MANAGEMENT OF PRIMARY FROZEN SHOULDER PROSPECTIVE EVALUATION OF FUNCTIONAL OUTCOME BETWEEN HYDRODILATATION AND INTRA-ARTICULAR STEROID INJECTION
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 6
Abstract
BACKGROUND The aim of this prospective randomized control study is to compare the functional outcome between hydrodilatation and intraarticular steroid injection in patients with primary frozen shoulder. MATERIALS AND METHODS A total number of 52 patients who attended the orthopaedic outpatient between November 2014 and January 2016 were included in this study. The patients were categorized into two groups. Group I patients were treated with hydrodilatation method and Group II patients were treated with intra-articular steroids. Both the group of patients were advised to perform home exercise programs. The patients were assessed at baseline (before the procedure) at two weeks, six weeks, three months and six months. All patients were evaluated for functional improvement by measuring the range of active movements and Constant and Murley shoulder outcome scores. RESULTS Up to three months patients treated with hydrodilatation have significantly better functional outcome as evaluated by active range of movements and Constant and Murley score. But at six months there is no significant difference in functional outcome between two methods of treatment. CONCLUSION There was improvement in functional outcome in both the methods of treatment. But patients treated by hydrodilatation showed more significant increase in functional outcome for the first three months. Home exercise forms an integral part in the management of primary frozen shoulder.
Authors and Affiliations
Dinesh Mitra R. P, Chinna Bava Rawther
Keywords
Related Articles
- EP ID EP213500
- DOI 10.18410/jebmh/2017/58
- Views 94
- Downloads 0
ROLE OF FIBEROPTIC BRONCHOSCOPY AND GENEXPERT IN EVALUATING SPUTUM SMEAR NEGATIVE PULMONARY TUBERCULOSIS SUSPECTS
BACKGROUND The objective of this study was to assess the efficacy of GeneXpert (CBNAAT) and Fiber Optic Bronchoscopy as diagnostic tools in sputum negative pulmonary tuberculosis suspects. MATERIALS AND METHODS A prospec...
SURGICAL AND RADIOLOGICAL OUTCOME OF SUPRACONDYLAR FRACTURE OF FEMUR BY RETROGRADE INTRAMEDULLARY NAILING: OUR EXPERIENCE
BACKGROUND: Supracondylar and intercondylar femoral fractures are serious injuries and difficult to treat and have potential to produce significant long term disability with poor results. Patients suffering a distal femo...
CO-MORBIDITIES AND THEIR MANAGEMENT IN PATIENTS WITH CHRONIC KIDNEY DISEASE IN A TERTIARY HOSPITAL OF KERALA
BACKGROUND To manage patients with Chronic Kidney Disease (CKD) optimally, it requires appropriate knowledge of markers and stages of CKD and early disease recognition. Replacing the terms such as Chronic Kidney Disease...
A STUDY OF OPHTHALMIC ASSOCIATION IN CHILDREN WITH SEVERE SENSORINEURAL DEAFNESS
BACKGROUND Vision plays a significant role in acquisition of skills such as sign language in children with hearing impairment. Auditory training after cochlear implant surgery is given in combination with visual gestures...
CONGENITAL CYSTIC ADENOMATOID MALFORMATION OF LUNG: A CASE REPORT
Congenital cystic adenomatoid malformation (CCAM) is a rare developmental abnormality of the lung previously termed as 'benign hamartoma' or 'dysplastic lung tumor'. It is characterized by abnormal proliferation of tissu...