Comparison of clinical outcomes between arthroscopic debridement and conservative treatment of primary adhesive capsulitis of the hip

Lim, Jae‐Young; Djaja, Yoshi Pratama; Won, Yoo-Sun; Jang, Eui-Chan; Kim, Jae Yoon; Ha, Yong‐Chan

doi:10.1007/s00264-020-04659-x

Cited by 5 publications

(3 citation statements)

References 18 publications

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“…As a result of this study, all six subsections of HAGOS were lower in the ACH group, and patients complained of greater discomfort, especially in physical activity and sports participation. As explained in previous studies [ 9 , 11 ], the typical symptom of ACH is pain, and moreover, the score may have been low because the hip joint was not smooth during activity due to limited ROM.…”

Section: Discussionmentioning

confidence: 99%

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Biomechanical Asymmetry of Strength and Dynamic Balance Kinetics in Middle-Ages with Adhesive Capsulitis of the Hip

Choi

Kim

2022

IJERPH

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The representative clinical features of adhesive capsulitis of the hip (ACH) are restricted range of motion (ROM) and pain. However, reports on kinetics such as strength and dynamic balance that explain physical functions are rare. This study compared subjective hip scores using Copenhagen Hip and Groin Outcome Score (HAGOS) and ROM using a manual goniometer as well as strength using isokinetic equipment, and dynamic balance through the Y-balance test, between patients with ACH and healthy individuals. Data of 193 middle-aged participants (men: 99 and women: 94) were analyzed. The ACH group scored significantly lower in all six HAGOS sub-sections. Hip joint flexion, abduction, internal and external rotation ROM were significantly lower in ACH compared to healthy group. These results were the same for men and women. In the strength of men and women, flexion, adduction, and abduction, and dynamic balance in all three directions were significantly decreased in ACH. Meanwhile, there were no significant between-group differences in the functional decrease in extension and adduction of ROM, and extension strength. In conclusion, subjective evaluation and dynamic balance of patients with ACH were decreased in the all parts. In ROM, flexion, abduction, internal rotation, and external rotation were restricted except for extension and adduction. Men and women with ACH maintained extensor strength, but had weakened strength in flexion, adduction and abduction. This information will be useful for therapists to understand the biomechanical properties of ACH and to design effective rehabilitation programs.

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Section: Discussionmentioning

confidence: 99%

“…If there is no improvement after at least 3 months, radiology and arthroscopic synovectomy or capsulotomy pressure dilatation, open or arthroscopic synovectomy, lysis of adhesions, and capsular release may be considered. Nevertheless, experts recommend conservative therapy rather than surgery [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Biomechanical Asymmetry of Strength and Dynamic Balance Kinetics in Middle-Ages with Adhesive Capsulitis of the Hip

Choi

Kim

2022

IJERPH

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“…Notably, since the aforementioned publication, the presence of ACH in the literature has gradually increased. 8,13,20,21 From 2008-2012, four case reports were published featuring patients who were clinically diagnosed with ACH and managed with conservative therapy, which included anti-inflammatory medications, corticosteroid injection(s), and physical therapy. 5,[22][23][24] Patients who failed a 12-month course of conservative treatment were then treated with manipulation under anesthesia, possible pressure dilation (infusion of isotonic sodium chloride and contrast medium under fluoroscopy), and an additional course of physical therapy.…”

Section: Prevalence and Review Of The Literaturementioning

confidence: 99%

Adhesive Capsulitis of the Hip: A Case Presentation and Review

et al. 2022

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There remains a paucity of literature addressing adhesive capsulitis of the hip (ACH), making the diagnosis and treatment a continued challenge for healthcare providers. ACH encompasses restricted hip range-of-motion and pain that progresses through analogous Stages (1-4) to adhesive capsulitis of the shoulder. We report a case presentation of a middle-aged man that illustrates the significance of certain patient factors and provide a review of current literature to aid in the diagnostic evaluation and treatment for addressing ACH. Initial conservative treatment of ACH includes the appropriate management of associated comorbidities, oral and/or injectable pharmacologics, and physical therapy. While frequently resolving with time, refractory cases of ACH may require more aggressive approaches including pressure dilation, manipulation under anesthesia, synovectomy, capsular release and, for select patients, total hip arthroplasty. Given the limited available literature addressing ACH, healthcare providers may be forced to rely on a small number of published case reports and outdated review articles to guide their diagnostic evaluation and treatment approaches. Thus, this case presentation and review provides an updated approach to better diagnose and manage patients with ACH.

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Letter to the editor regarding “Comparison of clinical outcomes between arthroscopic debridement and conservative treatment of primary adhesive capsulitis of the hip”

Shigemura

2020

International Orthopaedics (SICOT)

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Comparison of clinical outcomes between arthroscopic debridement and conservative treatment of primary adhesive capsulitis of the hip

Cited by 5 publications

References 18 publications

Biomechanical Asymmetry of Strength and Dynamic Balance Kinetics in Middle-Ages with Adhesive Capsulitis of the Hip

Biomechanical Asymmetry of Strength and Dynamic Balance Kinetics in Middle-Ages with Adhesive Capsulitis of the Hip

Adhesive Capsulitis of the Hip: A Case Presentation and Review

Letter to the editor regarding “Comparison of clinical outcomes between arthroscopic debridement and conservative treatment of primary adhesive capsulitis of the hip”

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