Related Experiment Video
Updated: Aug 6, 2026
10:10
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
43.2K
Arthrodilation: a treatment algorithm as a conservative management option for adhesive capsulitis
A Flores-Villalobos1, F Cruz-López1, G Cuevas-Rodríguez1
1Ortopedia del Deporte de Alto Rendimiento, Instituto Nacional de Rehabilitación «Luis Guillermo Ibarra Ibarra». Ciudad de México. México.
Acta Ortopedica Mexicana
|February 21, 2024
Summary
This study shows that the arthrodilation protocol, including ultrasound-guided injections and rehabilitation, significantly improves outcomes for adhesive capsulitis (AC). Patients experienced reduced pain and improved shoulder function, enabling a return to daily activities.
Area of Science:
- Orthopedics
- Sports Medicine
- Physical Therapy
Background:
- Adhesive capsulitis (AC) management is debated, with conservative treatments often being first-line.
- Variability exists in the effectiveness of different AC treatment modalities.
Purpose of the Study:
- To analyze functional and clinical outcomes of adhesive capsulitis patients treated with an arthrodilation protocol.
- To evaluate the efficacy of ultrasound-guided injections combined with rehabilitation therapy for AC.
Main Methods:
- The study included 23 patients with AC who received weekly ultrasound-guided injections (two corticosteroid, one hyaluronic acid/corticosteroid) and rehabilitation.
- Functional outcomes were assessed using the Visual Analogue Scale (VAS), University of California-Los Angeles (UCLA) shoulder score, and Constant-Murley score pre-treatment and at 3-month follow-up.
Main Results:
- Significant improvements were observed in VAS (pain reduction), UCLA shoulder score, and Constant-Murley score post-treatment.
- Patients reported good to excellent outcomes, with significant mean improvements in UCLA (20.8) and Constant-Murley (39.7) scores (p < 0.05).
Conclusions:
- The arthrodilation protocol shows promising results for adhesive capsulitis management.
- This conservative approach facilitates a safe return to daily activities within a short follow-up period.
- Findings support arthrodilation as a viable option and contribute to optimizing AC treatment strategies.
Related Concept Videos
01:26Peptic Ulcer Disease IV: Management
Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current medication...
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current medication...
01:21Inflammatory Bowel Disease V: Surgical Management
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
01:17Pericarditis III: Medical Management
The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
01:21Rheumatic Heart Disease III: Medical Management
Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
01:27Peripheral Artery Disease III: Interprofessional Care
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
01:26Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...