Operative vs Non Operative Management of Adhesive Capsulitis: A Comparative Review

N/AActive Not RecruitingNCT07410845

Al-Azhar University1 enrolled

Overview

Adhesive capsulitis is a common disabling shoulder condition characterized by pain and progressive restriction of shoulder motion. This study aims to compare recent non-operative vs operative treatment modalities for adhesive capsulitis based on previously published literature to identify current trends and outcomes.

This study is a comparative review of previously published clinical studies evaluating non-operative management options for adhesive capsulitis, including physiotherapy protocols, intra-articular corticosteroid injections, hydrodilatation, platelet-rich plasma injections, and extracorporeal shock wave therapy Vs operative Management including Arthroscopic release and movement under general anesthesia.Outcomes such as pain relief, functional improvement, and range of motion are analyzed and compared. The study aims to provide an updated perspective on the most effective non-surgical interventions for frozen shoulder and guide future clinical practice.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Adhesive Capsulitis

Interventions

Non Operative managementOTHER

Non-operative treatment strategies for adhesive capsulitis as reported in previously published clinical studies included in this systematic review.

Operative Management (Literature-based)PROCEDURE

Data extracted from published studies evaluating operative management of adhesive capsulitis after failure of conservative treatment.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria * Published peer-reviewed studies evaluating the management of adhesive capsulitis (frozen shoulder). * Studies involving adult patients (≥18 years) diagnosed with primary adhesive capsulitis. * Studies assessing non-operative management, operative management, or both. * Randomized controlled trials, cohort studies, case-control studies, and systematic reviews. Exclusion Criteria * Studies involving secondary adhesive capsulitis (e.g., post-traumatic, post-surgical, or associated with fractures). * Studies including patients younger than 18 years. * Incomplete or insufficient outcome data. * Case reports, expert opinions, letters, and conference abstracts without full text.

Locations (1)

faculty of medicine Azhar university

Cairo, Egypt

Outcomes

Primary Outcomes

Change in shoulder pain intensity

Change in shoulder pain intensity measured using the Visual Analog Scale (VAS), reported as a score from 0 to 10. Outcomes will be compared among different Operative and non-operative treatment modalities for adhesive capsulitis as reported in the included studies.

Time frame: Up to 6 months

Secondary Outcomes

Change in shoulder range of motion

Change in active shoulder range of motion measured in degrees using a goniometer. Each shoulder movement (forward flexion, abduction, and external rotation) will be analyzed separately as reported in the published studies included in this systematic review.

Time frame: Up to 6 months

Data from ClinicalTrials.gov

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