Arthroscopic capsular release for idiopathic frozen shoulder with intra-articular injection and a controlled manipulation

2.50
Hdl Handle:
http://hdl.handle.net/11287/593891
Title:
Arthroscopic capsular release for idiopathic frozen shoulder with intra-articular injection and a controlled manipulation
Authors:
Smith, Christopher D.; Hamer, P.; Bunker, T. D.
Abstract:
INTRODUCTION: The aim of this prospective study was to assess the immediate and long-term effectiveness of arthroscopic capsular release in a large cohort of patients with a precise and isolated diagnosis of stage II idiopathic frozen shoulder. METHODS: All patients underwent a preoperative evaluation. Patients with secondary frozen shoulder and those with concurrent pathology at arthroscopy were excluded. This left 136 patients with a stage II arthroscopically confirmed idiopathic frozen shoulder. At each postoperative attendance, a record was made of pain, function and range of motion. At 12 months, the Oxford shoulder score was calculated, and pain and range of motion were assessed. RESULTS: Fifty per cent achieved good pain relief within a week and eighty per cent within six weeks of arthroscopic capsular release. The mean preoperative visual analogue scale pain score was 6.6 and the mean postoperative score was 1.0. The mean time to achieving good pain relief was 16 days following surgery. No patient could sleep through the night prior to surgery while 90% reported having a complete night's sleep at a mean of 12 days after surgery. The mean postoperative Oxford shoulder score was 38/48 and the mean improvement was 19.2. CONCLUSIONS: This large series demonstrates that arthroscopic capsular release is a safe procedure, with rapid improvement in pain and a marked improvement in range of motion.
Citation:
Ann R Coll Surg Engl. 2014 Jan;96(1):55-60.
Publisher:
Royal College of Surgeons
Journal:
Annals of the Royal College of Surgeons of England
Issue Date:
1-Jan-2014
URI:
http://hdl.handle.net/11287/593891
DOI:
10.1308/003588414X13824511650452
PubMed ID:
24417832
Additional Links:
http://publishing.rcseng.ac.uk/doi/abs/10.1308/003588414X13824511650452?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dpubmed
Note:
This article is available via Open Access. Please click on the 'Additional Link' above to access the full-text.
Type:
Evaluation Studies
Language:
eng
ISSN:
1478-7083
Appears in Collections:
General Trauma & Orthopaedics; 2014 RD&E publications

Full metadata record

DC FieldValue Language
dc.contributor.authorSmith, Christopher D.en
dc.contributor.authorHamer, P.en
dc.contributor.authorBunker, T. D.en
dc.date.accessioned2016-01-19T12:36:23Zen
dc.date.available2016-01-19T12:36:23Zen
dc.date.issued2014-01-01en
dc.identifier.citationAnn R Coll Surg Engl. 2014 Jan;96(1):55-60.en
dc.identifier.issn1478-7083en
dc.identifier.pmid24417832en
dc.identifier.doi10.1308/003588414X13824511650452en
dc.identifier.urihttp://hdl.handle.net/11287/593891en
dc.description.abstractINTRODUCTION: The aim of this prospective study was to assess the immediate and long-term effectiveness of arthroscopic capsular release in a large cohort of patients with a precise and isolated diagnosis of stage II idiopathic frozen shoulder. METHODS: All patients underwent a preoperative evaluation. Patients with secondary frozen shoulder and those with concurrent pathology at arthroscopy were excluded. This left 136 patients with a stage II arthroscopically confirmed idiopathic frozen shoulder. At each postoperative attendance, a record was made of pain, function and range of motion. At 12 months, the Oxford shoulder score was calculated, and pain and range of motion were assessed. RESULTS: Fifty per cent achieved good pain relief within a week and eighty per cent within six weeks of arthroscopic capsular release. The mean preoperative visual analogue scale pain score was 6.6 and the mean postoperative score was 1.0. The mean time to achieving good pain relief was 16 days following surgery. No patient could sleep through the night prior to surgery while 90% reported having a complete night's sleep at a mean of 12 days after surgery. The mean postoperative Oxford shoulder score was 38/48 and the mean improvement was 19.2. CONCLUSIONS: This large series demonstrates that arthroscopic capsular release is a safe procedure, with rapid improvement in pain and a marked improvement in range of motion.en
dc.language.isoengen
dc.publisherRoyal College of Surgeonsen
dc.relation.urlhttp://publishing.rcseng.ac.uk/doi/abs/10.1308/003588414X13824511650452?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dpubmeden
dc.titleArthroscopic capsular release for idiopathic frozen shoulder with intra-articular injection and a controlled manipulationen
dc.typeEvaluation Studiesen
dc.identifier.journalAnnals of the Royal College of Surgeons of Englanden
dc.description.noteThis article is available via Open Access. Please click on the 'Additional Link' above to access the full-text.en
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