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

Author(s): Kivimaki J, Pohjolainen T

Affiliation(s): Jorvi Regional Hospital, Espoo, Finland.

Publication date & source: 2001-09, Arch Phys Med Rehabil., 82(9):1188-90.

Publication type: Clinical Trial; Comparative Study; Randomized Controlled Trial

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.

Page last updated: 2008-08-10

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