Dr. Dikshit Anand, Dr. Siddhartha Paluvadi, Dr. Gautam Chatterji, Dr. Manmohan Shakya and Dr. Syed Tariq Mahmood
Background: Frozen shoulder is a musculoskeletal disorder that causes significant shoulder pain and restricted mobility. Despite the availability of various treatment options, managing this condition can be challenging. Arthroscopic capsular release (ACR) has emerged as an effective intervention for frozen shoulder. Thus, this study aims to evaluate the clinical outcomes of ACR in patients with frozen shoulder.
Materials and method: This hospital-based prospective observational study was conducted at the Department of Orthopaedics, PCMS, Bhopal, from November 2022 to May 2024. Thirty-five patients meeting the inclusion criteria of chronic shoulder pain unresponsive to conservative treatments and significant restrictions in shoulder mobility were included. Data collection involved preoperative and postoperative assessments using a visual analog scale (VAS) for pain, range of motion (ROM) measurements, and shoulder-specific clinical scores. Postoperative physiotherapy included a regimen of exercises, with follow-ups at 2 weeks, 6 weeks, and 12 weeks.
Results: The mean age of participants was 52.2±5.9 years, with 51.4% male and 48.6% female. The right shoulder was predominantly affected with 68.6%. Significant reductions in VAS scores were observed from 8.1±0.8 preoperatively to 0.9±0.3 at 12 weeks (p< 0.001). Improvements in shoulder ROM and strength were noted across all measured parameters (internal rotation, external rotation, abduction, forward flexion) and clinical scores (Constant and Oxford shoulder scores) showed substantial enhancement by 12 weeks (p< 0.001). Functional outcomes included an average return to work and sports at 2.0±0.9 and 2.6±0.5 months, respectively.
Conclusion: Arthroscopic capsular release for frozen shoulder resulted in significant improvements in pain, range of motion, and functional outcomes. The procedure was well-tolerated, with high patient satisfaction and minimal complications. This study supports ACR as an effective treatment for frozen shoulder, with positive outcomes observed in the Central Indian population.
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