Comparison of outcomes following arthroscopic capsular release for idiopathic, diabetic and secondary adhesive capsulitis of the shoulder: a systematic review

Boutefnouchet, T., Jordan, R., Bhabra, G., Modi, C. and Saithna, A. ORCID: 0000-0002-2408-5307, 2019. Comparison of outcomes following arthroscopic capsular release for idiopathic, diabetic and secondary adhesive capsulitis of the shoulder: a systematic review. Orthopaedics & Traumatology: Surgery & Research, 105 (5), pp. 839-846. ISSN 1877-0568

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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: Level IV, systematic review.

Item Type: Journal article
Publication Title: Orthopaedics & Traumatology: Surgery & Research
Creators: Boutefnouchet, T., Jordan, R., Bhabra, G., Modi, C. and Saithna, A.
Publisher: Elsevier Masson
Date: September 2019
Volume: 105
Number: 5
ISSN: 1877-0568
Identifiers:
NumberType
10.1016/j.otsr.2019.02.014DOI
Divisions: Schools > School of Science and Technology
Depositing User: Jonathan Gallacher
Date Added: 27 Feb 2019 16:58
Last Modified: 17 Sep 2019 13:28
URI: http://irep.ntu.ac.uk/id/eprint/35839

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