TY - JOUR AU - Ghauri, Shakeel Khan AU - Anwar, Muhammad Aftab AU - Hanif, Asif AU - Akram, Muhammad PY - 2010/03/05 Y2 - 2024/03/28 TI - Evaluation of the Treatment of Frozen Shoulder by Hydraulic Distention Under JF - Annals of King Edward Medical University JA - Annals KEMU VL - 15 IS - 1 SE - Articles DO - 10.21649/akemu.v15i1.28 UR - https://annalskemu.org/journal/index.php/annals/article/view/28 SP - 31 AB - <strong>Objective:</strong>&nbsp; To evaluate the result of treatment of frozen shoulder by Hydraulic Distention under local anesthesia with steroid <br />and intra-articular steroid alone. <br /><strong>Study Design:</strong>&nbsp; It was a prospective and comparative study. <br /><strong>Samples size:</strong>&nbsp; 60 patients were taken in this study and were divided into two groups. <br /><strong>Duration and Setting:</strong>&nbsp; The study was conducted in 2000 - 2001&nbsp; treated in the department of Orthopaedic, Mayo Hospital <br />Lahore. <br /><strong>Methodology:</strong>&nbsp; The patients were divided into two groups. Group-I were treated by hydraulic distension of glenohumeral <br />joint with 50 ml normal saline under local anesthesia with steroid followed by medicines (oral analgesics and muscle <br />relaxants) and exercises. Patients in group-II were treated by intra-articular steroid followed by medicines (oral analgesics <br />and muscle relaxants) and exercises. <br /><strong>Results:</strong>&nbsp; The average age of patients in group I was 52 &plusmn; 2.16 years and 50 &plusmn; 2.03 in group II. There were 37 (63%) females <br />and 22 (37%) males in our study. Female to male ratio was 1.7:1. All patients in group-I noted immediate pain relief with <br />excellent return of range of motion (ROM) and resumption of normal sleep. At the end of 45 days of follow up all patients <br />had returned to their normal daily activities. Most of them got excellent ROM and pain relief. All patients in group-II noted <br />immediate pain relief and resumption of almost normal sleep. At the end of 45 days of follow up most of the patient <br />presented with good relief of pain but could not return to most of their normal activities because of less improvement in <br />ROM. <br /><strong>Conclusions:</strong>&nbsp; Hydraulic distension technique is a quick, safe and gives early results, so it should be considered first for the <br />treatment of frozen shoulder. <br /><strong>Key Words:</strong>&nbsp; Frozen Shoulder, Hydrologic Distention, Intra articular steroid. ER -