Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.
Upcoming SlideShare
Hydrodilatation for frozen shoulder
Next
Download to read offline and view in fullscreen.

Share

Arthrographic hydrodilatation for frozen shoulder

Download to read offline

Frozen Shoulder Distension/Hydrodilation injections

Arthrographic hydrodilatation for frozen shoulder

  1. 1. ARTHROGRAPHIC HYDRODILATATION FOR FROZEN SHOULDER Christopher Manning Phil Wright Lennard Funk
  2. 2. Background Arthrographic Hydrodilatation A fine needle is inserted into the frozen shoulder joint and contrast medium is injected to ensure the needle is in the joint. Hydrodilatation is effective by several modes of action; • Long lasting local anaesthetic offers pain relief • Steroid provides an anti-inflammatory effect • Saline stretches the contracted joint capsule Normal Arthrogram – normal volume of dye contained within the joint. Frozen Shoulder – Tight joint with dye rupturing out through capsule.
  3. 3. Published Data • Published results for Hydrodilatation are supportive of its effectiveness and use despite differing; • Hydrodilatation technique • Physiotherapy regime • Sample size • Outcome measures used • Length of follow-up !! - Buchbinder, R., S. Green, et al. (2008). "Arthrographic distension for adhesive capsulitis (frozen shoulder)." Cochrane Database Syst Rev(1): CD007005. - Bell, S., J. Coghlan, et al. (2003). "Hydrodilatation in the management of shoulder capsulitis." Australas Radiol 47(3): 247-251. - Haolvfeficrseo.“n, L. and R. Maas (2002). "Shoulder joint capsule distension (hydroplasty): a case series of patients with "frozen shoulders" treated in a primary care - QuJraoisnht i, N. A., P. Johnston, et al. (2007). "Thawing the frozen shoulder. A randomised trial comparing manipulation under anaesthesia with hydrodilatation." J Bone
  4. 4. Aims To evaluate the efficacy of arthrographic hydrodilatation for the treatment of frozen shoulder, over a three year period.
  5. 5. Methods Fifty one patients were prospectively followed for a mean period of eight months post Hydrodilatation for Frozen Shoulder (30 primary, 21 secondary). Patients were evaluated for: 1- Constant-Murley Score 2- Oxford Shoulder Score 3- Range of Movement 4- Pain (Visual Analogue Scale)
  6. 6. Range of Motion Range of Movement (o) 160 120 80 40 0 Flexion Abduction Internal Rotation Movement 38 143 154 33 128 141 0 34 53
  7. 7. Outcome Scores 90 68 45 23 0 Constant-Murley Score Oxford Score Scoring Method 44 83 40 68 24 25 Pre Hydrodilatation 6 weeks 8 months
  8. 8. Pain Scores VAS 9 7 5 2 0 0 6 36
  9. 9. Results ! • Patient satisfaction at 6 weeks and 8 months was 86%. ! • 7 of the patients went on to have arthroscopic capsular release for ongoing stiffness.
  10. 10. Conclusion Arthrographic hydrodilatation is a safe and effective intervention for both primary and secondary frozen shoulder, with significant improvements in both pain and stiffness as early as six weeks post-procedure. For more details on this study, please see the Education section of www.shoulderdoc.co.uk
  • srabankumarsahu

    Jul. 1, 2021
  • DrvipinKumar

    Mar. 26, 2019
  • rohitraj196

    Feb. 14, 2018
  • AzzanoraAyang

    May. 30, 2016
  • RANDAALGWIRI

    Mar. 6, 2015

Frozen Shoulder Distension/Hydrodilation injections

Views

Total views

2,783

On Slideshare

0

From embeds

0

Number of embeds

34

Actions

Downloads

23

Shares

0

Comments

0

Likes

5

×