Targeted ultrasound-guided hydrodilatation via the rotator interval for adhesive capsulitis

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• 作者：Philip Yoong ; Stephen Duffy ; David McKean ; Nabil P. Hujairi…
• 关键词：Ultrasound ; Shoulder ; Interventional techniques ; Adhesive capsulitis
• 刊名：Skeletal Radiology
• 出版年：2015
• 出版时间：May 2015
• 年：2015
• 卷：44
• 期：5
• 页码：703-708
• 全文大小：508 KB
• 参考文献：1. Neviaser, JS (1945) Adhesive capsulitis of the shoulder: a study of the pathological findings in periarthritis of the shoulder. J Bone Joint Surg Am Vol 27: pp. 211-22
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• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Imaging and Radiology
  Orthopedics
  Pathology
  Nuclear Medicine
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1432-2161

文摘

Objective To describe and evaluate ultrasound-guided hydrodilatation via the rotator interval for the treatment of adhesive capsulitis. Materials and methods Patients referred to our department with adhesive capsulitis were consented for hydrodilatation. Inclusion criteria included a failure to respond to conservative treatment and the absence of full thickness rotator cuff tear. Twenty-one milliliters of a mixture of local anesthetic and steroid was injected into the rotator interval using a 21-gauge needle. Patients were followed up at 2?weeks and 4?months, with documented pain scores from 0 to 10 on a visual analogue scale and the Oxford Shoulder Questionnaire. Results Twenty-two patients were suitable for inclusion in the study. Nineteen were female (86?%) and three were male. The mean age was 55?years (range, 32-1?years). The duration of symptoms ranged from 4?weeks to 20?months. At 4?months, 19/22 (86?%) of patients described either complete (7/22) or good (12/22) improvement in their symptoms. The mean pain score was 8.4 prior to the procedure, 3.1 at 48?h and 1.9 at 4?months, and 20/22 (91?%) had a lower pain score after 4?months. There was a statistically significant (p--.05) improvement in the Oxford shoulder score, from a mean of 13.6 pre-procedure to 36.5 at 4?months. Conclusions The rotator interval and anterior joint capsule are strongly implicated in the symptomatology of adhesive capsulitis. The novel use of targeted ultrasound-guided hydrodilatation via the rotator interval gives good results in reducing shoulder pain and symptoms in adhesive capsulitis.