Manipulation under anesthesia for frozen shoulder with and without steroid injection.
OBJECTIVE
To study the effect of manipulating a shoulder with adhesive capsulitis (frozen shoulder) under anesthesia with and without corticosteroid injection.


METHODS
Randomized trial.


METHODS
Hospital.


METHODS
Twenty-four patients referred for manipulation of a frozen shoulder.


METHODS
The patients were randomized into 2 groups. One group received an injection of corticosteroid and manipulation; the other was only administered manipulation during anesthesia.


METHODS
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.


CONCLUSIONS
Manipulation under anesthesia without intraarticular corticosteroids is recommended as the therapy for frozen shoulder.
Kivimäki
J
J
Jorvi Regional Hospital, Espoo, Finland.
Pohjolainen
T
T
D000203:Activities of Daily Living; D000771:Anesthesia, Intravenous; D000779:Anesthetics, Local / Q000627:therapeutic use*; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D001623:Betamethasone / Q000627:therapeutic use*; D002062:Bursitis / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D003131:Combined Modality Therapy; D005500:Follow-Up Studies; D006801:Humans; D007270:Injections, Intra-Articular; D008012:Lidocaine / Q000627:therapeutic use*; D008349:Manipulation, Orthopedic / Q000379:methods*; D010146:Pain / Q000175:diagnosis / Q000209:etiology; D010808:Physical Examination; D016059:Range of Motion, Articular; D012399:Rotation; D012785:Shoulder Joint; D016896:Treatment Outcome
D000779:Anesthetics, Local; D000893:Anti-Inflammatory Agents; D001623:Betamethasone; D008012:Lidocaine