Manipulation and arthroscopy under general anesthesia and early rehabilitative treatment for frozen shoulders11No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors(s) or upon any organization with which the author(s) is/are associated.

Castellarin, Gianluca; Ricci, Matteo; Vedovi, Ermes; Vecchini, Eugenio; Sembenini, Paolo; Marangon, Alberto; Vangelista, Antonella

doi:10.1016/j.apmr.2003.12.032

Cited by 34 publications

(21 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The combination of intraarticular injection of corticosteroids and physiotherapy in the treatment of a frozen shoulder has been reported, but no temporal relationship between the injection and the physiotherapy session has been established. Other strengths of our study included randomization of the subjects and comprehensive evaluations of pain, functional ability, and quality of life over a relatively long period compared with previous studies [ 8 , 13 , 27 ].…”

Section: Discussionmentioning

confidence: 99%

“…A considerable proportion of patients with a frozen shoulder are treated with physiotherapy, nonsteroidal antiinflammatory drugs (NSAIDs), intraarticular injection of corticosteroids, and, recently, intraarticular injection of hyaluronate [ 4 – 7 ]. In persistent cases, more aggressive interventions, such as hydrodilation, manipulation under anesthesia, and arthroscopic or open capsule release, have been performed [ 8 – 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…Although therapeutic exercise, particularly stretching exercises and joint mobilization, remains the mainstay of conservative treatment for a frozen shoulder, shoulder pain during the intervention reduces the treatment effect. Manipulation or arthroscopic release under general anesthesia allows the pain experienced during the intervention to be avoided [ 8 , 17 – 19 ]; however, an increased risk of humeral shaft fractures and failure to release the pathologic tissue have been reported [ 20 ]. Moreover, general anesthesia is a major procedure that has inherent risks, is relatively expensive, and may not be accepted by many patients with a frozen shoulder [ 20 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Addition of Lidocaine Injection Immediately before Physiotherapy for Frozen Shoulder: A Randomized Controlled Trial

et al. 2015

View full text Add to dashboard Cite

The intraarticular injection of lidocaine immediately before a physiotherapy session may relieve pain during the stretching and mobilization of the affected joint in patients with a frozen shoulder, thus enhancing the treatment effect. To compare the effects of intraarticular injection of lidocaine plus physiotherapy to that of physiotherapy alone in the treatment of a frozen shoulder, a prospective randomized controlled trial was conducted in the rehabilitation department of a private teaching hospital. Patients with a frozen shoulder were randomized into the physiotherapy group or the lidocaine injection plus physiotherapy (INJPT) group. The subjects in the INJPT group underwent injection of 3 ml of 1% lidocaine into the affected shoulder 10 to 20 minutes before each physiotherapy session. In each group, the treatment lasted 3 months. The primary outcome measures were the active and passive range of motion of the affected shoulder. The secondary outcome measures were the results of the Shoulder Disability Questionnaire, the Shoulder Pain and Disability Index, and the 36-item Short-Form Health Survey (SF-36). The outcome measures were evaluated before treatment and 1, 2, 3, 4, and 6 months after the start of treatment. The group comparisons showed significantly greater improvement in the INJPT group, mainly in active and passive shoulder range of motion in flexion and external rotation and improvements in pain and disability (P < 0.05); however, no significant group difference was seen in the SF-36 results. The intraarticular injection of lidocaine immediately before a physiotherapy session might be superior to physiotherapy alone in the treatment of a frozen shoulder.Trial RegistrationClinicalTrials.gov NCT01817348

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Addition of Lidocaine Injection Immediately before Physiotherapy for Frozen Shoulder: A Randomized Controlled Trial

et al. 2015

View full text Add to dashboard Cite

show abstract

“…All of the studied treatment methods demonstrated the ability to restore range of motion to the affected shoulder after failure of non-operative management. Surgeons continue to debate the merits of MUA compared to CR, with some attempting to combine both an MUA and CR [ 11 ]. Few studies have directly compared these treatment techniques head to head [ 12 - 14 ].…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Adhesive Capsulitis: A Retrospective Comparative Study of Manipulation Under Anesthesia and/or Capsular Release

Schoch¹,

Huttman²,

Syed³

et al. 2020

Cureus

View full text Add to dashboard Cite

Background No consensus exists among orthopedic surgeons regarding the optimal intervention for adhesive capsulitis. The purpose of this study was to determine which treatment provides the best objective outcome following manipulation under anesthesia (MUA), MUA + arthroscopic capsular release (CR), or CR alone. Methods Between 2011 and 2015, 97 shoulders were treated for adhesive capsulitis (MUA, MUA+CR, CR) and followed for three months or until achieving full range of motion (ROM). Patients' charts were reviewed for demographic information, diabetes, pre/post-operative ROM, and complications. Results The average age at surgery was 57 years (range: 31-80 years) with a mean follow-up of 6.2 months (range: 2-43 months). ROM improved significantly regardless of treatment modality (p < 0.001). MUA had significantly more external rotation at follow-up than MUA+CR and CR alone (62 vs 49 vs 48, p = 0.02). Groups were similar in regards to post-operative elevation and internal rotation. Loss of external rotation following surgery was significantly more common in the MUA+CR group (p = 0.03). In diabetics, no treatment option was superior to another in regards to final ROM. Conclusion Operative treatment of idiopathic adhesive capsulitis is efficacious and safe for improving shoulder ROM across treatment modalities. Surgeon preference may effectively guide treatment independent of diabetic status.

show abstract

“…According to the literature, inflammatory changes in the capsule and synovium of the glenohumeral joint are responsible for contracture of the capsule 8 , 9 , 10 ) . This contracture brings the humeral head close to the glenoid fossa 11 ) .…”

Section: Introductionmentioning

confidence: 99%

Effects of two different mobilization techniques on pain, range of motion and functional disability in patients with adhesive capsulitis: a comparative study

et al. 2016

View full text Add to dashboard Cite

[Purpose] This study aimed to compare the effects of two different mobilization techniques in the management of patients with adhesive capsulitis. [Subjects and Methods] Thirty non-diabetic men and women with adhesive capsulitis were randomly allocated to the reverse distraction group (n=15) or Kaltenborn group (n=15). The reverse distraction technique and Kaltenborn’s caudal and posterior glides (grades III and IV) were applied 10–15 times along with conventional physical therapy for 18 treatment sessions in 6 weeks. Pain was measured with a visual analog scale, abduction and external rotation range of motion with goniometry, hand behind back reach with inch tape, and functional disability with the Flexilevel scale of shoulder function before and after the treatment. [Results] Although all the variables improved significantly in both groups after 18 intervention sessions, reverse distraction was significantly better than Kaltenborn’s caudal and posterior glides in decreasing pain and improving abduction range of motion and functional scores. [Conclusion] This study supports the clinical use of reverse distraction as an alternative to conventional mobilization techniques to decrease pain and improve range of motion and functional scores in patients with adhesive capsulitis.

show abstract

Cited by 34 publications

References 16 publications

Addition of Lidocaine Injection Immediately before Physiotherapy for Frozen Shoulder: A Randomized Controlled Trial

Addition of Lidocaine Injection Immediately before Physiotherapy for Frozen Shoulder: A Randomized Controlled Trial

Surgical Treatment of Adhesive Capsulitis: A Retrospective Comparative Study of Manipulation Under Anesthesia and/or Capsular Release

Effects of two different mobilization techniques on pain, range of motion and functional disability in patients with adhesive capsulitis: a comparative study

Contact Info

Product

Resources

About