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Bone & Joint Open
Vol. 3, Issue 9 | Pages 701 - 709
2 Sep 2022
Thompson H Brealey S Cook E Hadi S Khan SHM Rangan A

Aims

To achieve expert clinical consensus in the delivery of hydrodilatation for the treatment of primary frozen shoulder to inform clinical practice and the design of an intervention for evaluation.

Methods

We conducted a two-stage, electronic questionnaire-based, modified Delphi survey of shoulder experts in the UK NHS. Round one required positive, negative, or neutral ratings about hydrodilatation. In round two, each participant was reminded of their round one responses and the modal (or ‘group’) response from all participants. This allowed participants to modify their responses in round two. We proposed respectively mandating or encouraging elements of hydrodilatation with 100% and 90% positive consensus, and respectively disallowing or discouraging with 90% and 80% negative consensus. Other elements would be optional.


The Journal of Bone & Joint Surgery British Volume
Vol. 44-B, Issue 3 | Pages 655 - 661
1 Aug 1962
Thompson H

1. The "halo" traction apparatus and its method of application are described in detail.

2. Its use in nine patients with subluxation or fracture-dislocation of the cervical spine, and in one patient with extensive vertebral disease, is recorded.

3. The indications for using the "halo" traction apparatus are outlined.