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Related Experiment Videos

Manipulation under anaesthesia for frozen shoulder.

A Othman1, G Taylor

  • 1Orthopaedic Department, Wycombe General Hospital, High Wycombe, BUCKS, HP11 2TT, UK. arthrotomy@hotmail.com

International Orthopaedics
|October 16, 2002
PubMed
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Manipulation under general anesthesia significantly improves frozen shoulder recovery. Patients experience rapid improvements in range of motion and function, with sustained benefits at long-term follow-up.

Area of Science:

  • Orthopedics
  • Sports Medicine
  • Physical Therapy

Background:

  • Frozen shoulder (adhesive capsulitis) is a debilitating condition characterized by shoulder stiffness and pain.
  • Limited range of motion in frozen shoulder significantly impacts daily activities and quality of life.

Purpose of the Study:

  • To evaluate the efficacy of manipulation under general anesthesia (MUA) for treating frozen shoulders.
  • To assess the short-term and long-term functional outcomes and range of motion following MUA.

Main Methods:

  • A review of 74 shoulders undergoing MUA for frozen shoulder.
  • Utilized an adjusted Constant score (maximum 75 points), excluding abduction strength.
  • Follow-up assessments were conducted at an average of 3 weeks and 33 months post-manipulation.

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Main Results:

  • Pre-manipulation average Constant score was 24.7 points.
  • Average score improved to 54.9 at 3 weeks post-MUA.
  • Long-term follow-up (average 33 months) showed an average score of 72.4 points, indicating significant functional recovery.

Conclusions:

  • Manipulation under general anesthesia is an effective treatment for accelerating frozen shoulder recovery.
  • MUA leads to rapid and sustained improvements in shoulder range of motion and functional scores.
  • This procedure offers a valuable option for patients with persistent frozen shoulder symptoms.