ĐÁNH GIÁ HIỆU QUẢ PHƯƠNG PHÁP TIÊM NONG KHỚP DƯỚI DSA ĐIỀU TRỊ BỆNH ĐÔNG CỨNG KHỚP VAI BẰNG THANG ĐIỂM SPADI

Abstract

Objective: This study was conduted to evaluate the effectiveness of fluoroscopic-guided hydrodilatation in the treatment of frozen shoulder based on Shoulder Pain and Disability Index (SPADI) scores and other factors. Material and method: The patients diagnosed with frozen sholder disease were hydrodilatated with corticosteroid injection performed via an anterior approach under fluoroscopy. Based on the amount of drug pumped, the degree of drug infiltration, we could evaluate the stenosis grade and calculate the medication volume exactly needed for each procedure in combination with level of clinical symptom improvement. Patients were characterized at admission and followed up at at two and four weeks post-intervention with Shoulder Pain and Disability Index (SPADI) scores and measurement of motion active and passive range. Result: A total of 38 consecutive patients with frozen shoulder underwent a distension arthrogram mostly in inferior chamber (84.2%) and bicipital sulcus (94.7%). The mild and severe stenosis were conscutively 34.2% and 52.6%. The good results post-dilatation ranged from 77.8% to 100% (superior chamber). The SPADI score was reduced to 20,03±7,81 and 32,47±10,80, consecutively, after 2 and 4 weeks post-distension. Coclusion: Our study results consolidated that arthrographic capsular distension progressing is an effective treatment for adhesive capsulitis. This procedure was performed through an anterior‐lateral approach under fluoroscopic guidance is accurate, reliable and minimally invasive.