Manipulation under anesthesia for frozen shoulders : a retrospective cohort study

Keywords:

Frozen Shoulder ; adhesive capsulitis ; manipulation


Published online: Dec 31 2019

Tim Kraal, Oetz Van der Meer, Maaike Van den Borne, Koen Koenraadt, Denise Eygendaal, Ronald Boer

From the Department of Orthopaedic Surgery, Amphia Hospital, Breda, The Netherlands

Abstract

Abbreviations: MUA, manipulation under anesthesia ; FS, frozen shoulder ; SPADI, Shoulder Pain and Disability Score ; OSS, Oxford Shoulder Score ; NPRS, Numeric Paind Rating Scale.

Manipulation under anesthesia is a well-established, but controversial, treatment for frozen shoulders. We will evaluate our results of manipulation and physiotherapy in stage two frozen shoulders. Questionnaires were sent to 65 patients with stage 2 frozen shoulders, treated with manipulation under anaesthesia between January 2012 and January 2014. Outcome parameters consisted of SPADI, OSS, EQ- 5D, pain and satisfaction.

A response rate of 75% was obtained. Mean follow up was 21 months (range 11-36). The median SPADI score was 11.2 (IQR 0.8-25.2) and median OSS was 39.0 (IQR 30-43). Only 72% of patients reported that they reached their pre injury level of functioning. A satisfaction rate of 92% was reported.

Manipulation is a relatively easy intervention with a high satisfaction rate. We assume that manipulation could shorten the duration of symptoms. However, this needs to be confirmed in a randomized trial with a control group.

Cover-1-2019(3)

About this issue

Volume 85, issue 4.

Dec 2019.

Open access journal

This is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.