Adhesive capsulitis of shoulder joint: A treatment protocol, our experience
Journal Title: Medpulse International Journal of Orthopedics - Year 2017, Vol 3, Issue 3
Abstract
Background: Adhesive capsulitis is a poorly understood musculoskeletal condition that can be disabling. Frozen shoulder is thought to have an incidence of 3%-5% in the general population and up to 20% in those with diabetes. Objective: To compare the effectiveness of different interventions in patients of adhesive capsulitis in terms of range of movement of shoulder. Methodology: Present prospective study was conducted among 60 subjects having adhesive capsulitis and approaching our orthopedic OPD at Kamineni Institute of Medical Sciences, Narketpally between the period of March 2016 and June 2017. Patients were allocated to one of three different groups randomly with blinding. Group 1 received only physiotherapy, group 2 received intra articular steroids and physiotherapy, whereas group 3 received manipulation under general anesthesia followed by intra articular steroids and physiotherapy. Then subjects were followed up. Movements of the shoulder were compared in all three groups and results were analysed using SPSS 19.0 version. Results: Majority of the subjects i.e. 40% were from 51 to 60 years of age group followed by 61 to 70 years of age group (33.3%). In both male and female subjects majority were from 51to 60 years age group. i.e 37% and 66.7% respectively. Mean range of abduction in group 1 was 64±35 degree, in group 2 was 78±13.78 and in group 3 was 78.33±22.66 (p<0.001). Mean range of internal rotation in group 1 was 23±11.96 degree, in group 2 was 27±9.23 and in group 3 was 36±9.23 (p<0.001). Mean range of External rotation in group 1 was 27±7.68 degree, in group 2 was 34±3.08 and in group 3 was 48±9.23 (p<0.001). Conclusion: Amongst all three procedures manipulation under general anesthesia followed by intra articular steroids and physiotherapy proved to be more effective in terms of movement range of shoulder joint.
Authors and Affiliations
Pendyala Sugnaneshwar, Sambandhamurthy Venkat Raman, M E Luther
Keywords
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