Title: A Study of Evaluation of Effectiveness of hydraulic distension of shoulder in the management of frozen shoulder patients
Author: Amaresh Prasad Sinha
DOI: https://dx.doi.org/10.18535/jmscr/v5i3.197
Abstract
Background: The clinical term “Frozen shoulder” is a painful and debilitating condition with an incidence of 3% to 5% in the world population and up to 20% in those with diabetes. Frozen shoulder is an extremely disabling condition, presenting with and remitting shoulder pain and stiffness. Frozen shoulder” is a chronic condition of unknown etiology characterized by gradually progressive, painful restriction of all shoulder joint motion, with slow spontaneous restoration of either partial or complete motion over months to year.
Material & Method: This study was a prospective experimental study involving 108 Patients with 118 shoulders of frozen shoulder, (of which 10 cases presented with bilateral shoulder involvement) attending the outpatient department of Orthopedics in Lord Buddha Koshi Medical College, Saharsa, Bihar, India.
Results: The average age of the patients enrolled in this study was as 58.16 years (±12.70 years). Out of 108 patients, who completed the study, 52 were females and 56 males. During post distension period, 6% of the patients had excellent results, 40% good results, 48% fair results and 6 % had poor results. Whereas in 6 weeks follow up period, 44 % of the patients had excellent results, 36 % good results, 17 % fair results and 3 % had poor results.
Conclusion: On the basis of our current study hydraulic distension is a safe, reliable, & cost effective method in treating the chronically distressing painful condition of frozen shoulder. This technique can be practiced in an outpatient department without any specialized equipments, and when performed with a right technique under safe & aseptic precautions, it has absolutely no side effects.
Keywords: Frozen Shoulder, hydraulic distension, predistension, steroid.
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