MID-LONG TERM RESULTS OF MANIPULATION AND ARTHROSCOPIC RELEASE IN FROZEN SHOULDER

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Musculoskeletal Research

Background:

• Frozen shoulder (adhesive capsulitis) often requires conservative treatment.
• Surgical intervention is considered for cases resistant to non-operative management.

Purpose of the Study:

• To evaluate the efficacy of manipulation and arthroscopic capsular release for frozen shoulder.
• To assess functional outcomes and range of motion improvements post-surgery.

Main Methods:

• 34 shoulders in 32 patients with refractory frozen shoulder underwent manipulation followed by arthroscopic capsular release.
• Range of motion, Constant scores, and Oxford classifications were assessed pre- and post-operatively.
• Average follow-up was 49.5 months.

Main Results:

• Statistically significant improvements were observed in passive elevation, abduction, and external/internal rotation (p<0.01).
• A significant average change in Constant scores (47.97±21.03 units) was noted (p<0.01).
• The Oxford classification indicated satisfactory results in 29 out of 34 shoulders.

Conclusions:

• Arthroscopic release after manipulation yields successful outcomes for frozen shoulder resistant to conservative treatment.
• This surgical technique offers a viable option for improving shoulder function in challenging cases.