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Arch Phys Med Rehabil. 2001 Sep;82(9):1188-90.

Manipulation under anesthesia for frozen shoulder with and without steroid injection.

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1
Jorvi Regional Hospital, Espoo, Finland.

Abstract

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.

PMID:
11552189
[Indexed for MEDLINE]
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