Riccardo Faletti, Presenter: Nothing to Disclose

Patrick Pautasso, Abstract Co-Author: Nothing to Disclose

Maruzio Stratta MD, Abstract Co-Author: Nothing to Disclose

Carlo Faletti MD, Abstract Co-Author: Nothing to Disclose

Assessing the preliminary results of oxygen-ozone therapy in intra-articular treatment in patients with adhesive capsulitis.

In the period between November 2008 and January 2009 were studied 9 patients (4 males and 5 females) aged between 37 and 65 years diagnosed with clinical suspicion for "frozen shoulder". In all patients an MRI was performed pre-treatment and subsequently at a distance of 30 days after treatment. For each patient were carried out two treatments infiltration distance of 15 days. In all patients at the end of leakage of the mixture has been carried out an examination of the shoulder with CT (using a 40-slice CT with 0.9 mm collimation) and a virtual arthroscopy has been performed using gaseous distension produced by intra-articular infiltration.

Endo-articular navigation revealed in 5 cases of septal hypertrophy of the axillary recess, and 4 has been highlighted as an irregularity of the wall synovial appearance with a "orange peel". In 3 patients the two findings were associated. The control MRI after two sessions of ozone therapy has been shown a capsular distension of the adhesive axillary recess with reduction of the signs of synovial inflammation. All patients completed a self pain before and after treatment with significant reduction in 5 patients, measurable reduction in 50% in 3 and mild improvement in 1 patient.

In the clinical pattern of "frozen shoulder", and particularly in adhesive capsulitis, according to our preliminary results, this therapy is specifically noted as associated with those specific characteristics antiphlogistic-dependent relaxation "forced" in the articular capsule, therefore obtaining the best results as an alternative to surgical therapy.

The specific diagnosis and therapy targeted seem to be the ideal conditions for an optimal therapeutic outcome.

Faletti, R, Pautasso, P, Stratta, M, Faletti, C, Oxygen-Ozone Therapy of Frozen Shoulder: Virtual Arthroscopy and Preliminary Results.  Radiological Society of North America 2009 Scientific Assembly and Annual Meeting, November 29 - December 4, 2009 ,Chicago IL. http://archive.rsna.org/2009/8012821.html