Ultrasound-Guided Management of Frozen Shoulder: A Study on Clinical Outcomes and Efficacy

Abstract

Background: Frozen shoulder, or adhesive capsulitis, is a common cause of shoulder pain and restricted movement. Ultrasound-guided techniques have emerged as a precise method for diagnosing and managing this condition, offering real-time visualization and targeted interventions. This study evaluates the clinical outcomes of ultrasound-guided approaches in frozen shoulder management.

Methods: This prospective study involved 100 patients diagnosed with frozen shoulder who underwent ultrasound-guided hydro dilatation and steroid injection. Clinical outcomes were assessed through range of motion (ROM) improvement, pain scores using the Visual Analog Scale (VAS), and functional recovery based on the Constant-Murley score over a 12-week follow-up period. Adverse events and procedural efficacy were also analyzed.

Results: Significant improvements were observed in ROM, pain scores, and functional outcomes post-intervention. VAS scores reduced from a mean of 7.8 ± 1.2 at baseline to 2.5 ± 1.0 at 12 weeks (p < 0.001). The Constant-Murley scores increased from 35.4 ± 8.6 to 78.2 ± 10.4 (p < 0.001). No major adverse events were reported. Ultrasound-guided hydro dilatation demonstrated high efficacy and patient satisfaction rates.

Conclusion: Ultrasound-guided management of frozen shoulder significantly improves clinical outcomes, offering a minimally invasive, precise, and effective alternative to conventional treatments. Further studies are warranted to explore long-term benefits and optimize techniques.