Short-term and long-term outcome of manipulation under anesthesia in primary frozen shoulder
Background: Painful restriction of active and passive shoulder range of motion which cannot be attributed to any internal shoulder pathology is termed as primary frozen shoulder. It has three stages – freezing stage, frozen stage, and thawing stage. Nonsteroidal anti-inflammatory drugs, physiotherap...
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| Format: | Article |
| Language: | English |
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Manipal College of Medical Sciences, Pokhara
2021-11-01
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| Series: | Asian Journal of Medical Sciences |
| Subjects: | |
| Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/38495 |
| _version_ | 1818928008291942400 |
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| author | Malay Kumar Mandal Abhijit Sen Anirban Paul Swagatam Jash |
| author_facet | Malay Kumar Mandal Abhijit Sen Anirban Paul Swagatam Jash |
| author_sort | Malay Kumar Mandal |
| collection | DOAJ |
| description | Background: Painful restriction of active and passive shoulder range of motion which cannot be attributed to any internal shoulder pathology is termed as primary frozen shoulder. It has three stages – freezing stage, frozen stage, and thawing stage. Nonsteroidal anti-inflammatory drugs, physiotherapy, intra-articular corticosteroid injection, hydrodilatation, arthroscopic capsular release, and manipulation under anesthesia (MUA) are different modalities of treatment.
Aims and Objectives: The main objective of our study was to assess the short-term and long-term outcome of MUA in frozen shoulder once it did not respond to 3 months course of physiotherapy.
Materials and Methods: Fifty patients of primary frozen shoulder fulfilling inclusion criteria were manipulated under general anesthesia, and intra-articular Depo-Medrol and bupivacaine were administered. Functional status of the shoulder was assessed using the adjusted Constant-Murley (CM) score preoperatively and in subsequent follow-ups.
Results: There was a significant improvement of mean adjusted CM score in short- and long-term follow-ups compared to pre-manipulation value. A significant negative correlation was found between the age of the patient and the final outcome.
Conclusion: MUA is an effective modality of treatment in primary frozen shoulder with good short- and long-term outcomes. |
| first_indexed | 2024-12-20T03:22:04Z |
| format | Article |
| id | doaj.art-2ac0071c012e40b1b51953d85e9d2144 |
| institution | Directory Open Access Journal |
| issn | 2467-9100 2091-0576 |
| language | English |
| last_indexed | 2024-12-20T03:22:04Z |
| publishDate | 2021-11-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj.art-2ac0071c012e40b1b51953d85e9d21442022-12-21T19:55:12ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762021-11-011211169173https://doi.org/10.3126/ajms.v12i11.38495Short-term and long-term outcome of manipulation under anesthesia in primary frozen shoulderMalay Kumar Mandal 0https://orcid.org/0000-0003-3101-2920Abhijit Sen 1https://orcid.org/0000-0001-9962-999XAnirban Paul 2https://orcid.org/0000-0002-5760-9058Swagatam Jash 3https://orcid.org/0000-0003-4525-8526Assistant Professor, Department of Orthopaedics, KPC Medical College, Kolkata, West Bengal, IndiaSenior Resident, Department of Orthopaedics, KPC Medical College, Kolkata, West Bengal, India Post Graduate Trainee, Department of Orthopaedics, KPC Medical College, Kolkata, West Bengal, India Post Graduate Trainee, Department of Orthopaedics, KPC Medical College, Kolkata, West Bengal, India Background: Painful restriction of active and passive shoulder range of motion which cannot be attributed to any internal shoulder pathology is termed as primary frozen shoulder. It has three stages – freezing stage, frozen stage, and thawing stage. Nonsteroidal anti-inflammatory drugs, physiotherapy, intra-articular corticosteroid injection, hydrodilatation, arthroscopic capsular release, and manipulation under anesthesia (MUA) are different modalities of treatment. Aims and Objectives: The main objective of our study was to assess the short-term and long-term outcome of MUA in frozen shoulder once it did not respond to 3 months course of physiotherapy. Materials and Methods: Fifty patients of primary frozen shoulder fulfilling inclusion criteria were manipulated under general anesthesia, and intra-articular Depo-Medrol and bupivacaine were administered. Functional status of the shoulder was assessed using the adjusted Constant-Murley (CM) score preoperatively and in subsequent follow-ups. Results: There was a significant improvement of mean adjusted CM score in short- and long-term follow-ups compared to pre-manipulation value. A significant negative correlation was found between the age of the patient and the final outcome. Conclusion: MUA is an effective modality of treatment in primary frozen shoulder with good short- and long-term outcomes.https://www.nepjol.info/index.php/AJMS/article/view/38495primary frozen shouldermanipulation under anesthesiashort-term and long-term outcome |
| spellingShingle | Malay Kumar Mandal Abhijit Sen Anirban Paul Swagatam Jash Short-term and long-term outcome of manipulation under anesthesia in primary frozen shoulder Asian Journal of Medical Sciences primary frozen shoulder manipulation under anesthesia short-term and long-term outcome |
| title | Short-term and long-term outcome of manipulation under anesthesia in primary frozen shoulder |
| title_full | Short-term and long-term outcome of manipulation under anesthesia in primary frozen shoulder |
| title_fullStr | Short-term and long-term outcome of manipulation under anesthesia in primary frozen shoulder |
| title_full_unstemmed | Short-term and long-term outcome of manipulation under anesthesia in primary frozen shoulder |
| title_short | Short-term and long-term outcome of manipulation under anesthesia in primary frozen shoulder |
| title_sort | short term and long term outcome of manipulation under anesthesia in primary frozen shoulder |
| topic | primary frozen shoulder manipulation under anesthesia short-term and long-term outcome |
| url | https://www.nepjol.info/index.php/AJMS/article/view/38495 |
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