A STUDY OF FUNCTIONAL OUTCOME OF FROZEN SHOULDER TREATMENT BY ARTHROGRAPHIC HYDRODILATATION AND INTRAARTICULAR STEROID INJECTION
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 47
Abstract
BACKGROUND There is a wide variety of treatment modalities available for the self-limiting disease of the frozen shoulder. But, there is no definite evidence of superiority available one over the other. This study was planned to evaluate the functional outcome of combined hydraulic capsular distension by normal saline and intraarticular steroid injection followed by physiotherapy for treatment of frozen shoulder. MATERIALS AND METHODS 64 patients between age group of 45 to 70 years, that attended our Orthopaedic Department OPD for primary frozen shoulder between January 2012 to December 2016 were included in this study. They were divided into 2 groups. First group of patients (32) were treated with combined intracapsular distension of shoulder using normal saline and intraarticular steroid injection under local anaesthesia followed by physiotherapy. Three doses were given at interval of 2 weeks. Second group (32 pts.) were treated by analgesics and physiotherapy only. The patients were assessed at baseline, second week, sixth week, twelfth week and sixth months. All the patients were evaluated for functional improvement by measuring the range of active movement of shoulder. RESULTS Patients treated with arthrographic hydrodilatation and intraarticular steroid injection have significantly better functional outcome in second week of injection as evaluated by active range of movement of shoulder. CONCLUSION From this study, we concluded that arthrographic hydrodilatation by normal saline combined with intraarticular steroid injection under local anaesthesia followed by physiotherapy provided dramatic pain relief and improved shoulder movement as early as second week.
Authors and Affiliations
Basanta Kumar Behera, Nirmal Chandra Mohapatra
Keywords
Related Articles
- EP ID EP220031
- DOI 10.18410/jebmh/2017/572
- Views 124
- Downloads 0
EVALUATION OF DIFFERENT MODES OF DIAGNOSIS OF FOETAL DISTRESS AND EARLY PERINATAL OUTCOME IN A TERTIARY CARE CENTRE, SOUTH KERALA
BACKGROUND The most common indication of caesarean section has been foetal distress for the past few decades. Foetal distress indicates foetal hypoxia and acidosis during intrauterine life. The objective of this study wa...
WHAT HAPPENS TO INTRAOCULAR PRESSURE AFTER PERIBULBAR ANAESTHESIA?
BACKGROUND Most of intraocular surgeries are done under local anaesthesia. The peribulbar anaesthesia provides adequate anaesthesia and akinesia. There is no reported intraoperative and/or postoperative amaurosis. The pe...
HAND, FOOT AND MOUTH DISEASE IN DEHRADUN CITY
: Hand, foot and mouth disease (HFMD) is a viral infection of children caused by Coxsackie virus- A16, a type of enterovirus seen worldwide, but uncommon in India. It is sporadically reported from India as a mild illness...
UNUSUAL CASE OF LARGE INTRAPERITONEAL ROUND LIGAMENT LEIOMYOMA WITH DEGENERATION AND CO-INCIDENTAL PARATHYROID ADENOMA: A CASE REPORT
Fibroid or leiomyoma is the commonest of all uterine tumors in more common in reproductive age. They are most common in women of child-bearing age. Their classification is determined by their origin and direction of grow...
COMPARATIVE STUDY OF INTRA OSSEOUS WIRING, MINIPLATE OSTEOSYNTHESIS AND RECONSTRUCTION PLATE WITH BONE GRAFT IN THE METHOD OF TREATMENT FOR MANDIBULAR FRACTURE
The mandible or lower jaw is one of the most commonly encountered maxillo facial fractures in our clinical practice. Un-displaced, single and closed fractures are usually managed by closed method with maxillo-mandibular...