title: Treatment of frozen shoulder by distension and manipulation under local anaesthesia.
abstract: We report the results of hydraulic distension of the glenohumeral joint with manipulation using local anaesthesia and radiographic control in 24 frozen shoulders in 22 patients. In a prospective study, the pre- and postoperative range of movement in 3 planes was measured by an electronic digital inclinometer. At 3 months, the range compared with the unaffected shoulder was abduction 93%, glenohumeral abduction 84%, forward flexion 94%, backward extension 96%, internal rotation 75% and external rotation 73%. The procedure was repeated once in 3 patients. One also had a manipulation under general anaesthesia and was classed as a failure. The subjective outcome was good in all the other patients. This investigation shows that the technique is safe, reliable and effective treatment for frozen shoulder.
authors.affiliation: Department of Orthopaedic Surgery, Free University Hospital, Amsterdam, The Netherlands.
authors.forename: B J
authors.initials: BJ
authors.lastname: van Royen
authors.forename: P W
authors.initials: PW
authors.lastname: Pavlov
mesh_terms: D000328:Adult; D000772:Anesthesia, Local; D001175:Arthrography; D005260:Female; D006801:Humans; D007592:Joint Diseases / Q000628:therapy; D008297:Male; D008349:Manipulation, Orthopedic; D008875:Middle Aged; D012785:Shoulder Joint; D013577:Syndrome; D016896:Treatment Outcome