Surgical versus Nonsurgical Multimodality Treatment in an Idiopathic Frozen Shoulder: A Retrospective Study of Clinical and Functional Outcomes

This retrospective study compared the clinical and functional outcomes of patients diagnosed with an idiopathic frozen shoulder with symptom onset of a maximum of six months, treated by arthroscopic capsular release followed by corticosteroid injection and physiotherapy to patients who received only...

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Autores principales:	Wojciech Satora, Roman Brzóska, Robert Prill, Paweł Reichert, Łukasz Oleksy, Anna Mika, Aleksandra Królikowska
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	adhesive capsulitis arthroscopy corticosteroids frozen shoulder physiotherapy physical therapy Medicine R
Acceso en línea:	https://doaj.org/article/d2dd2f3a68634818b71cc708fb8e7ce1
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spelling	oai:doaj.org-article:d2dd2f3a68634818b71cc708fb8e7ce12021-11-11T17:47:36ZSurgical versus Nonsurgical Multimodality Treatment in an Idiopathic Frozen Shoulder: A Retrospective Study of Clinical and Functional Outcomes10.3390/jcm102151852077-0383https://doaj.org/article/d2dd2f3a68634818b71cc708fb8e7ce12021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/5185https://doaj.org/toc/2077-0383This retrospective study compared the clinical and functional outcomes of patients diagnosed with an idiopathic frozen shoulder with symptom onset of a maximum of six months, treated by arthroscopic capsular release followed by corticosteroid injection and physiotherapy to patients who received only corticosteroid injection followed by physiotherapy. The patients who underwent arthroscopic capsular release, intraoperative corticosteroid injection, and physiotherapy (Group I, <i>n</i> = 30) or received only corticosteroids injection and physiotherapy (Group II, <i>n</i> = 29) were examined in terms of shoulder range of motion (ROM), pain intensity, and function before a given treatment and three, six, and twelve months later. The groups were comparable pre-treatment in terms of ROM, pain, and functional outcome. Group I had statistically and clinically significantly better ROM and function at three and six months post-treatment than Group II. Despite being statistically significant, the between-group differences at twelve-month follow-up in ROM and function were too small to be considered clinically notable. The between-group comparison of pain revealed no significant differences at any post-treatment point of time. The early arthroscopic capsular release preceding corticosteroid injection and physiotherapy seemed more effective at three- and six-month follow-up; however, it brought a comparable result to corticosteroid injection and subsequent physiotherapy at twelve months follow-up.Wojciech SatoraRoman BrzóskaRobert PrillPaweł ReichertŁukasz OleksyAnna MikaAleksandra KrólikowskaMDPI AGarticleadhesive capsulitisarthroscopycorticosteroidsfrozen shoulderphysiotherapyphysical therapyMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5185, p 5185 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	adhesive capsulitis arthroscopy corticosteroids frozen shoulder physiotherapy physical therapy Medicine R
spellingShingle	adhesive capsulitis arthroscopy corticosteroids frozen shoulder physiotherapy physical therapy Medicine R Wojciech Satora Roman Brzóska Robert Prill Paweł Reichert Łukasz Oleksy Anna Mika Aleksandra Królikowska Surgical versus Nonsurgical Multimodality Treatment in an Idiopathic Frozen Shoulder: A Retrospective Study of Clinical and Functional Outcomes
description	This retrospective study compared the clinical and functional outcomes of patients diagnosed with an idiopathic frozen shoulder with symptom onset of a maximum of six months, treated by arthroscopic capsular release followed by corticosteroid injection and physiotherapy to patients who received only corticosteroid injection followed by physiotherapy. The patients who underwent arthroscopic capsular release, intraoperative corticosteroid injection, and physiotherapy (Group I, <i>n</i> = 30) or received only corticosteroids injection and physiotherapy (Group II, <i>n</i> = 29) were examined in terms of shoulder range of motion (ROM), pain intensity, and function before a given treatment and three, six, and twelve months later. The groups were comparable pre-treatment in terms of ROM, pain, and functional outcome. Group I had statistically and clinically significantly better ROM and function at three and six months post-treatment than Group II. Despite being statistically significant, the between-group differences at twelve-month follow-up in ROM and function were too small to be considered clinically notable. The between-group comparison of pain revealed no significant differences at any post-treatment point of time. The early arthroscopic capsular release preceding corticosteroid injection and physiotherapy seemed more effective at three- and six-month follow-up; however, it brought a comparable result to corticosteroid injection and subsequent physiotherapy at twelve months follow-up.
format	article
author	Wojciech Satora Roman Brzóska Robert Prill Paweł Reichert Łukasz Oleksy Anna Mika Aleksandra Królikowska
author_facet	Wojciech Satora Roman Brzóska Robert Prill Paweł Reichert Łukasz Oleksy Anna Mika Aleksandra Królikowska
author_sort	Wojciech Satora
title	Surgical versus Nonsurgical Multimodality Treatment in an Idiopathic Frozen Shoulder: A Retrospective Study of Clinical and Functional Outcomes
title_short	Surgical versus Nonsurgical Multimodality Treatment in an Idiopathic Frozen Shoulder: A Retrospective Study of Clinical and Functional Outcomes
title_full	Surgical versus Nonsurgical Multimodality Treatment in an Idiopathic Frozen Shoulder: A Retrospective Study of Clinical and Functional Outcomes
title_fullStr	Surgical versus Nonsurgical Multimodality Treatment in an Idiopathic Frozen Shoulder: A Retrospective Study of Clinical and Functional Outcomes
title_full_unstemmed	Surgical versus Nonsurgical Multimodality Treatment in an Idiopathic Frozen Shoulder: A Retrospective Study of Clinical and Functional Outcomes
title_sort	surgical versus nonsurgical multimodality treatment in an idiopathic frozen shoulder: a retrospective study of clinical and functional outcomes
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/d2dd2f3a68634818b71cc708fb8e7ce1
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Surgical versus Nonsurgical Multimodality Treatment in an Idiopathic Frozen Shoulder: A Retrospective Study of Clinical and Functional Outcomes

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