Summary. Relevance. Surgical treatment of adhesive capsulitis is infrequent, as the doctor is convinced that this pathology has a staged course and the 'thawing stage' is inevitable in 12-24 months. Unfortunately, this is not always the case.
Objective: to determine the optimal timing for surgical treatment of adhesive capsulitis.
Materials and Methods. From 2015 to 2019, we performed 175 arthroscopic surgeries in patients with adhesive capsulitis of the shoulder joint, of which 59 (33.7%) patients were diagnosed with type 2 diabetes. The age of patients ranged from 40 to 70 years. The average age was 55.9±17.2 years. All patients were divided into 2 groups (group 1 – adhesive capsulitis and a history of diabetes, group 2 – adhesive capsulitis). In our study, we retrospectively assessed the function of the shoulder joint on the Constant Shoulder Score and VAS scales before surgery and 12 months after surgery.
Results. The surgery performed within 100 days in patients with adhesive capsulitis and diabetes mellitus (group 1) when evaluated on the Constant Shoulder Score demonstrates worse results than the surgery performed at a later date (r=0.6; p<0.05); similar results were obtained on the VAS scale (r=0.62; p<0.05). The surgery performed within 100 days in patients with adhesive capsulitis (group 2) shows worse results on the Constant Shoulder Score than the surgery performed at a later date (r=0.775; p<0.05); similar results were obtained on the VAS scale (r=0.57; p<0.05). There is a tendency of less effective results of treatment on the Constant Shoulder Score and the VAS scale in patients of group 2 when performing surgery more than 350 days after the onset of the disease.
Conclusions. Despite a number of conservative methods of treatment of adhesive capsulitis, timely surgery allows to obtain good treatment results. The optimal period for surgical intervention in adhesive capsulitis ranges from 100 to 350 days from the onset of the disease.
Zreik NH, Malik RA, Charalambous CP. Adhesive capsulitis of the shoul de and diabetes: a meta-analysis of prevalence. Muscles Ligaments Tendons J. 2016;6(1):26-34. DOI: 10.11138/mltj/2016.6.1.026.
Schiefer M, Teixeira FS, Fontenelle C, Carminatti T, Santos DA, Righi LD, et al. Prevalence of hypothyroidism in patients with frozen shoulder. J Shoulder Elbow Surg. 2017;26(1):49-55. DOI: 10.1016/j.jse.2016.04.026.
Le HV, Lee SJ, Nazarian A, Rodriguez EK. Adhesive capsulitis of the shoulder: review of pathophysiology and current clinical treatments. Shoulder Elbow. 2017;9(2):75-84. DOI: 10.1177/1758573216676786.
Catapano M, Mittal N, Adamich J, Kumbhare D, Sangha H. ydrodilatation with corticosteroid for the treatment of adhesive apsulitis: a systematic review. PM R. 2018;10(6):623-635. DOI: 10.1016/j.pmrj.2017.10.013.
Jason JI, Sundaram GS, Subramani VM. Physiotherapy interventions for adhesive capsulitis of shoulder: a systematic review. Int J Physiother Res. 2015;3(6):1318-1325. DOI:10.16965/ijpr.2015.198.
Sun Y, Chen J, Li H, Jian J, Chen S. Steroid injection and nonsteroidal anti-inflammatory agenda for shoulder pain: a PRISMA systematic review and meta-analysis of randomized controlled trials. Medicine (Baltimore). 2015;94(50):e2216. DOI: 10.1097/MD.0000000000002216.
Lowe CM, Barrett E, McCreesh K, De Burca N, McCreesh K, Lewis J. Clinical effectiveness of nonsurgical interventions for primary frozen shoulder: a systematic review. J Rehabil Med 2019;51:539-56. DOI: 10.2340/16501977-2578.
Ramirez J. Adhesive capsulitis: diagnosis and management. Am Fam Physician 2019;99:297-300. PMID: 30811157.
Takahashi R, Iwahori Y, Kajita Y, Harada Y, Muramatsu Y, Ikemoto T. Clinical results and complications of shoulder manipula tion under ultrasound-guided cervical nerve root block for frozen shoulder: a retrospective observational study. Pain Ther 2019;8:111-20. DOI: 10.1007/s40122-018-0109-6.
Sun Y, Zhang P, Liu S, Li H, Jiang J, Chen Sh, et al. Intra-articular steroid injection for frozen shoulder: a systematic review and meta-analysis of randomized controlled trials with trial sequential analysis. Am J Sports Med 2017;45:2171-9. DOI: 10.1177/0363546516669944.
Mun SW, Baek CH. Clinical efficacy of hydrodistention with joint manipulation under interscalene block compared with intra-articular corticosteroid injection for frozen shoulder: a prospective randomized controlled study. J Shoulder Elbow Surg 2016;25:1937–43. doi.org/10.1016/j.jse.2016.09.021.
Kelly J. D. Elite Techniques in Shoulder Arthroscopy. / J. D. Kelly. – Springer, Philadelphia 2016. – 334 р. DOI 10.1007/978-3-319-25103-5.
Rockwood and Matsen’s The Shoulder 5th Edition / Ch.A.Rockwood, F.A.Masten. – Elsevier, 2016. – 1304 p. eBook ISBN: 9780323446686.
Itoi, E., Arce, G., Bain, G. I., Diercks, R. L., Guttmann, D., Imhoff, A. B., Mazzocca, A. D., Sugaya, H., & Yoo, Y-S. (Eds.) (2015). Shoulder stiffness: Current concepts and concerns. Springer. doi.org/10.1007/978-3-662-46370-3.
Blanchard V, Barr S, Cerisola FL. The effectiveness of corticosteroid injections compared with physiotherapeutic interventions for adhesive capsulitis: a systematic review. Physiotherapy. 2010;96(2):95-107. DOI: 10.1016/j.physio.2009.09.003.
Uppal HS, Evans JP, Smith C. Frozen shoulder: a systematic review of therapeutic options. World J Orthop. 2015;6(2):263-8. DOI: 10.5312/wjo.v6.i2.263.
Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res. 1987 Jan;(214):160-4. PMID: 3791738.
Tim Bunker Time for a new name for frozen shoulder-contracture of the shoulder. Shoulder & Elbow. 2009;1(1):4-9. DOI: 10.1111/j.1758- 5740.2009.00007.x.
Hand C, Clipsman K, Rees J, Carr A. The long term outcome of frozen shoulder. J Shoulder Elbow Surg 2008; 17:231–6. DOI: 10.1016/j.jse.2007.05.009.
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