We performed 21 hydroplasty procedures on 16 patients over a 4-year period.
KEY WORDS Adhesive capsulitis; frozen shoulder [non-MeSH]; hydraulic distension [non-MeSH]; hydroplasty [non-MeSH]; shoulder pain [non-MeSH].
10,11) We found no publications addressing the use of hydroplasty in a primary care office.
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.
Shoulder hydroplasty is an office procedure that may provide immediate and dramatic benefit to patients suffering from adhesive capsulitis.