-1719Arnaldo Amado Ferreira Netohttps://orcid.org/0000-0001-5097-9542Eduardo Angeli Malavoltahttps://orcid.org/0000-0003-1956-6445ABSTRACT Objective: There are several conservative treatment options for adhesive capsulitis (AC), but no previous study combines hydrodilation, corticosteroid injection and joint manipulation under sedation (triple procedure), followed by daily home exercises. Methods: Patients included were evaluated before the procedure, at 30 days, 3, 6 and 12 months after treatment in prospective cohort. The outcomes used were the ASES, UCLA, SANE, VAS scales and passive range of motion (ROM). Results: 65 shoulders of 63 patients were included. The mean ASES score progressed from 37.7 ± 17.9 to 94.1 ± 10.3 at 12 months after the procedure (p < 0.001). The mean UCLA went from 15.9 ± 5 to 33.2 ± 2.8 and SANE from 50.4 ± 18.3 to 94.3±9.0. At 12 months, the passive elevation improved from 114°±24° to 176° ± 6°, external rotation in neutral from 29° ± 17° to 72° ± 11° and internal rotation in neutral from 18.6 ± 3.6 points to 9.4 ± 2.4 points. No patient presented a fracture after manipulation. Conclusions: Treatment with the triple procedure resulted in a statistically and clinically relevant improvement in functional results and gains in shoulder range of motion, with no reports of complications. Level of evidence IV, Prospective study.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522024000601401&lng=en&tlng=enFrozen ShoulderAdhesive Capsulitis of the ShoulderManipulationIntra Articular Injection |
| spellingShingle | Mauro Emilio Conforto Gracitelli Jorge Henrique Assunção Micael de Mesquita Paiva Fernando Brandão de Andrade e Silva Arnaldo Amado Ferreira Neto Eduardo Angeli Malavolta TREATMENT OF ADHESIVE CAPSULITIS WITH THE TRIPLE PROCEDURE: INTRA-ARTICULAR INJECTION WITH CORTICOSTEROIDS, HYDRODILATION AND SHOULDER MANIPULATION UNDER SEDATION Acta Ortopédica Brasileira Frozen Shoulder Adhesive Capsulitis of the Shoulder Manipulation Intra Articular Injection |
| title | TREATMENT OF ADHESIVE CAPSULITIS WITH THE TRIPLE PROCEDURE: INTRA-ARTICULAR INJECTION WITH CORTICOSTEROIDS, HYDRODILATION AND SHOULDER MANIPULATION UNDER SEDATION |
| title_full | TREATMENT OF ADHESIVE CAPSULITIS WITH THE TRIPLE PROCEDURE: INTRA-ARTICULAR INJECTION WITH CORTICOSTEROIDS, HYDRODILATION AND SHOULDER MANIPULATION UNDER SEDATION |
| title_fullStr | TREATMENT OF ADHESIVE CAPSULITIS WITH THE TRIPLE PROCEDURE: INTRA-ARTICULAR INJECTION WITH CORTICOSTEROIDS, HYDRODILATION AND SHOULDER MANIPULATION UNDER SEDATION |
| title_full_unstemmed | TREATMENT OF ADHESIVE CAPSULITIS WITH THE TRIPLE PROCEDURE: INTRA-ARTICULAR INJECTION WITH CORTICOSTEROIDS, HYDRODILATION AND SHOULDER MANIPULATION UNDER SEDATION |
| title_short | TREATMENT OF ADHESIVE CAPSULITIS WITH THE TRIPLE PROCEDURE: INTRA-ARTICULAR INJECTION WITH CORTICOSTEROIDS, HYDRODILATION AND SHOULDER MANIPULATION UNDER SEDATION |
| title_sort | treatment of adhesive capsulitis with the triple procedure intra articular injection with corticosteroids hydrodilation and shoulder manipulation under sedation |
| topic | Frozen Shoulder Adhesive Capsulitis of the Shoulder Manipulation Intra Articular Injection |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522024000601401&lng=en&tlng=en |
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