Tarek Boutefnouchet1, Robert Jordan2, Gev Bhabra2, Chetan Modi2, Adnan Saithna2. 1. Trauma and orthopaedic surgery, University Hospital Coventry and Warwickshire, Apt 862, 58, Sherborne Street, Birmingham, United Kingdom. Electronic address: tboutefnouchet@hotmail.com. 2. Trauma and orthopaedic surgery, University Hospital Coventry and Warwickshire, Apt 862, 58, Sherborne Street, Birmingham, United Kingdom.
Abstract
INTRODUCTION: Arthroscopic capsular release for adhesive capsulitis of the shoulder is a treatment option. The present study aimed to investigate the clinical outcomes following arthroscopic capsular release among idiopathic, diabetic and secondary adhesive capsulitis. HYPOTHESIS: Different aetiological groups yield variable outcomes following arthroscopic capsular release. MATERIALS AND METHODS: A literature search was performed using MEDLINE, EMBASE, CINAHL and the Cochrane Database in April 2017. Comparative studies that reported range of motion or functional outcomes following arthroscopic capsular release in patients with adhesive capsulitis were included. A systematic review of the studies was conducted following the PRISMA guidelines. RESULTS: Six studies met the eligibility criteria. The overall population included 463 patients; 203 idiopathic, 61 diabetic and 199 secondary cases. Of four studies comparing idiopathic and diabetic patients, three reported significantly worse range of movement and function in the diabetic group at various follow up points. No significant difference in function and motion was reported between the idiopathic and secondary groups. Recurrent pain was highest in diabetic patients (26%) compared to idiopathic groups (0%) and the secondary group had a higher rate of revision surgery when compared to the idiopathic group (8.1% vs. 2.4%) DISCUSSION: Arthroscopic capsular release has a high success rate regardless of the underlying aetiology. However, diabetic patients are reported to have more residual pain, reduced motion and inferior function compared to idiopathic cases. The rate of revision capsular release is higher among patients with post-surgical adhesive capsulitis when compared to idiopathic cases. LEVEL OF EVIDENCE: IV, systematic review.
INTRODUCTION: Arthroscopic capsular release for adhesive capsulitis of the shoulder is a treatment option. The present study aimed to investigate the clinical outcomes following arthroscopic capsular release among idiopathic, diabetic and secondary adhesive capsulitis. HYPOTHESIS: Different aetiological groups yield variable outcomes following arthroscopic capsular release. MATERIALS AND METHODS: A literature search was performed using MEDLINE, EMBASE, CINAHL and the Cochrane Database in April 2017. Comparative studies that reported range of motion or functional outcomes following arthroscopic capsular release in patients with adhesive capsulitis were included. A systematic review of the studies was conducted following the PRISMA guidelines. RESULTS: Six studies met the eligibility criteria. The overall population included 463 patients; 203 idiopathic, 61 diabetic and 199 secondary cases. Of four studies comparing idiopathic and diabeticpatients, three reported significantly worse range of movement and function in the diabetic group at various follow up points. No significant difference in function and motion was reported between the idiopathic and secondary groups. Recurrent pain was highest in diabeticpatients (26%) compared to idiopathic groups (0%) and the secondary group had a higher rate of revision surgery when compared to the idiopathic group (8.1% vs. 2.4%) DISCUSSION: Arthroscopic capsular release has a high success rate regardless of the underlying aetiology. However, diabeticpatients are reported to have more residual pain, reduced motion and inferior function compared to idiopathic cases. The rate of revision capsular release is higher among patients with post-surgical adhesive capsulitis when compared to idiopathic cases. LEVEL OF EVIDENCE: IV, systematic review.
Authors: Brett P Dyer; Claire Burton; Trishna Rathod-Mistry; Milisa Blagojevic-Bucknall; Danielle A van der Windt Journal: Arch Rehabil Res Clin Transl Date: 2021-07-14