Short-term Outcome of Oral Prednisolone in the Management of Primary Adhesive Capsulitis.

Authors

  • Afsar Khan Assistant Professors, Orthopedic Department DHQ Teaching Hospital KDA Kohat
  • Saad Dildar Khattak Assistant Professors, Orthopedic Department DHQ Teaching Hospital KDA Kohat
  • Muhammad Zahid Shah Assistant Professors, Orthopedic Department DHQ Teaching Hospital KDA Kohat
  • Javed Ullah Khan Senior Registrar Orthopedic Department DHQ Teaching Hospital KDA Kohat
  • Tauseef Raza Assistant Professors, Orthopedic Department DHQ Teaching Hospital KDA Kohat

Abstract

Objective: To determine the short term outcome of oral Prednisolone in the management of primary adhesive capsulitis in terms of pain relief and improvement in shoulder range of motion.

Methods: This descriptive study was carried out in Orthopedic Department District Head Quarter Hospital(DHQ) Teaching Hospital Kohat Development authority(KDA) Kohat from 23rd July 2020 to 23rd December 2021. All adults patients with primary adhesive capsulitis fulfilling the inclusion criteria were treated with 30 mg oral prednisolone in tapering dose for 3 weeks. The intensity of pain was assessed using Visual Analogue Scale(VAS) and shoulder range of motion(ROM) was measured with goniometer at 3 weeks and compared with pre treatment values.

Results: In this study 46 patients were included. Female were 28 (60.87%) while males were 18 (39.13%). Average age was 52.35±6.48 years. Non-dominant and dominant shoulders were affected in 27(58.70%) and 19(41.30%) patients respectively. The mean pre treatment VAS significantly improved from 8.23±3.2 to 1.97±1.1 post treatment.(p<0.05) A significant improvement in shoulder flexion, abduction, internal rotation and external rotation was documented.(p<0.05)

Conclusion: Significant short term pain reduction and improvement in shoulder range of motion was documented with oral Prednisolone in patients with primary adhesive capsulitis.

References

Binder AI, Bulgen DY, Hazleman BL, Roberts S. Frozen shoulder: a long-term prospective study. Ann Rheum Dis 1984; 43: 361-364.

Hannafin JA, Chiaia TA. Adhesive capsulitis: a treatment approach. Clin Orthop 2000; 372: 95-109.

Lorbach O, Anagnostakos K, Scherf C, Seil R, Kohn D, Pape D. Nonoperative management of adhesive capsulitis of the shoulder: oral cortisone application versus intra- articular cortisone injections. J Shoulder Elbow Surg 2010;19:172-179.

Lundberg. The frozen shoulder. Acta Orthop Scand 1969; 119(suppl): 5–59.

Shaffer B, Tibone JE, Kerlan RK. Frozen shoulder. A long term follow up. J Bone Joint Surg Am 1992; 74-A: 738-46.

Manske RC, Prohaska D. Diagnosis and management of adhesive capsulitis. Curr Rev Musculoskelet Med 2008; 1(3-4):180-189.

Tighe CB, Oakley WS Jr. The prevalence of a diabetic condition and adhesive capsulitis of the shoulder. South Med J 2008;101:191-195.

Reeves B. The natural history of the frozen shoulder syndrome. Scand J Rheumatol 1975;4: 193-196.

Neviaser TJ. Adhesive capsulitis. Orthop Clin North Am 1987; 18:439–443.

Hand C, Clipsham K, Rees JL, Carr AJ. Long-term outcome of frozen shoulder. J Shoulder Elbow Surg 2008;17:231-236.

Ogilvie -Harris DJ, Biggs DJ, Fitsialos DP, MacKay M. The resistant frozen shoulder. Manipulation versus arthroscopic release. Clin Orthop Relat Res 1995; (319): 238-48.

Griggs SM, Anthony AHN, Green A. Idiopathic Adhesive capsulitis: A prospective functional outcome study on non-operative treatment. J Bone Joint Surg Am Incorporated 2000;82:1398-1407.

Kim Y-S, Lee H-J, Kim Y, Kong C-G. Which method is more effective in treatment of calcific tendinitis in the shoulder? Prospective randomized comparison between ultrasound-guided needling and extracorporeal shock wave therapy. J Shoulder Elbow Surg 2015; 23(11):1640–1446.

Vander Windt DA, Koes BW, de Jong BA, Bouter LM. Shoulder disorders in general practice; incidence, patient characteristics and management. Ann Rheum Dis 1995; 54: 959-964.

H Stam. Frozen Shoulder: A review of current concepts. Physiotherapy. 1994; 80: 588-599.

Neviaser RJ, Neviaser TJ. The frozen shoulder: diagnosis and management. Clin Orthop 1987; 223: 59-64.

TD Bunker. Frozen shoulder. In: Bunker TD, Schranz PJ Clinical Challenges in Orthopaedic. the shoulder Oxford: Isis.1998:135-157.

Woodward TW, Best TM. The painful shoulder: part II. Acute and chronic disorders. Am Fam Physician. 2000; 61:3291-300.

Ozaki J, Nakagawa Y, Sakural G, Tamia S. Recalcitrant Chronic Adhesive Capsulitis of the shoulder. Role of contracture of the corachumeral ligament and rotator interval in pathogenesis and treatment. J Bone Joint Surg 1989; 71-A:1511-1515.

Ekalund AL and Rydell N. Combination treatment of Adhesive capsulitis of the shoulder. Clin Orthop 1992; 282: 105-109.

Coventry MB. Problem of painful shoulder. JAMA 1953; 15 1: 178–185.

Sigler JW, Ensign DC. ACTH and cortisone in the treatment of the shoulder hand syndrome. Ann Rheum Dis 1951;10:1038-1040.

Ehrlich M, Carp SP, Berkowitz SS, Spitzer N, Silver M, Steinbrocker O. ACTH and cortisone in periarthritis of the shoulder (‘‘frozen shoulder’’). Ann Rheum Dis 1951; 10:485-486.

Binder A, Hazleman BL, Parr G, Roberts S. A controlled study of oral prednisolone in frozen shoulder. Br J Rheumatol 1986;25:288–292.

Blockey A, Wright J. Oral cortisone therapy in periarthritis of the shoulder. BMJ 1954; i: 1455–1457.

Widiastuti-Samekto M, Sianturi GP. Frozen shoulder syndrome: comparison of oral route corticosteroid and intraarticular corticosteroid injection. Med J Malaysia. 2004; 59(3): 312-316.

Canbulat N, Eren I, Atalar AC, Demirhan M, Eren SM, Ucak A. Nonoperative treatment of frozen shoulder: oral glucocorticoids. Int Orthop 2015; 39(2): 249-254.

Lakhani A, Alawadhi K, Jain S, Bhatnagar SM. Comparison of Oral Glucocorticoid and Only Analgesics in the Treatment of Idiopathic Frozen Shoulder. Int J Med Res Prof 2016; 2(5); 238-240.

Kessel L, Bayley I, Young A. The upper limb: the frozen shoulder. Br J Hosp Med 1981; 25: 334–339.

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Published

2022-09-29

How to Cite

Afsar Khan, Saad Dildar Khattak, Muhammad Zahid Shah, Javed Ullah Khan, & Tauseef Raza. (2022). Short-term Outcome of Oral Prednisolone in the Management of Primary Adhesive Capsulitis. Journal of Pakistan Orthopaedic Association, 34(03), 120–123. Retrieved from http://game.myvmk.com/index.php/upload/article/view/672