Arthroscopic Release versus Manipulation under Anesthesia for Frozen Shoulder: A Prospective Study

Document Type : Original Article (s)

Authors

1 Assistant Professor, Department of Orthopedics, Kerman Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, Iran

2 Associate Professor, Department of Orthopedics, Kerman Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, Iran

3 Resident, Department of Orthopedics, Kerman Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, Iran

Abstract

Background: Frozen shoulder is a painful condition in which surgery may be helpful in case of failure of conservative treatment. In this prospective study we tried to compare two common methods of surgical treatment.Methods: Between 2011 and 2012, 54 patients with frozen shoulder were treated by one of the two methods of arthroscopic release and manipulation under anesthesia. The variables studied were postoperative pain, American Shoulder and Elbow Surgeons (ASES) and Simple shoulder test (SST) scores, range of motion in different directions and pain in the last follow up.Findings: All the patients in the two groups had significant improvement in comparison to preoperative scores at the least follow up of one year. The difference between the two groups was not significant in internal rotation, forward flexion and pain in the last follow up, but among the other variables, the arthroscopy group showed more improvement. No statistically significant association was found among the variables and diabetes, age, dominant limb involvement and sex.Conclusion: Based upon the findings of the present study it seems that both manipulation under anesthesia and arthroscopic release are effective treatments for frozen shoulder.

Keywords

References

  1. Kelley MJ, McClure PW, Leggin BG. Frozen shoulder: Evidence and a proposed model guiding rehabilitation. J Orthop Sports Phys Ther 2009; 39(2): 135-48.
  2. Walker-Bone K, Palmer KT, Reading I, Coggon D, Cooper C. Prevalence and impact of musculoskeletal disorders of the upper limb in the general population. Arthritis Rheum 2004; 51(4): 642-51.
  3. Tighe CB, Oakley WS. The prevalence of a diabetic condition and adhesive capsulitis of the shoulder. South Med J 2008; 101(6): 591-5.
  4. Pal B, Anderson J, Dick WC, Griffiths ID. Limitation of joint mobility and shoulder capsulitis in insulin- and non-insulin-dependent diabetes mellitus. Br J Rheumatol 1986; 25(2): 147-51.
  5. Tasto JP, Elias DW. Adhesive capsulitis. Sports Med Arthrosc 2007; 15(4): 216-21.
  6. Hand C, Clipsham K, Rees JL, Carr AJ. Long-term outcome of frozen shoulder. J Shoulder Elbow Surg 2008; 17(2): 231-6.
  7. Arslan S, Celiker R. Comparison of the efficacy of local corticosteroid injection and physical therapy for the treatment of adhesive capsulitis. Rheumatol Int 2001; 21(1): 20-3.
  8. Diercks RL, Stevens M. Gentle thawing of the frozen shoulder: A prospective study of supervised neglect versus intensive physical therapy in seventy-seven patients with frozen shoulder syndrome followed up for two years. J Shoulder Elbow Surg 2004; 13(5): 499-502.
  9. Park KD, Nam HS, Lee JK, Kim YJ, Park Y. Treatment effects of ultrasound-guided capsular distension with hyaluronic acid in adhesive capsulitis of the shoulder. Arch Phys Med Rehabil 2013; 94(2): 264-70.
  10. Jerosch J, Nasef NM, Peters O, Mansour AM. Mid-term results following arthroscopic capsular release in patients with primary and secondary adhesive shoulder capsulitis. Knee Surg Sports Traumatol Arthrosc 2013; 21(5): 1195-202.
  11. Vastamaki H, Vastamaki M. Motion and pain relief remain 23 years after manipulation under anesthesia for frozen shoulder. Clin Orthop Relat Res 2013; 471(4): 1245-50.
  12. Grant JA, Schroeder N, Miller BS, Carpenter JE. Comparison of manipulation and arthroscopic capsular release for adhesive capsulitis: a systematic review. J Shoulder Elbow Surg 2013; 22(8): 1135-45.
  13. Neviaser AS, Hannafin JA. Adhesive capsulitis: A review of current treatment. Am J Sports Med 2010; 38(11): 2346-56.
  14. Lafosse L, Boyle S, Kordasiewicz B, Aranberri-
  15. Gutierrez M, Fritsch B, Meller R. Arthroscopic arthrolysis for recalcitrant frozen shoulder: a lateral approach. Arthroscopy 2012; 28(7): 916-23.
  16. Amir-Us-Saqlain H, Zubairi A, Taufiq I. Functional outcome of frozen shoulder after manipulation under anaesthesia. J Pak Med Assoc 2007; 57(4): 181-5.
  17. Birch R, Jessop J, Scott G. Brachial plexus palsy after manipulation of the shoulder. J Bone Joint Surg Br 1991; 73(1): 172.
  18. Loew M, Heichel TO, Lehner B. Intraarticular lesions in primary frozen shoulder after manipulation under general anesthesia. J Shoulder Elbow Surg 2005; 14(1): 16-21.
  19. Gobezie R, Pacheco IH, Petit CJ, Millett PJ. Dislocation and instability after arthroscopic capsular release for refractory frozen shoulder. Am J Orthop (Belle Mead NJ) 2007; 36(12): 672-4.
  20. Miller RH, Azar FM, Throckmorton TW. Shoulder and elbow injuries. In: Canale ST, Beaty JH, editors. Campbell's operative orthopedics. 13th ed. Philadelphia, PA: Mosby; 2012. p. 2213-47.
  21. Nagy MT, Macfarlane RJ, Khan Y, Waseem M. The frozen shoulder: myths and realities. Open Orthop J 2013; 7: 352-5.
  22. Lo SF, Chu SW, Muo CH, Meng NH, Chou LW, Huang WC, et al. Diabetes mellitus and accompanying hyperlipidemia are independent risk factors for adhesive capsulitis: a nationwide population-based cohort study (version 2). Rheumatol Int 2014; 34(1): 67-74.
  23. Cinar M, Akpinar S, Derincek A, Circi E, Uysal M. Comparison of arthroscopic capsular release in diabetic and idiopathic frozen shoulder patients. Arch Orthop Trauma Surg 2010; 130(3): 401-6.
  24. Wang JP, Huang TF, Ma HL, Hung SC, Chen TH, Liu CL. Manipulation under anaesthesia for frozen shoulder in patients with and without non-insulin dependent diabetes mellitus. Int Orthop 2010; 34(8): 1227-32.
  25. Baums MH, Spahn G, Nozaki M, Steckel H, Schultz W, Klinger HM. Functional outcome and general health status in patients after arthroscopic release in adhesive capsulitis. Knee Surg Sports Traumatol Arthrosc 2007; 15(5): 638-44.
  26. Chen J, Chen S, Li Y, Hua Y, Li H. Is the extended release of the inferior glenohumeral ligament necessary for frozen shoulder? Arthroscopy 2010; 26(4): 529-35.
  27. Williams G, Kraeutler MJ, Zmistowski B, Fenlin JM. No difference in postoperative pain after arthroscopic versus open rotator cuff repair. Clin Orthop Relat Res 2014; 472(9): 2759-65.
Journal of Isfahan Medical School
Volume 34, Issue 376 - Serial Number 376
January and February 2016
Pages 285-292

Files

History

  • Receive Date: 13 August 2015
  • Revise Date: 01 November 2024
  • Accept Date: 06 April 2022

Share

How to cite

Statistics