Dr Yassir Mehmood, Dr Mohammad Farooq Bhat
Vol. 20, Issue 1, Jul-Dec 2025
Abstract:
Adhesive capsulitis is a condition which affects the shoulder joint’s range of motion affecting the quality of life of the patients significantly. It is mainly associated with inflammation of the glenohumeral joint and capsular fibrosis which is amplified by various systemic comorbidities. Manipulation under anasthesia is a cost effective treatment modality especially for those patients who face failure to conservative management. So the aim of this study is to evaluate the association between the comorbidities and the outcome of manipulation under anaesthesia in adhesive capsulitis patients. METHOD: 37 patients of adhesive capsulitis with history of at least 6 months of shoulder pain and stiffness, from the age group of 40-70 years with restriction of passive movements in the glenohumeral joint of > 30 degrees in abduction and at least a second plane of movement with 30 degrees restriction (compared to the other side of shoulder) and the patients refractory to 3 months of conservative treatment were included. The patients aged <40 and >70 years, any bony lesion on Xray, severe osteoporosis, recently healed fractures, patients with fractures dislocation shoulder tumours , tuberculosis or rheumatic disease, cardiovascular, pulmonary, cerebrovascular, severe mental illness, impaired consciousness or other serious underlying comorbidity to avoid anaesthesia related complications, and patients not willing to give consent were excluded. After thorough history, examination and investigations procedure of manipulation was done and follow up at 1week, 1month, 3months and 6 months was done using SPADI INDEX. RESULTS- 15 (40.5%) patients were suffering from comorbidities like diabetes, hypertension, and thyroid disorder. Diabetes being the most commonly occurring comorbidity and there were positive outcomes in patients not suffering from any comorbidity (p value <0.047) CONCLUSION- MUA is an effective modality of treatment for the clinical recovery and improving the range of motion of shoulder joint (p value <0.0001) and there is poor outcome in patients suffering from comorbidities specifically diabetes mellitus. So pre-operative detailed systemic evaluation is very important to depict the treatment outcomes and prognosis in patients with adhesive capsulitis
DOI: http://doi.org/10.37648/ijrmst.v20i01.004
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