Functional results of Circumferential Capsular Release in adhesive shoulder capsulitis. Comparative study of patients over and under fift years of age

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dc.contributor.authorGómez Muñoz, Eduardo
dc.contributor.authorSánchez Ibáñez, Ivan
dc.contributor.authorGarríguez Pérez, Daniel
dc.contributor.authorGarcía Fernández, Carlos
dc.contributor.authorMarco Martínez, Fernando
dc.contributor.authorLópiz Morales, María Yaiza
dc.date.accessioned2024-08-19T10:50:49Z
dc.date.available2024-08-19T10:50:49Z
dc.date.issued2023-12-29
dc.description.abstractIntroduction: The aim of our study is to evaluate the functional and mobility outcomes in patients who have undergone arthroscopic circumferential arthrolysis of the shoulder and to find out if there are differences in the results in relation to the patient's age. Materials and methods: This is a retrospective case series of patients with idiopathic adhesive capsulitis treated by arthroscopic 360º circumferential capsulotomy in lateral position and followed for a minimum of 2 years. Range of motion (ROM), functional outcomes using the Constant Score (CS), health-related quality of life outcomes with the EuroQol Five Dimensions tool (EQ-5D), pain using the Visual Analogue Scale (VAS). Results: A total of 26 shoulders were included, 10 men (41.7%) and 14 women (58.3%), with 2 patients being bilateral. The mean age was 48.64 ± 7.5 years, and the mean follow-up was 50.2 months. Postoperative ROM improved significantly compared to preoperative ROM (p < 0.05). Shoulder forward flexion improved by 38.6° (95%CI 22.3-54.9, p < 0.01), abduction by 35.2° (95%CI 17.6-52.8, p < 0.01) and external rotation by 21.9° (95%CI 12.8-30.9, p < 0.01 p < 0.01). Median internal rotation improved from buttock to T12 (p < 0.01). The mean improvement in CS was 54.3 ± 24.4 points (p < 0.01). The EQ-5D and VAS scores at the end of follow-up were 0.73 ± 0.23 and 2.73 ± 2.55, respectively. There were no statistical differences between young patients and patients aged 50 years or older in ROM or functional results. Conclusions: Patient age did not affect outcomes significantly, with patients older than 50 years showing similar results to younger patients.
dc.description.departmentDepto. de Cirugía
dc.description.facultyFac. de Medicina
dc.description.refereedTRUE
dc.description.statuspub
dc.identifier.citationGómez-Muñoz E, Sánchez-Ibáñez I, Garríguez-Pérez D, García-Fernández C, Marco F, Lópiz Y. Functional results of Circumferential Capsular Release in adhesive shoulder capsulitis. Comparative study of patients over and under fifty years of age. Arch Orthop Trauma Surg. 2024 Mar;144(3):1303-1310. doi: 10.1007/s00402-023-05175-4. Epub 2023 Dec 28. PMID: 38153437.
dc.identifier.doi10.1007/s00402-023-05175-4
dc.identifier.essn0936-8051
dc.identifier.issn1434-3916
dc.identifier.officialurlhttps://doi.org/10.1007/s00402-023-05175-4
dc.identifier.pmid38153437
dc.identifier.relatedurlhttps://link.springer.com/article/10.1007/s00402-023-05175-4
dc.identifier.urihttps://hdl.handle.net/20.500.14352/107490
dc.issue.number3
dc.journal.titleArchives of Orthopaedic and Trauma Surgery
dc.language.isoeng
dc.page.final1310
dc.page.initial1303
dc.publisherSpringuer
dc.rights.accessRightsrestricted access
dc.subject.cdu616.72-07
dc.subject.keywordAdhesive capsulitis
dc.subject.keywordArthroscopy
dc.subject.keywordCapsular release
dc.subject.keywordFrozen shoulder
dc.subject.keywordShoulder pain
dc.subject.ucmCiencias Biomédicas
dc.subject.unesco32 Ciencias Médicas
dc.titleFunctional results of Circumferential Capsular Release in adhesive shoulder capsulitis. Comparative study of patients over and under fift years of age
dc.typejournal article
dc.type.hasVersionVoR
dc.volume.number144
dspace.entity.typePublication
relation.isAuthorOfPublicatione160ced6-aec8-4bde-9f5f-5d5872dadf87
relation.isAuthorOfPublicationac13f2b2-91f6-40be-8d94-1b716483e3b1
relation.isAuthorOfPublication.latestForDiscoverye160ced6-aec8-4bde-9f5f-5d5872dadf87
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