Surgical versus Nonsurgical Multimodality Treatment in an Idiopathic Frozen Shoulder: A Retrospective Study of Clinical and Functional Outcomes

Journal of Clinical Medicine

Robert Prill¹  Roman Brzóska²  Wojciech Satora²  Paweł Reichert³  Aleksandra Królikowska⁴  Anna Mika⁵  Łukasz Oleksy⁶ 

[1] Center of Orthopaedics and Traumatology, University of Brandenburg an der Havel Theodor Fontane, 14770 Brandenburg an der Havel, Germany;Department of Orthopaedics, St Luke’s Hospital, 43-309 Bielsko-Biała, Poland;Department of Trauma and Hand Surgery, Faculty of Medicine, Wroclaw Medical University, 50-367 Wroclaw, Poland;Ergonomics and Biomedical Monitoring Laboratory, Department of Physiotherapy, Faculty of Health Sciences, Wroclaw Medical University, 50-367 Wroclaw, Poland;Institute of Clinical Rehabilitation, University of Physical Education in Kraków, 31-571 Kraków, Poland;Orthopaedic and Rehabilitation Department, Medical University of Warsaw, 02-091 Warsaw, Poland;

关键词: adhesive capsulitis;    arthroscopy;    corticosteroids;    frozen shoulder;    physiotherapy;    physical therapy;   

DOI  :  10.3390/jcm10215185

来源: DOAJ

【 摘 要 】

This retrospective study compared the clinical and functional outcomes of patients diagnosed with an idiopathic frozen shoulder with symptom onset of a maximum of six months, treated by arthroscopic capsular release followed by corticosteroid injection and physiotherapy to patients who received only corticosteroid injection followed by physiotherapy. The patients who underwent arthroscopic capsular release, intraoperative corticosteroid injection, and physiotherapy (Group I, n = 30) or received only corticosteroids injection and physiotherapy (Group II, n = 29) were examined in terms of shoulder range of motion (ROM), pain intensity, and function before a given treatment and three, six, and twelve months later. The groups were comparable pre-treatment in terms of ROM, pain, and functional outcome. Group I had statistically and clinically significantly better ROM and function at three and six months post-treatment than Group II. Despite being statistically significant, the between-group differences at twelve-month follow-up in ROM and function were too small to be considered clinically notable. The between-group comparison of pain revealed no significant differences at any post-treatment point of time. The early arthroscopic capsular release preceding corticosteroid injection and physiotherapy seemed more effective at three- and six-month follow-up; however, it brought a comparable result to corticosteroid injection and subsequent physiotherapy at twelve months follow-up.

【 授权许可】

Unknown