Ultrasound-guided hydrodilatation for adhesive capsulitis of the shoulder: A case series
Adhesive capsulitis (AC) is a painful and debilitating condition of the glenohumeral joint and has been described as self-limiting. However, recent reports suggest that up to 40% of patients report persistent symptoms, therefore intervention strategies are needed to improve function and quality of l...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2022-12-01
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| Series: | Journal of Orthopaedics, Trauma and Rehabilitation |
| Online Access: | https://doi.org/10.1177/2210491720963285 |
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| author | Adam Ainen Manoj Sivan |
| author_facet | Adam Ainen Manoj Sivan |
| author_sort | Adam Ainen |
| collection | DOAJ |
| description | Adhesive capsulitis (AC) is a painful and debilitating condition of the glenohumeral joint and has been described as self-limiting. However, recent reports suggest that up to 40% of patients report persistent symptoms, therefore intervention strategies are needed to improve function and quality of life. One such intervention is the hydrodilatation of the glenohumeral joint with a high-volume injection, comprising of local anaesthetic, corticosteroid and normal saline, making a total volume of up to 40 ml. This service evaluation assessed the outcomes in 28 patients (23 females and 5 males; mean age 54.29 years) with AC who underwent ultrasound-guided (USG) hydrodilatation in a clinical outpatient setting. There was a statistically significant improvement in pain and all shoulder movements (all changes p value < 0.01). No adverse effects were encountered. Therefore, the USG glenohumeral joint hydrodilatation procedure in a clinical outpatient setting is a safe and effective intervention for AC. |
| format | Article |
| id | doaj-art-e4f0cb075c4b4f5c881942f5239ecd27 |
| institution | DOAJ |
| issn | 2210-4925 |
| language | English |
| publishDate | 2022-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedics, Trauma and Rehabilitation |
| spelling | doaj-art-e4f0cb075c4b4f5c881942f5239ecd272025-08-20T02:57:55ZengSAGE PublishingJournal of Orthopaedics, Trauma and Rehabilitation2210-49252022-12-012910.1177/2210491720963285Ultrasound-guided hydrodilatation for adhesive capsulitis of the shoulder: A case seriesAdam Ainen0Manoj Sivan1 Faculty of Biological Sciences, , UK Musculoskeletal Service, Leeds Community Healthcare NHS Trust, UKAdhesive capsulitis (AC) is a painful and debilitating condition of the glenohumeral joint and has been described as self-limiting. However, recent reports suggest that up to 40% of patients report persistent symptoms, therefore intervention strategies are needed to improve function and quality of life. One such intervention is the hydrodilatation of the glenohumeral joint with a high-volume injection, comprising of local anaesthetic, corticosteroid and normal saline, making a total volume of up to 40 ml. This service evaluation assessed the outcomes in 28 patients (23 females and 5 males; mean age 54.29 years) with AC who underwent ultrasound-guided (USG) hydrodilatation in a clinical outpatient setting. There was a statistically significant improvement in pain and all shoulder movements (all changes p value < 0.01). No adverse effects were encountered. Therefore, the USG glenohumeral joint hydrodilatation procedure in a clinical outpatient setting is a safe and effective intervention for AC.https://doi.org/10.1177/2210491720963285 |
| spellingShingle | Adam Ainen Manoj Sivan Ultrasound-guided hydrodilatation for adhesive capsulitis of the shoulder: A case series Journal of Orthopaedics, Trauma and Rehabilitation |
| title | Ultrasound-guided hydrodilatation for adhesive capsulitis of the shoulder: A case series |
| title_full | Ultrasound-guided hydrodilatation for adhesive capsulitis of the shoulder: A case series |
| title_fullStr | Ultrasound-guided hydrodilatation for adhesive capsulitis of the shoulder: A case series |
| title_full_unstemmed | Ultrasound-guided hydrodilatation for adhesive capsulitis of the shoulder: A case series |
| title_short | Ultrasound-guided hydrodilatation for adhesive capsulitis of the shoulder: A case series |
| title_sort | ultrasound guided hydrodilatation for adhesive capsulitis of the shoulder a case series |
| url | https://doi.org/10.1177/2210491720963285 |
| work_keys_str_mv | AT adamainen ultrasoundguidedhydrodilatationforadhesivecapsulitisoftheshoulderacaseseries AT manojsivan ultrasoundguidedhydrodilatationforadhesivecapsulitisoftheshoulderacaseseries |