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Purpose: The purpose of this study is to assess the role of distension hydrodilatation and viscosupplementation of the glenohumeral joint in the management of frozen shoulder. Materials and Methods: A total of 50 Patients suffering with frozen shoulder presented to Yashoda hospital, malakpet, Hyderabad. All patients were treated by distension hydrodilatation and viscosupplementation under fluoroscopy (C-ARM) guidance as a day care procedure. The study period was from August 2018 to February 2019. All the patients were followed-up for a minimum period of 6months to maximum 1 year. The mean age of the study group was 45.86 years. Results: All cases were assessed by oxford shoulder score (OSS) and visual analogue score (VAS) pre-procedure and post-procedure. All the patients regained near normal to normal shoulder movements in all directions by the end of 3 week. Complete pain relief was seen by 2 weeks following the procedure. There was decrease in Oxford Shoulder Score (OSS) by mean of 18.22 (pre-procedure was 31.34 and postprocedure was 13.12), Visual Analogue Scale (VAS) mean was also decreased from 8.42 to 1.14. 43 of 50 patients obtained full free range of movements. Remaining 7 patients had restriction of terminal rotational movements, 3 of 7 patients had restriction of 10 of external rotation, 4 of 7 had restriction of 10 of internal rotation. Conclusion: Distension hydrodilatation and viscosupplementation is a definitive treatment modality in patients with frozen shoulder. It results in significant and sustained relief of pain and also results in regaining of full range of shoulder movements.

Functional outcome assessment of frozen shoulder treated by distension hydrodilatation and viscosupplementation: A prospective study