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Frozen shoulder - A prospective randomized clinical trial

AIM: To compare the results of arthroscopic capsular release with intra-articular steroid injections in patients of frozen shoulder. METHODS: Fifty-six patients with frozen shoulder were randomised to one of two treatment groups: Group 1, complete 360 degree arthroscopic capsular release and group 2...

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Autores principales: Mukherjee, Rudra Narayan, Pandey, R M, Nag, Hira Lal, Mittal, Ravi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5434346/
https://www.ncbi.nlm.nih.gov/pubmed/28567343
http://dx.doi.org/10.5312/wjo.v8.i5.394
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author Mukherjee, Rudra Narayan
Pandey, R M
Nag, Hira Lal
Mittal, Ravi
author_facet Mukherjee, Rudra Narayan
Pandey, R M
Nag, Hira Lal
Mittal, Ravi
author_sort Mukherjee, Rudra Narayan
collection PubMed
description AIM: To compare the results of arthroscopic capsular release with intra-articular steroid injections in patients of frozen shoulder. METHODS: Fifty-six patients with frozen shoulder were randomised to one of two treatment groups: Group 1, complete 360 degree arthroscopic capsular release and group 2, intra-articular corticosteroid injection (40 mg methyl prednisolone acetate). Both groups were put on active and passive range of motion exercises following the intervention. The outcome parameters were visual analogue scale (VAS) score for pain, range of motion and Constant score which were measured at baseline, 4, 8, 12, 16 and 20 wk after intervention. RESULTS: All the parameters improved in both the groups. The mean VAS score improved significantly more in the group 1 as compared to group 2 at 8 wk. This greater improvement was maintained at 20 wk with P value of 0.007 at 8 wk, 0.006 at 12 wk, 0.006 at 16 wk and 0.019 at 20 wk. The Constant score showed a more significant improvement in group 1 compared to group 2 at 4 wk, which was again maintained at 20 wk with P value of 0.01 at 4, 8, 12 and 16 wk. The gain in abduction movement was statistically significantly more in arthroscopy group with P value of 0.001 at 4, 8, 12, 16 wk and 0.005 at 20 wk. The gain in external rotation was statistically significantly more in arthroscopy group with P value of 0.007 at 4 wk, 0.001 at 8, 12, and 16 wk and 0.003 at 20 wk. There was no statistically significant difference in extension and internal rotation between the two groups at any time. CONCLUSION: Arthroscopic capsular release provides subjective and objective improvement earlier than intra-articular steroid injection.
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spelling pubmed-54343462017-06-01 Frozen shoulder - A prospective randomized clinical trial Mukherjee, Rudra Narayan Pandey, R M Nag, Hira Lal Mittal, Ravi World J Orthop Randomized Clinical Trial AIM: To compare the results of arthroscopic capsular release with intra-articular steroid injections in patients of frozen shoulder. METHODS: Fifty-six patients with frozen shoulder were randomised to one of two treatment groups: Group 1, complete 360 degree arthroscopic capsular release and group 2, intra-articular corticosteroid injection (40 mg methyl prednisolone acetate). Both groups were put on active and passive range of motion exercises following the intervention. The outcome parameters were visual analogue scale (VAS) score for pain, range of motion and Constant score which were measured at baseline, 4, 8, 12, 16 and 20 wk after intervention. RESULTS: All the parameters improved in both the groups. The mean VAS score improved significantly more in the group 1 as compared to group 2 at 8 wk. This greater improvement was maintained at 20 wk with P value of 0.007 at 8 wk, 0.006 at 12 wk, 0.006 at 16 wk and 0.019 at 20 wk. The Constant score showed a more significant improvement in group 1 compared to group 2 at 4 wk, which was again maintained at 20 wk with P value of 0.01 at 4, 8, 12 and 16 wk. The gain in abduction movement was statistically significantly more in arthroscopy group with P value of 0.001 at 4, 8, 12, 16 wk and 0.005 at 20 wk. The gain in external rotation was statistically significantly more in arthroscopy group with P value of 0.007 at 4 wk, 0.001 at 8, 12, and 16 wk and 0.003 at 20 wk. There was no statistically significant difference in extension and internal rotation between the two groups at any time. CONCLUSION: Arthroscopic capsular release provides subjective and objective improvement earlier than intra-articular steroid injection. Baishideng Publishing Group Inc 2017-05-18 /pmc/articles/PMC5434346/ /pubmed/28567343 http://dx.doi.org/10.5312/wjo.v8.i5.394 Text en ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Randomized Clinical Trial
Mukherjee, Rudra Narayan
Pandey, R M
Nag, Hira Lal
Mittal, Ravi
Frozen shoulder - A prospective randomized clinical trial
title Frozen shoulder - A prospective randomized clinical trial
title_full Frozen shoulder - A prospective randomized clinical trial
title_fullStr Frozen shoulder - A prospective randomized clinical trial
title_full_unstemmed Frozen shoulder - A prospective randomized clinical trial
title_short Frozen shoulder - A prospective randomized clinical trial
title_sort frozen shoulder - a prospective randomized clinical trial
topic Randomized Clinical Trial
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5434346/
https://www.ncbi.nlm.nih.gov/pubmed/28567343
http://dx.doi.org/10.5312/wjo.v8.i5.394
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