What volume of injection should be used in hydrodilatation for frozen shoulder? A prospective cohort study

This study evaluated the outcome and recurrence rates after hydrodilatation (HD) in patients with frozen shoulder (FS), comparing the effects of injecting 25 mL or more of fluid versus lower volumes. A total of 132 shoulders (130 patients) were treated at a shoulder clinic between August 2019 and Fe...

Full description

Saved in:
Bibliographic Details
Published in:Shoulder & elbow 2024-12, p.17585732241307860
Main Authors: Jhaj, Jasmeet, Woolner, Benjamin, Rankin, Sally, Heard, Gabriel, Planner, Andrew, Thahal, Hyeladzira, Woods, David
Format: Article
Language:English
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites cdi_FETCH-LOGICAL-c183t-ef1dddac33d4e912826e2bc5e72ea85a0527de61b9b924845c6e8e6fba8c05ed3
container_end_page
container_issue
container_start_page 17585732241307860
container_title Shoulder & elbow
container_volume
creator Jhaj, Jasmeet
Woolner, Benjamin
Rankin, Sally
Heard, Gabriel
Planner, Andrew
Thahal, Hyeladzira
Woods, David
description This study evaluated the outcome and recurrence rates after hydrodilatation (HD) in patients with frozen shoulder (FS), comparing the effects of injecting 25 mL or more of fluid versus lower volumes. A total of 132 shoulders (130 patients) were treated at a shoulder clinic between August 2019 and February 2023. HD was performed under ultrasound guidance, injecting a combination of 40 mg Triamcinolone, 10 mL of local anaesthetic, and saline to a total volume of 10 to 40 mL based on patient tolerance. The results were analysed based on the volume of fluid injected and whether patients were diabetic. The overall failure or recurrence rate (FRR) was 24% after a minimum of 1 year. Non-diabetic patients injected with ≥25 mL had a significantly lower FRR (9%) compared to those injected with
doi_str_mv 10.1177/17585732241307860
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3148499874</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3148499874</sourcerecordid><originalsourceid>FETCH-LOGICAL-c183t-ef1dddac33d4e912826e2bc5e72ea85a0527de61b9b924845c6e8e6fba8c05ed3</originalsourceid><addsrcrecordid>eNplkEtLw0AUhQdRbK3-ADcySzfReWQeWUkp9QEFN4rLMJm5ISlJp84khfrrTe1j4-pe7v3O4XAQuqXkgVKlHqkSWijOWEo5UVqSMzTe3RKhUnJ-2jkboasYl4RIJZW4RCOeKcqZpGO0_KpMhze-6VvAvsT1agm2q_0Kx8r3jcMF4D6CGx642rrgXd2YzvwRpQ-4DP4HjjCEJzzF6-DjemeyAWx95UOHY9e77TW6KE0T4eYwJ-jzef4xe00W7y9vs-kisVTzLoGSOueM5dylkFGmmQRWWAGKgdHCEMGUA0mLrMhYqlNhJWiQZWG0JQIcn6D7ve8Q5LuH2OVtHS00jVmB72PO6aDKMq3SAaV71A6ZY4AyX4e6NWGbU5LvKs7_VTxo7g72fdGCOymOnfJf6tV4sg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3148499874</pqid></control><display><type>article</type><title>What volume of injection should be used in hydrodilatation for frozen shoulder? A prospective cohort study</title><source>SAGE</source><creator>Jhaj, Jasmeet ; Woolner, Benjamin ; Rankin, Sally ; Heard, Gabriel ; Planner, Andrew ; Thahal, Hyeladzira ; Woods, David</creator><creatorcontrib>Jhaj, Jasmeet ; Woolner, Benjamin ; Rankin, Sally ; Heard, Gabriel ; Planner, Andrew ; Thahal, Hyeladzira ; Woods, David</creatorcontrib><description>This study evaluated the outcome and recurrence rates after hydrodilatation (HD) in patients with frozen shoulder (FS), comparing the effects of injecting 25 mL or more of fluid versus lower volumes. A total of 132 shoulders (130 patients) were treated at a shoulder clinic between August 2019 and February 2023. HD was performed under ultrasound guidance, injecting a combination of 40 mg Triamcinolone, 10 mL of local anaesthetic, and saline to a total volume of 10 to 40 mL based on patient tolerance. The results were analysed based on the volume of fluid injected and whether patients were diabetic. The overall failure or recurrence rate (FRR) was 24% after a minimum of 1 year. Non-diabetic patients injected with ≥25 mL had a significantly lower FRR (9%) compared to those injected with &lt;25 mL (30%,  = 0.006). Diabetic patients had a much higher FRR of 52%, compared to 17% in non-diabetics (  = 0.0002). The study concluded that injecting patients with ≥25 mL of fluid had a significantly lower FRR than those injected with &lt;25 mL at a minimum of 12 months follow-up (9% vs 30%,  = 0.006). Diabetic patients experienced a higher rate of recurrence, suggesting the need for patient counselling about the increased likelihood of failure.</description><identifier>ISSN: 1758-5732</identifier><identifier>EISSN: 1758-5740</identifier><identifier>DOI: 10.1177/17585732241307860</identifier><identifier>PMID: 39713261</identifier><language>eng</language><publisher>United States</publisher><ispartof>Shoulder &amp; elbow, 2024-12, p.17585732241307860</ispartof><rights>The Author(s) 2024.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c183t-ef1dddac33d4e912826e2bc5e72ea85a0527de61b9b924845c6e8e6fba8c05ed3</cites><orcidid>0009-0008-6218-3806</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39713261$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jhaj, Jasmeet</creatorcontrib><creatorcontrib>Woolner, Benjamin</creatorcontrib><creatorcontrib>Rankin, Sally</creatorcontrib><creatorcontrib>Heard, Gabriel</creatorcontrib><creatorcontrib>Planner, Andrew</creatorcontrib><creatorcontrib>Thahal, Hyeladzira</creatorcontrib><creatorcontrib>Woods, David</creatorcontrib><title>What volume of injection should be used in hydrodilatation for frozen shoulder? A prospective cohort study</title><title>Shoulder &amp; elbow</title><addtitle>Shoulder Elbow</addtitle><description>This study evaluated the outcome and recurrence rates after hydrodilatation (HD) in patients with frozen shoulder (FS), comparing the effects of injecting 25 mL or more of fluid versus lower volumes. A total of 132 shoulders (130 patients) were treated at a shoulder clinic between August 2019 and February 2023. HD was performed under ultrasound guidance, injecting a combination of 40 mg Triamcinolone, 10 mL of local anaesthetic, and saline to a total volume of 10 to 40 mL based on patient tolerance. The results were analysed based on the volume of fluid injected and whether patients were diabetic. The overall failure or recurrence rate (FRR) was 24% after a minimum of 1 year. Non-diabetic patients injected with ≥25 mL had a significantly lower FRR (9%) compared to those injected with &lt;25 mL (30%,  = 0.006). Diabetic patients had a much higher FRR of 52%, compared to 17% in non-diabetics (  = 0.0002). The study concluded that injecting patients with ≥25 mL of fluid had a significantly lower FRR than those injected with &lt;25 mL at a minimum of 12 months follow-up (9% vs 30%,  = 0.006). Diabetic patients experienced a higher rate of recurrence, suggesting the need for patient counselling about the increased likelihood of failure.</description><issn>1758-5732</issn><issn>1758-5740</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNplkEtLw0AUhQdRbK3-ADcySzfReWQeWUkp9QEFN4rLMJm5ISlJp84khfrrTe1j4-pe7v3O4XAQuqXkgVKlHqkSWijOWEo5UVqSMzTe3RKhUnJ-2jkboasYl4RIJZW4RCOeKcqZpGO0_KpMhze-6VvAvsT1agm2q_0Kx8r3jcMF4D6CGx642rrgXd2YzvwRpQ-4DP4HjjCEJzzF6-DjemeyAWx95UOHY9e77TW6KE0T4eYwJ-jzef4xe00W7y9vs-kisVTzLoGSOueM5dylkFGmmQRWWAGKgdHCEMGUA0mLrMhYqlNhJWiQZWG0JQIcn6D7ve8Q5LuH2OVtHS00jVmB72PO6aDKMq3SAaV71A6ZY4AyX4e6NWGbU5LvKs7_VTxo7g72fdGCOymOnfJf6tV4sg</recordid><startdate>20241220</startdate><enddate>20241220</enddate><creator>Jhaj, Jasmeet</creator><creator>Woolner, Benjamin</creator><creator>Rankin, Sally</creator><creator>Heard, Gabriel</creator><creator>Planner, Andrew</creator><creator>Thahal, Hyeladzira</creator><creator>Woods, David</creator><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0009-0008-6218-3806</orcidid></search><sort><creationdate>20241220</creationdate><title>What volume of injection should be used in hydrodilatation for frozen shoulder? A prospective cohort study</title><author>Jhaj, Jasmeet ; Woolner, Benjamin ; Rankin, Sally ; Heard, Gabriel ; Planner, Andrew ; Thahal, Hyeladzira ; Woods, David</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c183t-ef1dddac33d4e912826e2bc5e72ea85a0527de61b9b924845c6e8e6fba8c05ed3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jhaj, Jasmeet</creatorcontrib><creatorcontrib>Woolner, Benjamin</creatorcontrib><creatorcontrib>Rankin, Sally</creatorcontrib><creatorcontrib>Heard, Gabriel</creatorcontrib><creatorcontrib>Planner, Andrew</creatorcontrib><creatorcontrib>Thahal, Hyeladzira</creatorcontrib><creatorcontrib>Woods, David</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Shoulder &amp; elbow</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jhaj, Jasmeet</au><au>Woolner, Benjamin</au><au>Rankin, Sally</au><au>Heard, Gabriel</au><au>Planner, Andrew</au><au>Thahal, Hyeladzira</au><au>Woods, David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>What volume of injection should be used in hydrodilatation for frozen shoulder? A prospective cohort study</atitle><jtitle>Shoulder &amp; elbow</jtitle><addtitle>Shoulder Elbow</addtitle><date>2024-12-20</date><risdate>2024</risdate><spage>17585732241307860</spage><pages>17585732241307860-</pages><issn>1758-5732</issn><eissn>1758-5740</eissn><abstract>This study evaluated the outcome and recurrence rates after hydrodilatation (HD) in patients with frozen shoulder (FS), comparing the effects of injecting 25 mL or more of fluid versus lower volumes. A total of 132 shoulders (130 patients) were treated at a shoulder clinic between August 2019 and February 2023. HD was performed under ultrasound guidance, injecting a combination of 40 mg Triamcinolone, 10 mL of local anaesthetic, and saline to a total volume of 10 to 40 mL based on patient tolerance. The results were analysed based on the volume of fluid injected and whether patients were diabetic. The overall failure or recurrence rate (FRR) was 24% after a minimum of 1 year. Non-diabetic patients injected with ≥25 mL had a significantly lower FRR (9%) compared to those injected with &lt;25 mL (30%,  = 0.006). Diabetic patients had a much higher FRR of 52%, compared to 17% in non-diabetics (  = 0.0002). The study concluded that injecting patients with ≥25 mL of fluid had a significantly lower FRR than those injected with &lt;25 mL at a minimum of 12 months follow-up (9% vs 30%,  = 0.006). Diabetic patients experienced a higher rate of recurrence, suggesting the need for patient counselling about the increased likelihood of failure.</abstract><cop>United States</cop><pmid>39713261</pmid><doi>10.1177/17585732241307860</doi><orcidid>https://orcid.org/0009-0008-6218-3806</orcidid></addata></record>
fulltext fulltext
identifier ISSN: 1758-5732
ispartof Shoulder & elbow, 2024-12, p.17585732241307860
issn 1758-5732
1758-5740
language eng
recordid cdi_proquest_miscellaneous_3148499874
source SAGE
title What volume of injection should be used in hydrodilatation for frozen shoulder? A prospective cohort study
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-27T17%3A38%3A53IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=What%20volume%20of%20injection%20should%20be%20used%20in%20hydrodilatation%20for%20frozen%20shoulder?%20A%20prospective%20cohort%20study&rft.jtitle=Shoulder%20&%20elbow&rft.au=Jhaj,%20Jasmeet&rft.date=2024-12-20&rft.spage=17585732241307860&rft.pages=17585732241307860-&rft.issn=1758-5732&rft.eissn=1758-5740&rft_id=info:doi/10.1177/17585732241307860&rft_dat=%3Cproquest_cross%3E3148499874%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c183t-ef1dddac33d4e912826e2bc5e72ea85a0527de61b9b924845c6e8e6fba8c05ed3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=3148499874&rft_id=info:pmid/39713261&rfr_iscdi=true