Manipulation under anesthesia for frozen shoulder with and without steroid injection

Kivimaki, J; Pohjolainen, Timo

doi:10.1053/apmr.2001.24169

Cited by 74 publications

(31 citation statements)

References 6 publications

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“…One study found no additional advantage to adding corticosteroid injection to a manipulation treatment at 4 months 34 . Another study found similar regression coefficients of decrease in VAS for a MUA group and a group treated with injection and distension (β = 2.75 vs. 2.77) 35 .…”

Section: Resultsmentioning

confidence: 99%

Glenohumeral Corticosteroid Injections in Adhesive Capsulitis: A Systematic Search and Review

Song

Higgins

Newman

et al. 2014

PM&R

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OBJECTIVES To assess the literature on outcomes of corticosteroid injections for adhesive capsulitis, and in particular, image-guided corticosteroid injections. TYPE Systematic search and review LITERATURE SURVEY The databases used were PubMed (1966-present), Embase (1947-present), Web of Science (1900–present), and the Cochrane Central Register of Controlled Trials. Upon reviewing full text articles of these studies, a total of 25 studies were identified for inclusion. The final yield included 7 prospective studies, 16 randomized trials, and 2 retrospective studies. METHODOLOGY This systematic review was formatted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Study criteria were limited to clinical trials, prospective studies, and retrospective studies that specifically evaluated intra-articular corticosteroid injections, both alone and in combination with other treatment modalities, for shoulder adhesive capsulitis. We included studies that were not randomized control trials because our review was not a meta-analysis. Data items extracted from each study included: study design, study population, mean patient age, duration of study, duration of symptoms, intervention, single or multiple injections, location of injections, control population, follow up duration, and outcome measurements. A percent change in outcome measures was calculated when corresponding data was available. Risk of bias in individual studies was assessed when appropriate. SYNTHESIS All studies involved at least one corticosteroid injection intended for placement in the glenohumeral joint but only eight studies used image-guidance for all injections. Seven of these studies reported statistically significant improvements in ROM at 12 weeks of follow-up or earlier. Ninety-two percent of all studies documented a greater improvement in either visual analog pain scores or range of motion after corticosteroid injections in the first 1–6 weeks as compared with the control or comparison group. CONCLUSIONS Corticosteroid injections offer rapid pain relief in the short-term (particularly in the first 6 weeks) for adhesive capsulitis. Long-term outcomes seem to be similar to other treatments including placebo. The added benefit of image-guided corticosteroid injections in improving shoulder outcomes needs further assessment.

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Section: Resultsmentioning

confidence: 99%

Glenohumeral Corticosteroid Injections in Adhesive Capsulitis: A Systematic Search and Review

Song

Higgins

Newman

et al. 2014

PM&R

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“…This self-limiting disorder has three stages lasting up to one to three years [10,22] and does not recur in the same shoulder [9]. The aetiology of frozen shoulder is yet to be discovered and excellent results of manipulation under anaesthesia (MUA) have been reported by many authors [7,13,15,18,24], but few have focussed on patients with DM [12,15,17]. Hence, in this study, we compared the objective improvement in range of motion and the subjective improvement in function after MUA in patients with and without noninsulin dependent DM.…”

Section: Introductionmentioning

confidence: 99%

Manipulation under anaesthesia for frozen shoulder in patients with and without non-insulin dependent diabetes mellitus

Wang

Huang

et al. 2010

International Orthopaedics (SICOT)

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Manipulation under anaesthesia (MUA) has been used to speed up recovery. However, the outcome of frozen shoulder after MUA in patients with diabetes has not been well documented in the past. A higher prevalence of frozen shoulder has been reported in diabetes mellitus (DM) patients. In this study, we revealed the short-and longterm outcomes for treatment of frozen shoulders by MUA and compared these results in patients with and without non-insulin dependent DM by adjusted Constant score. The scores showed no significant differences between the two groups at both early and late follow-ups. Our results revealed that MUA for frozen shoulders is a simple and noninvasive procedure to improve symptoms and shoulder function within a short period of time. Even though DM is a predisposing factor to frozen shoulder, non-insulin dependent DM alone does not influence both the shortand long-term outcomes of frozen shoulder.

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“…To this end, a variety of treatment modalities have been advocated, including manipulation under anesthesia (MUA) 2,10,13,15,17,25,30,38 and distension of the shoulder joint (brisement), which can be undertaken with or without arthrography or steroid injections. 11,12,16,24,31,43 MUA has been accepted as the gold standard of treatment for this condition because it is most commonly used by all surgeons.…”

mentioning

confidence: 99%

Manipulation or intra-articular steroids in the management of adhesive capsulitis of the shoulder? A prospective randomized trial

Jacobs¹,

Smith²,

Khan³

et al. 2009

Journal of Shoulder and Elbow Surgery

104

116

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Manipulation under anesthesia for frozen shoulder with and without steroid injection

Cited by 74 publications

References 6 publications

Glenohumeral Corticosteroid Injections in Adhesive Capsulitis: A Systematic Search and Review

Glenohumeral Corticosteroid Injections in Adhesive Capsulitis: A Systematic Search and Review

Manipulation under anaesthesia for frozen shoulder in patients with and without non-insulin dependent diabetes mellitus

Manipulation or intra-articular steroids in the management of adhesive capsulitis of the shoulder? A prospective randomized trial

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