Tractament de la Capsulitis Adhesiva d'Espatlla mitjançant Hidrodilatació. Estudi Randomitzat amb/sense Corticoides Intra-articulars

Identificador:  TDX:4458

Handle: https://hdl.handle.net/20.500.11797/TDX4458

Autores:  Gebellí Jové, Joan Tomàs

Resumen:
Introduction Adhesive capsulitis of the shoulder causes pain and loss of mobility. There are different treatments described; These include hydrodilatation, which consists of introducing a volume of fluid into of the glenohumeral joint, to produce a distension Objective: To determine the differences between patients who undergo shoulder hydrodilatation, with or without corticosteroids, regarding mobility, pain, function and disability. Analyze the reproducibility of hydrodilatation and determine the side effects Methods: Study based on a clinical, prospective, blind and randomized analysis to compare the results between shoulder hydrodilatation with corticosteroids or without intra-articular corticosteroids. The results are measured at one month, 3, 6 and 12 months. Results: There are no demographic differences between both groups. Comparing the two groups, the results are statistically significant, with the group with corticosteroids obtaining better results, except for mobility, where there are no differences. Looking at these both globally and separately, it is observed that there is an increase in mobility in all ranges, and they are statistically significant when comparing the values prior to hydrodilatation with the final results. Conclusions: Hydrodilatation with corticosteroids provides better results, especially in terms of pain, function, and disability. The addition of corticosteroids to hydrodilatation does not affect the final mobility of the glenohumeral joint. We have not found significant differences in the results between diabetic and non-diabetic patients. Diabetic patients treated with corticosteroids had better results. Hydrodilatation under ultrasound control is a safe procedure. It is reproducible with a standard technique and the most common side effect is slight self-limiting pain. Overall, it is proven that there is a very important improvement in mobility from the moment of the procedure and it is preserved until the end of the study, with or without corticosteroids.