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Durham University

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Publication details for Dr Anurag Narayan Banerjee

Sinha, R., Patel, P., Rose, N., Tuckett, J., Banerjee, A.N., Williams, J., Aldridge, S. & Stuart, P. (2017). Analysis of hydrodilatation as part of a combined service for stiff shoulder. Shoulder & Elbow 9(3): 169-177.

Author(s) from Durham

Abstract

Background: Adhesive capsulitis is a common cause of stiff shoulder and may result in pain and restriction of
movement. The study aimed to investigate the role of hydrodilatation of the glenohumeral joint in the management
of adhesive capsulitis.
Methods: Patients referred from the shoulder clinic underwent hydrodilatation under ultrasound guidance. Of 209
referred for hydrodilatation, 163 underwent the procedure and attended follow-up physiotherapy. Outcome measures
were available for 118 patients (58 men and 60 women). Mean age of the study group was 52.6 years.
Results: There was a statistically significant improvement in both Oxford Shoulder Score (OSS) and Disability Arm
Shoulder Hand Scores (Quick DASH) in the first 4 weeks after the procedure, which was maintained but not improved
to the end of the study period. Patients presenting with pain, those who had a history of steroid injections and older
patients all had worse functional scores at presentation. Diabetes (both Type I and II), previous physiotherapy, length of
history and whether pain or stiffness, or both, were the predominant symptom did not have any statistical significance at
presentation. These factors were not predictors of any statistically significant improvement in functional scores.
Conclusions: Hydrodilatation results in a significant improvement of symptoms in patients with adhesive capsulitis.