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Manipulation under anesthesia for frozen shoulder with and without steroid injection
1Jorvi Regional Hospital, Espoo, Finland.
Objective:
To study the effect of manipulating a shoulder with adhesive capsulitis (frozen shoulder) under anesthesia with and without corticosteroid injection.
Design:
Randomized trial.
Setting:
Hospital.
Participants:
Twenty-four patients referred for manipulation of a frozen shoulder.
Intervention:
The patients were randomized into 2 groups. One group received an injection of corticosteroid and manipulation; the other was only administered manipulation during anesthesia.
Main Outcome Measures:
The degree of shoulder mobility and pain before and after the manipulation.
Results:
Manipulation under anesthesia increased the mobility of the affected shoulder. Injection with lidocaine and betamethason did not enhance the effect of the manipulation.
Conclusion:
Manipulation under anesthesia without intraarticular corticosteroids is recommended as the therapy for frozen shoulder.