Evaluation of the effectiveness of shoulder hydrodilatation injection in the treatment of adhesive capsulitis at Haiphong International General Hospital

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CÁC SỐ TỪ 2011-2023
Tạp chí Y Dược Học

Abstract

Background: Adhesive capsulitis (frozen shoulder) is a common cause of restricted mobility and diminished  quality of life.  

Objective: To evaluate pain relief and functional improvement after shoulder hydrodilatation in patients with  adhesive capsulitis treated at Hai Phong International General Hospital. 

Materials and Methods: A prospective, single-arm (before–after) interventional study was conducted  from January 2024 to December 2024. One hundred eighteen patients with adhesive capsulitis received  ultrasound-guided hydrodilatation with: a solution containing 40 mg methylprednisolone, lidocaine 2%, and  20 mL 0.9% sodium chloride until maximal capsular distension was achieved. Outcomes were assessed at  baseline (T0) and 4 weeks post-injection (T4) using the visual analogue scale (VAS), the Shoulder Pain and  Disability Index (SPADI), and shoulder range of motion (ROM: flexion, abduction, external rotation). Paired  t-tests were applied; p < 0.05 was considered significant. 

Results: Mean VAS decreased from 6.8 ± 2.1 to 3.2 ± 1.3 (−52.9%; p < 0.001). SPADI dropped from 69 ± 10 to  47 ± 11 (−31.8%; p < 0.001). Flexion ROM increased from 72.6 ± 15.3° to 119.3 ± 16.1° (+64.0%; p < 0.001);  abduction and external rotation also improved significantly.  

Conclusion: Ultrasound-guided hydrodilatation provides marked pain reduction and significant gains in shoulder mobility and function 4 weeks after treatment in patients with adhesive capsulitis.

https://doi.org/10.34071/jmp.2026.1.1040
Published 2026-03-30
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Issue Vol. 16 No. 1 (2026)
Section Original Articles
DOI 10.34071/jmp.2026.1.1040
Keywords viêm quanh khớp vai đông cứng, tiêm nong khớp vai adhesive capsulitis, hydrodilatation, frozen shoulder

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Hoàng , V. D., & Nguyễn , T. T. P. (2026). Evaluation of the effectiveness of shoulder hydrodilatation injection in the treatment of adhesive capsulitis at Haiphong International General Hospital. Hue Journal of Medicine and Pharmacy, 16(1), 210–214. https://doi.org/10.34071/jmp.2026.1.1040

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