Hydraulic distension of the shoulder joint capsule (hydroplasty) has potential to provide rapid relief of pain and immediate improvement of shoulder function for patients with adhesive capsulitis.
* KEY WORDS Adhesive capsulitis; frozen shoulder [non-MeSH]; hydraulic distension [non-MeSH]; hydroplasty [non-MeSH]; shoulder pain [non-MeSH].
An infrequently cited option is hydraulic joint capsule distension under local anesthesia (hydroplasty).
We offered hydroplasty to a group of patients suffering from stiff and painful shoulders with limited range of motion (ROM) in a capsular pattern (reduced external rotation, abduction, and internal rotation) and pain in the C5 dermatome that had persisted for at least 1 month.
Hydroplasty procedures were performed or supervised by the other author (LH).
The hydroplasty procedure we used was adapted from Fareed.
The hydroplasty procedure was offered and performed on 21 shoulders of 16 patients over 4 years.
The deceased patient suffered from gallbladder cancer and died in Mexico after a cancer-related operation 7 months after the hydroplasty procedure.
In our case series of hydroplasty for an unrestricted population of patients with capsular syndrome in the primary care office, 52% percent of patients experienced immediate pain relief and functional improvement.
Hydroplasty would likely fail if a capsular contraction process were not in progress.