Arthroscopic Release versus Manipulation under Anesthesia for Frozen Shoulder: A Prospective Study

Background: Frozen shoulder is a painful condition in which surgery may be helpful in case of failure of conservative treatment. In this prospective study we tried to compare two common methods of surgical treatment. Methods: Between 2011 and 2012, 54 patients with frozen shoulder were treated by o...

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Main Authors: Amirreza Sadeghifar, Alireza Saied, Ali Okati
Format: Article
Language:fas
Published: Isfahan University of Medical Sciences 2016-05-01
Series:مجله دانشکده پزشکی اصفهان
Subjects:
Online Access:http://jims.mui.ac.ir/index.php/jims/article/view/5437
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author Amirreza Sadeghifar
Alireza Saied
Ali Okati
author_facet Amirreza Sadeghifar
Alireza Saied
Ali Okati
author_sort Amirreza Sadeghifar
collection DOAJ
description Background: Frozen shoulder is a painful condition in which surgery may be helpful in case of failure of conservative treatment. In this prospective study we tried to compare two common methods of surgical treatment. Methods: Between 2011 and 2012, 54 patients with frozen shoulder were treated by one of the two methods of arthroscopic release and manipulation under anesthesia. The variables studied were postoperative pain, American Shoulder and Elbow Surgeons (ASES) and Simple shoulder test (SST) scores, range of motion in different directions and pain in the last follow up. Findings: All the patients in the two groups had significant improvement in comparison to preoperative scores at the least follow up of one year. The difference between the two groups was not significant in internal rotation, forward flexion and pain in the last follow up, but among the other variables, the arthroscopy group showed more improvement. No statistically significant association was found among the variables and diabetes, age, dominant limb involvement and sex. Conclusion: Based upon the findings of the present study it seems that both manipulation under anesthesia and arthroscopic release are effective treatments for frozen shoulder.
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spelling doaj.art-85c772213afe46149b8fe521db7c32672023-09-02T16:10:39ZfasIsfahan University of Medical Sciencesمجله دانشکده پزشکی اصفهان1027-75951735-854X2016-05-01343762852922184Arthroscopic Release versus Manipulation under Anesthesia for Frozen Shoulder: A Prospective StudyAmirreza Sadeghifar0Alireza Saied1Ali Okati2Assistant Professor, Department of Orthopedics, Kerman Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, IranAssociate Professor, Department of Orthopedics, Kerman Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, IranResident, Department of Orthopedics, Kerman Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, IranBackground: Frozen shoulder is a painful condition in which surgery may be helpful in case of failure of conservative treatment. In this prospective study we tried to compare two common methods of surgical treatment. Methods: Between 2011 and 2012, 54 patients with frozen shoulder were treated by one of the two methods of arthroscopic release and manipulation under anesthesia. The variables studied were postoperative pain, American Shoulder and Elbow Surgeons (ASES) and Simple shoulder test (SST) scores, range of motion in different directions and pain in the last follow up. Findings: All the patients in the two groups had significant improvement in comparison to preoperative scores at the least follow up of one year. The difference between the two groups was not significant in internal rotation, forward flexion and pain in the last follow up, but among the other variables, the arthroscopy group showed more improvement. No statistically significant association was found among the variables and diabetes, age, dominant limb involvement and sex. Conclusion: Based upon the findings of the present study it seems that both manipulation under anesthesia and arthroscopic release are effective treatments for frozen shoulder.http://jims.mui.ac.ir/index.php/jims/article/view/5437Frozen shoulderArthroscopyManipulation
spellingShingle Amirreza Sadeghifar
Alireza Saied
Ali Okati
Arthroscopic Release versus Manipulation under Anesthesia for Frozen Shoulder: A Prospective Study
مجله دانشکده پزشکی اصفهان
Frozen shoulder
Arthroscopy
Manipulation
title Arthroscopic Release versus Manipulation under Anesthesia for Frozen Shoulder: A Prospective Study
title_full Arthroscopic Release versus Manipulation under Anesthesia for Frozen Shoulder: A Prospective Study
title_fullStr Arthroscopic Release versus Manipulation under Anesthesia for Frozen Shoulder: A Prospective Study
title_full_unstemmed Arthroscopic Release versus Manipulation under Anesthesia for Frozen Shoulder: A Prospective Study
title_short Arthroscopic Release versus Manipulation under Anesthesia for Frozen Shoulder: A Prospective Study
title_sort arthroscopic release versus manipulation under anesthesia for frozen shoulder a prospective study
topic Frozen shoulder
Arthroscopy
Manipulation
url http://jims.mui.ac.ir/index.php/jims/article/view/5437
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AT alirezasaied arthroscopicreleaseversusmanipulationunderanesthesiaforfrozenshoulderaprospectivestudy
AT aliokati arthroscopicreleaseversusmanipulationunderanesthesiaforfrozenshoulderaprospectivestudy