IP International Journal of Orthopaedic Rheumatology
Official Publication of Indian Orthopaedic Rheumatology Association
Official Publication of Indian Orthopaedic Rheumatology Association
Print ISSN:-2581-8112
Online ISSN:-2581-9151
CODEN : IIJOAT
Original Article
Author Details :
Volume : 5, Issue : 2, Year : 2019
Article Page : 35-41
https://doi.org/10.18231/j.ijor.2019.009
Abstract
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.
How to cite : Subramanyam K, Sahini S C, Kumar S, Ampajwalam P R, Functional outcome assessment of frozen shoulder treated by distension hydrodilatation and viscosupplementation: A prospective study. IP Int J Orthop Rheumatol 2019;5(2):35-41
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