Department of Orthopedic Surgery

Abstract

Treatment of Adhesive capsulitis of shoulder joint still remains controversial. This study includes intra-articular corticosterioid injection in early stages of idiopathic adhesive capsulitis will leads to early resolution of stiffness and symptoms. This study is done only in stage-I and Stage-II adhesive capsulities. The diagnosis was done by history and physical examination. Other causes of pain & stiffness were eliminated. I defined stage-I where complete improvement of pain and regaining of normal motion after infra articular injection. State-II is defined, who has significant improvement of pain and partial improvement of motion following injection. I had selected 14 cases of stage-I and 40 cases of stage-II. The mean age was 51 years (range 33 years to 69 years). Female patient was 37 and male 17. Six patient had diabetes mellitus. Physical examination of patient as well as symptoms and disability measured. Criteria for remedy were defined by forward flexon and external rotation to within 15 o of the contralateral side and internal rotation to within five spinal levels of the contralateral side. Forty of the patients out of fifty four met the criteria for recovery at a mean of 6 months. The mean time of recovery for stage-I patient was 5 weeks (2 weeks to 10 weeks) and for stage-II it was 5 months (range : 3 weeks to 18 months). Stage-III was excluded from my study. Early recognisation of stage-I and stage-II idiopathic adhesive capsulitis and early injection of corticosteroid with local anaesthesia may be both diagnostic and therapeutic.