Ultrasound-guided hydrodistension for adhesive capsulitis: a longitudinal study on the effect of diabetes on treatment outcomes View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2022-07-30

AUTHORS

Sofia Dimitri-Pinheiro, Michail E. Klontzas, Madalena Pimenta, Evangelia E. Vassalou, Raquel Soares, Apostolos H. Karantanas

ABSTRACT

ObjectiveThe effect of diabetes on adhesive capsulitis (AC) and its impact on the outcomes of ultrasound (US)-guided hydrodistension of the glenohumeral joint are still unclear. We aimed to identify predictors of US-guided hydrodistension outcomes, while assessing the performance of the method in diabetic compared to non-diabetic patients.Materials and methodsA total of 135 patients with AC who underwent US-guided hydrodistension were prospectively included. Demographics and factors linked to chronic inflammation and diabetes were recorded and patients were followed-up for 6 months. Functionality and pain were evaluated with the Disabilities of the Arm, Shoulder and Hand (DASH) and the Visual Analogue Scale (VAS) score. Statistical analysis was performed with Mann–Whitney U test, linear, and binary logistic regression.ResultsDiabetes was identified in 25/135 patients (18.5%). Diabetic patients had worse DASH and VAS score at presentation (P < 0.0001) and presented with a higher grade of AC (P < 0.0001) and lower range of motion (P < 0.01) compared to non-diabetics. Higher DASH (P = 0.025) and VAS scores (P = 0.039) at presentation were linked to worse functionality at 6 months. Presence and duration of diabetes, and the number of hydrodistension repeats, correlated with worse VAS and DASH scores at 6 months. The number of procedure repeats was the only independent predictor of complete pain resolution at 6 months (OR 0.418, P = 003).ConclusionDiabetes is linked to more severe AC at presentation and worse outcomes in patients undergoing US-guided hydrodistension. In resistant cases, repeating the intervention is independently linked to worse outcomes for at least 6 months post-intervention. More... »

PAGES

1-10

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URI

http://scigraph.springernature.com/pub.10.1007/s00256-022-04141-2

DOI

http://dx.doi.org/10.1007/s00256-022-04141-2

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https://app.dimensions.ai/details/publication/pub.1149870265

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/35908089


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