| Hydrodilatation | |
|---|---|
| Other names | Distension arthrography |
Hydrodilatation or hydraulic arthrographic capsular distension or distension arthrography is a medical treatment for adhesive capsulitis of shoulder. The treatment is applied by a radiologist assisted by a radiographer. Contrast medium, a local anaesthetic and cortisone are injected into the joint. Then up to 40ml of sterile saline solution are injected, using X-ray as guidance, to stretch the joint capsule. Risk of complications is low. Whether the treatment is successful is known after a couple of weeks.
The procedure is performed under imaging guidance, using either fluoroscopy, ultrasound or computed tomography (CT). Hydrodilatation is felt to provide benefit via two mechanisms: manual stretching of the capsule and thus disruption of adhesions which are characteristic of adhesive capsulitis, and; the introduction of cortisone provides a potent anti-inflammatory effect and thus prevents further adhesion recurrence.
Research in 2008 has questioned the benefit of hydrodilatation as giving no statistical benefit over injecting cortisone alone. [1]
References
-
^ Tveitå EK, Tariq R, Sesseng S, Juel NG, Bautz-Holter E (2008).
"Hydrodilatation, corticosteroids and adhesive capsulitis: a randomized controlled trial". BMC Musculoskelet Disord. 9: 53.
doi:
10.1186/1471-2474-9-53.
PMC
2374785.
PMID
18423042.
{{ cite journal}}: CS1 maint: multiple names: authors list ( link)
External links
- Literature review and case studies
- Radiology image sequence demonstrating CT guided shoulder hydrodilatation
 | This medical treatment–related article is a stub. You can help Wikipedia by expanding it. |
| Hydrodilatation | |
|---|---|
| Other names | Distension arthrography |
Hydrodilatation or hydraulic arthrographic capsular distension or distension arthrography is a medical treatment for adhesive capsulitis of shoulder. The treatment is applied by a radiologist assisted by a radiographer. Contrast medium, a local anaesthetic and cortisone are injected into the joint. Then up to 40ml of sterile saline solution are injected, using X-ray as guidance, to stretch the joint capsule. Risk of complications is low. Whether the treatment is successful is known after a couple of weeks.
The procedure is performed under imaging guidance, using either fluoroscopy, ultrasound or computed tomography (CT). Hydrodilatation is felt to provide benefit via two mechanisms: manual stretching of the capsule and thus disruption of adhesions which are characteristic of adhesive capsulitis, and; the introduction of cortisone provides a potent anti-inflammatory effect and thus prevents further adhesion recurrence.
Research in 2008 has questioned the benefit of hydrodilatation as giving no statistical benefit over injecting cortisone alone. [1]
References
-
^ Tveitå EK, Tariq R, Sesseng S, Juel NG, Bautz-Holter E (2008).
"Hydrodilatation, corticosteroids and adhesive capsulitis: a randomized controlled trial". BMC Musculoskelet Disord. 9: 53.
doi:
10.1186/1471-2474-9-53.
PMC
2374785.
PMID
18423042.
{{ cite journal}}: CS1 maint: multiple names: authors list ( link)
External links
- Literature review and case studies
- Radiology image sequence demonstrating CT guided shoulder hydrodilatation
|
| This medical treatment–related article is a stub. You can help Wikipedia by expanding it. |