Author : Ahmed, Dr, Debojyoti Mukherjee, Dr.Arshad
A COMPARATIVE STUDY OF MANIPULATION UNDER ANAESTHESIA VERSUS ARTHROSCOPIC CAPSULAR RELEASE IN ADHESIVE CAPSULITIS OF SHOULDER
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 6, Pages 1161-1174
Background: Adhesive capsulitis is not completely known, and recent studies have shown that it can lead to long-term disability over the course of several years13,17,27Long-term follow-up studies have shown that patients underestimate the amount of objective motion lost and that the duration of symptoms before medical care is sought may be correlated with recovery. Patients seeking care earlier usually recover more quickly.
Materials and Methods:
In Department Of Orthopaedics, R.G.Kar Medical College, Kolkata from november 2011 to september 2013 patients presenting to the outdoor patient department with clinical features of Adhesive Capsulitis of shoulder are evaluated with variables like Age, Sex, Dominance of extremity, Diabetes, Duration of symptoms. A total of 44 patients satisfied the inclusion criteria. 4 patients were lost to follow up and thus 40 patients were available for follow up and evaluated.
Results: A total of 40 patients were evaluated. The MUA group consisted of 23 patients and the ACR group consisted of 17 patients. The mean improvement in the MUA group of patients at the final follow up of 6 months was 50.69 on the CMS score. The mean pre-operative CMS score was 22.0(+ 4.7) and rose to 72.69 (+ 7.87) at 6 months. The mean pre-operative CMS score for ACR patients was 18.47(+4.47) and rose to 82.41 (+ 6.69) at 6 months follow up, with an improvement of 63.94 points.
Conclusion: Overall the results of ACR were encouraging over MUA across all stratifications. Abduction and internal rotation were in particular significantly better and pain reduction was earlier for ACR group of patients. This accounted for better functional scores in these patients.