Improvement in quality of life after arthroscopic capsular release for contracture of the shoulder

R Dattani, V Ramasamy, R Parker, V R Patel

Research output: Contribution to journalArticlepeer-review

Abstract

There is little published information on the health impact of frozen shoulder. The purpose of this study was to assess the functional and health-related quality of life outcomes following arthroscopic capsular release (ACR) for contracture of the shoulder. Between January 2010 and January 2012 all patients who had failed non-operative treatment including anti-inflammatory medication, physiotherapy and glenohumeral joint injections for contracture of the shoulder and who subsequently underwent an ACR were enrolled in the study. A total of 100 patients were eligible; 68 underwent ACR alone and 32 had ACR with a subacromial decompression (ASD). ACR resulted in a highly significant improvement in the range of movement and functional outcome, as measured by the Oxford shoulder score and EuroQol EQ-5D index. The mean cost of a quality-adjusted life year (QALY) for an ACR and ACR with an ASD was £2563 and £3189, respectively. ACR is thus a cost-effective procedure that can restore relatively normal function and health-related quality of life in most patients with a contracture of the shoulder within six months after surgery; and the beneficial effects are not related to the duration of the presenting symptoms.

Original languageEnglish
Pages (from-to)942-6
Number of pages5
JournalBone and Joint Journal
Volume95-B
Issue number7
DOIs
Publication statusPublished - 1 Jul 2013

Keywords

  • Adult
  • Aged
  • Aged, 80 and over
  • Bursitis
  • Contracture
  • Cost-Benefit Analysis
  • Female
  • Humans
  • Joint Capsule
  • Joint Capsule Release
  • Male
  • Middle Aged
  • Quality of Life
  • Quality-Adjusted Life Years
  • Range of Motion, Articular
  • Shoulder
  • Treatment Outcome

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