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· DOS Abstracts
Diabetic and non-diabetic patients report equal
symptom relieve after arthroscopic capsular
release of frozen shoulder
Johanne Lyhne, Jon Jacobsen, Søren Hansen, Carsten Jensen, Deutch Søren
Department of Orthopaedic Surgery, Regional Hospital Randers
Background:
Frozen shoulder is a painful shoulder joint disease. Patients with
diabetes seem to have worse clinical symptoms and surgery in this patient pop-
ulation is believed to be more common. Despite previous studies indicating, that
operation is less effective in this patient population our experience is, that dia-
betic patients actually are quite satisfied after the procedure.
Purpose / Aim of Study:
We wanted to clarify if diabetic patients are as
equally satisfied as non-diabetics, and by that if we should differentiate our
preoperative counseling or continue our current practice.
Materials and Methods:
93 patients were included. All had remained unre-
sponsive to conservative treatment for at least 6 months. The patients were
retrospectively divided in two groups based on diabetes status: Group 1 con-
sisted of patients with type 1 or type 2 diabetes (18) and group 2 consisted
of the remaining patients (75). Evaluation was performed prior to arthroscopic
capsular release and at 6 months follow-up. The web-based questionnaire con-
sisted of 2 different evaluation forms: An Oxford Shoulder Score (OSS) and a
visual quality scale (VQS).
Findings / Results:
Both groups had a statistically significant improvement in
both evaluations. OSS in group 1 improved by 11.5 [95 % CI: 6.2 ; 16.4] and by
15.8 [95 % CI: 13.6 ; 17.9] in group 2. Although the improvement was larger in
group 2, it was not statistically significant (p = 0.09). The VQS improved 39.6 in
group 1 and 44.5 in group 2, (p = 0.50).
Conclusions:
Our study indicates that diabetic and non- diabetic patients re-
port equal symptom relieve after arthroscopic capsular release of frozen shoul-
der when patients are selected for operation with no regards of diabetic status.
We will continue to select patients for arthroscopic release without differences
in preoperative counseling between diabetics and non-diabetics.
No conflicts of interest reported
157.