The functional outcome in patients undergoing hydrodilatation for adhesive capsulitis of shoulder in a tertiary care hospital - a one year longitudinal study

Abstract

ABSTRACT Background: - Shoulder pain and restricted ROM is a common presenting condition to orthopaedic outpatient department. There are many causes for this clinical presentation and one of the most common causes is Adhesive capsulitis also known as Frozen shoulder. It is described as a contracted thickened joint capsule that seemed to be drawn tightly around the humeral head with a relative absence of synovial fluid and chronic inflammatory changes within the sub synovial layer of capsule. Primary Adhesive capsulitis is estimated to affect 2% of the general population and many secondary conditions of shoulder joint are often misdiagnosed under this heading as periarthritis of shoulder. Capsule of glenohumeral joint is mainly affected in this condition. Many treatment options have been described like benign neglect, oral NSAIDs, Physical therapy, joint mobilization, intra articular steroids or PRP injections, Suprascapular nerve blocks, hydrodilatation, manipulation under anaesthesia, arthroscopic release and open release of contractures. Hydrodilatation has a distinct benefit over other surgical procedures for frozen shoulder, the main benefit being no requirement for general anaesthesia which makes it a very attractive treatment option for patients with multiple comorbidities. With this background of inconclusive evidence for treatment modalities, there is a need to examine the efficacy of hydrodilatation in frozen shoulder.By this study we basically want to study the effectiveness of hydrodilatation in our clinical setup in people in the age group most commonly being affected, for primary frozen shoulder.