A team approach to adhesive capsulitis with ultrasound guided hydrodilatation: a retrospective study
Year: 2024
Type: article
Abstract: BACKGROUND: Adhesive capsulitis (AC) causes shoulder pain and limited range of motion. While ultrasound-guided suprascapular nerve block, glenohumeral joint hydrodilatation, and physical therapy are effective individually, their combined use is not well-studied. OBJECTIVE: This study evaluates the effect and safety of combining ultrasound-guided suprascapular nerve block, glenohumeral joint hydrodilatation, and physical therapy on range of motion and pain, comparing diabetic and non-diabetic patients. DESIGN: Retrospective Cohort; Level of Evidence 3. METHODS: 150 patients (30-75 years) with AC received ultrasound-guided suprascapular nerve block, glenohumeral joint hydrodilatation with corticosteroid injection, and subsequent physical therapy. Baseline Visual Analog Scale (VAS) pain score, active forward flexion, and external rotation range of motion were measured using a goniometer. At 3 months post-procedure, range of motion and pain were reevaluated. RESULTS: < 0.001). No complications were reported. CONCLUSION: Combining ultrasound-guided suprascapular nerve block, glenohumeral joint hydrodilatation, and physical therapy is safe, effective, and improves pain, flexion, and external rotation range of motion in patients with adhesive capsulitis.
Source: Pain Management
Authors: Michael Dakkak, Jason Genin, Lauren Wichman, Chao Zhang, Vikas Patel
Institutions: Cleveland Clinic Florida, Cleveland Clinic
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Funder: Cleveland Clinic
OpenAlex ID: W4404854772