Adhesive Capsulitis
Conditions
Keywords
Randomized study capsulotomy vs distention with steroid
Brief summary
The purpose of the study is to compare two different treatment regimens for primary frozen shoulder: Arthroscopic capsulotomy and arthrographic distention with steroid.
Detailed description
Patients with primary frozen shoulder will be randomized to two different treatments and the outcome will be measured.
Interventions
Surgical division of thickened capsule in the shoulder
Intraarticular distention with steroid, saline, contrast and local anaesthetic
Sponsors
Study design
Eligibility
Inclusion criteria
1. The patient must have understood all information about the project and must have signed the informed consent letter about participation in the study including rehabilitation and follow-up 2. The patients must have a history and clinical findings typical for primary frozen shoulder with globally reduced range of motion in the shoulder. * External rotation 20 degrees or less * Abduction 45 degrees or less 3. The patients must not be in phase 1 (inflammation phase) 4. Diabetics may be included 5. MRI must be taken to exclude other reasons for stiffness
Exclusion criteria
1. Other reasons for stiffness( cuff rupture, arthritis) 2. Posttraumatic or postoperative stiffness 3. Patients not suited for day surgery 4. Patients with a history of subacromial impingement before developing stiffness
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Shoulder Function | 2 years |
Secondary
| Measure | Time frame |
|---|---|
| Shoulder range of motion | 2 years |
Countries
Norway