Document Detail


Is it worthwhile to offer repeat hydrodilatation for frozen shoulder after 6 weeks?
MedLine Citation:
PMID:  19849768     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
AIMS: Frozen shoulder is a common problem for which hydrodilatation is an established treatment option although the optimal regime is not yet established. We asked 'is it worthwhile to offer a repeat hydrodilatation procedure after 6 weeks?'
METHODS: A total of 36 patients diagnosed with frozen shoulder and undergoing hydrodilatation were evaluated. All patients had an initial hydrodilatation and were offered a repeat procedure after 6 weeks. Of the total patients, 22 chose to undergo a repeat procedure. The Shoulder Disability Questionnaire UK Score and Oxford Shoulder Score were used to evaluate pre- and postprocedure outcome. The mean follow up was 15.4 months.
RESULTS: The Oxford Shoulder Score improved by a significant level after both single (30.5-17.1) and repeat hydrodilatation (36.0-21.4). No significant change was observed after either procedure when using the Shoulder Disability Questionnaire UK Score as an outcome measure.
CONCLUSIONS: The data are suggestive that routine hydrodilatation after 6 weeks is not appropriate and should be instead offered to those patients who can tolerate it and who have not fully benefitted after a single procedure.
Authors:
R K Trehan; S Patel; A M Hill; M J Curtis; D A Connell
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Publication Detail:
Type:  Journal Article     Date:  2009-10-22
Journal Detail:
Title:  International journal of clinical practice     Volume:  64     ISSN:  1742-1241     ISO Abbreviation:  Int. J. Clin. Pract.     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-05-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9712381     Medline TA:  Int J Clin Pract     Country:  England    
Other Details:
Languages:  eng     Pagination:  356-9     Citation Subset:  IM    
Affiliation:
Department of Trauma & Orthopaedics, Kingston Hospital, Surrey, UK.
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