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NCT Number: NCT07410845

Operative vs Non Operative Management of Adhesive Capsulitis: A Comparative Review

Adhesive capsulitis is a common disabling shoulder condition characterized by pain and progressive restriction of shoulder motion. This study aims to compare recent non-operative vs operative treatment modalities for adhesive capsulitis based on previously published literature to identify current trends and outcomes.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

Key information

Conditions

Adhesive Capsulitis Bursitis Joint Diseases Musculoskeletal Diseases

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

faculty of medicine Azhar university

Cairo, Egypt

About this study

This study is a comparative review of previously published clinical studies evaluating non-operative management options for adhesive capsulitis, including physiotherapy protocols, intra-articular corticosteroid injections, hydrodilatation, platelet-rich plasma injections, and extracorporeal shock wave therapy Vs operative Management including Arthroscopic release and movement under general anesthesia.Outcomes such as pain relief, functional improvement, and range of motion are analyzed and compared. The study aims to provide an updated perspective on the most effective non-surgical interventions for frozen shoulder and guide future clinical practice.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Published peer-reviewed studies evaluating the management of adhesive capsulitis (frozen shoulder).
  • Studies involving adult patients (≥18 years) diagnosed with primary adhesive capsulitis.
  • Studies assessing non-operative management, operative management, or both.
  • Randomized controlled trials, cohort studies, case-control studies, and systematic reviews.

Exclusion criteria

  • Studies involving secondary adhesive capsulitis (e.g., post-traumatic, post-surgical, or associated with fractures).
  • Studies including patients younger than 18 years.
  • Incomplete or insufficient outcome data.
  • Case reports, expert opinions, letters, and conference abstracts without full text.

Treatment and study plan

Non Operative management

Other

Non-operative treatment strategies for adhesive capsulitis as reported in previously published clinical studies included in this systematic review.

Operative Management (Literature-based)

Procedure

Data extracted from published studies evaluating operative management of adhesive capsulitis after failure of conservative treatment.

Other names: Arthroscopic Release, Movement under GA

Primary outcomes

  1. Change in shoulder pain intensity

    Time frame: Up to 6 months

    Change in shoulder pain intensity measured using the Visual Analog Scale (VAS), reported as a score from 0 to 10. Outcomes will be compared among different Operative and non-operative treatment modalities for adhesive capsulitis as reported in the included studies.

Secondary outcomes

  1. Change in shoulder range of motion

    Time frame: Up to 6 months

    Change in active shoulder range of motion measured in degrees using a goniometer. Each shoulder movement (forward flexion, abduction, and external rotation) will be analyzed separately as reported in the published studies included in this systematic review.

Sponsors and collaborators

Lead sponsor

Al-Azhar University

Other

Registry information

Official study title

Recent Trends in Management of Adhesive Capsulitis Operative vs Non-Operative : A Comparative Study

Acronym: MAC

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
Feb 13, 2026
Registry last updated
Feb 13, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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