Long-Term Outcomes of Ultrasound-Guided Hydrodistension for Adhesive Capsulitis: A Prospective Observational Study

Data de publicação:

Autores da FMUP

  • Raquel Ângela Silva Soares Lino

    Autor

Participantes de fora da FMUP

  • Dimitri-Pinheiro, S
  • Klontzas, ME
  • Vassalou, EE
  • Pimenta, M
  • Karantanas, AH

Unidades de investigação

Abstract

Ultrasound-guided hydrodistention has been established as an effective minimally invasive treatment option for glenohumeral joint adhesive capsulitis (AC). Nonetheless, the long-term outcomes of the procedure have not yet been established. A total of 202 patients with AC were prospectively recruited and followed up for a total of 2 years. Pain and functionality were assessed with the use of the visual analogue scale (VAS) and the disabilities of the arm, shoulder, and hand (DASH) score, respectively, at the beginning and the end of the follow-up period. The relapse of AC over the 2-year period and the effect of diabetes were also evaluated in the treatment cohort. The Mann-Whitney U test was used to compare mean scores at the two time points, and Cox survival analysis and chi(2) test were used to assess the effect of diabetes on AC relapse. VAS and DASH scores were significantly lower at 2 years compared with the beginning of the follow-up period (p < 0.001). Diabetes was diagnosed in 38/202 patients (18.8%) and was found to be significantly associated with recurrence of the disease (p < 0.001). In conclusion, in this observational study, we have demonstrated that ultrasound-guided hydrodistention is linked to excellent long-term outcomes for the treatment of AC, which are significantly worse in patients with diabetes.

Dados da publicação

ISSN/ISSNe:
2379-139X, 2379-1381

Tomography  Multidisciplinary Digital Publishing Institute (MDPI)

Tipo:
Article
Páginas:
1857-1867
Link para outro recurso:
www.scopus.com

Citações Recebidas na Scopus: 1

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Keywords

  • adhesive capsulitis; frozen shoulder; ultrasound-guided treatment; hydrodistention; diabetes mellitus; recurrence; follow-up

Campos de estudo

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