Chronic adhesive capsulitis (Frozen shoulder): Comparative outcomes of treatment in patients with diabetes and obesity
| Autor: | Girish Swamy, Francisco Barbosa, Marius Espag, Hatem Salem, Amol Tambe, David Clark, Tim Creswell |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
030222 orthopedics
medicine.medical_specialty business.industry Shoulders Psychological intervention Frozen shoulder medicine.disease Obesity 03 medical and health sciences 0302 clinical medicine Capsulitis Diabetes mellitus Internal medicine Medicine Orthopedics and Sports Medicine In patient Special Symposium on Shoulder Arthroscopy 030212 general & internal medicine business Prospective cohort study |
| Zdroj: | Journal of Clinical Orthopaedics and Trauma. 10:265-268 |
| ISSN: | 0976-5662 |
| Popis: | Despite an abundance of information about frozen shoulders, larger prospective studies on the outcomes of intervention are limited. The purpose of our study was to assess the functional and clinical outcomes with a further aim to analyse the independent effects of diabetes and BMI. A prospective cohort study of all 210 primary frozen shoulders over a 12 – month period was analysed. The Oxford Shoulder score was used to assess functional outcomes before and after interventions. Further demographic data was collected. The effect of interventions including steroid injections, arthroscopic release and manipulation was analysed. 54% patients responded to intra-articular steroid injections. Patients with recalcitrant symptoms (46%) had an arthroscopic release. Failure of initial injection therapy was higher in diabetes [70%] than non-diabetes [44%] patients. After surgery, the Oxford shoulder score improved from a mean of 41.6 to 27.2 at 3 months [p _30 and |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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