Functional outcome of treatment of frozen shoulder using Hydrodilatation along with intraarticular steroid and saline injection

Abstract

Introduction: Defined as idiopathic shoulder pain of at least one month duration accompanied by increasing limitations of active and passive glenohumeral movements in all the directions in the patients who have no identifiable general illness and whose radiological findings are entirely normalMaterial and Methods: This study was conducted in the department of orthopaedics, RMMCH (Government Cuddalore Medical College) from August 2020 to November 2022 in the selected candidates in the age group between 35 to 65 years. Clinical outcomes were measured with Shoulder Pain and Disability Index (SPADI).Result: SPADI score recorded at 1 and 6 months follow up gives a clear picture that all stages of frozen shoulder had good clinical outcome and early stages of frozen shoulder had excellent results.Conclusion: Intervention with corticosteroid injection with saline distension is better than any of corticosteroid, saline distension or physiotherapy alone.In the long run it was found that outcome is improved by intervention using Hydrodilatation with saline and steroid followed by physiotherapy. Hydrodilatation along with steroid provides early, medium and long term improvements in range of movements.