Short-term Outcome of Oral Prednisolone in the Management of Primary Adhesive Capsulitis.
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2022, Vol 34, Issue 03
Abstract
Objective: To determine the short term outcome of oral Prednisolone in the management of primary adhesive capsulitis in terms of pain relief and improvement in shoulder range of motion. Methods: This descriptive study was carried out in Orthopedic Department District Head Quarter Hospital(DHQ) Teaching Hospital Kohat Development authority(KDA) Kohat from 23rd July 2020 to 23rd December 2021. All adults patients with primary adhesive capsulitis fulfilling the inclusion criteria were treated with 30 mg oral prednisolone in tapering dose for 3 weeks. The intensity of pain was assessed using Visual Analogue Scale(VAS) and shoulder range of motion(ROM) was measured with goniometer at 3 weeks and compared with pre treatment values. Results: In this study 46 patients were included. Female were 28 (60.87%) while males were 18 (39.13%). Average age was 52.35±6.48 years. Non-dominant and dominant shoulders were affected in 27(58.70%) and 19(41.30%) patients respectively. The mean pre treatment VAS significantly improved from 8.23±3.2 to 1.97±1.1 post treatment.(p<0.05) A significant improvement in shoulder flexion, abduction, internal rotation and external rotation was documented.(p<0.05) Conclusion: Significant short term pain reduction and improvement in shoulder range of motion was documented with oral Prednisolone in patients with primary adhesive capsulitis.
Authors and Affiliations
Afsar Khan1, Saad Dildar Khattak2, MuhammadZahid Shah3, Tauseef Raza4, Javed Ullah Khan5
Incidence of Early Surgical Site Infection (SSI) in Elective Orthopaedic Implant Surgeries
Objective: To evaluate the frequency of SSI and isolated infectious micro-organisms with length of hospital stay. Methods: Patients with closed fractures planned for elective surgeries admitted in Orthopaedic departme...
Outcome of Dual Nerve Transfer in C5-C6 Brachial Plexus Injuries.
Objective: To determine the outcome of Spinal Accessary nerve to Suprascapular nerve and motor branch of Radial nerve transfer to the Axillary nerve for restoration of shoulder abduction and external rotation in patients...
Gartland Type III Supracondylar Fractures of Humerus with Closed Reduction and Percutaneous Fixation with K-Wires Children
Supracondylar fractures are common skeletal injury in pediatric group at it comprises 50 to 70 % of elbow injury and are very potential for neurovascular injury between 5 to 10 years. Objective: To evaluate the result...
A Five year Audit of Different Paediatric Bony Lesions presented to a Tertiary Care Hospital.
Objective: To determine the pattern of paediatric bony tumours or tumour like lesions presenting to the Department of Orthopaedics & Spine Surgery Ghurki Trust Teaching Hospital Lahore in the past five years. Methods:...
Functional Outcome of Custom-Built Fixed Hinged Prosthesis for Tumors around the Knee.
Objective: The determine the functional outcome of custom-built fixed hinged prosthesis for tumors around the knee. Methods: This descriptive study was conducted in Department of Orthopedics & Spine Surgery Ghurki Tr...