Shoulder hydroplasty in periarthritis shoulder: An outpatient procedure

Abstract

Introduction: Frozen shoulder is a distressing and disabling condition that progressively limits shoulder function leading to significant morbidity and loss of daily wages.Material and Methods: Study included 30 patients as per inclusion and exclusion criteria, after taking written informed consent. Patients were subjected to hydrodilation of shoulder capsule using bupivacaine (0.5%) and normal saline followed by manipulation as an outpatient procedure and home based physiotherapy plans. Ranges of motion were recorded at four instances; before procedure, after procedure, at 2 weeks and 4 weeks post procedure.Results: Total of thirty patients were enrolled in the study, of which 6 were lost to follow-up. All twenty four patients had significant improvement in range of motion immediately post procedure and at 4 weeks. Verbal Satisfaction questionnaire was taken from patients at 4 weeks for overall satisfaction reports extremely satisfied results in 17 patients, average satisfaction in 3 patients and poor in four.Conclusion: Distension hydroplasty is an effective and economical outpatient procedure for management of frozen shoulder.