title: Manipulation under anesthesia for frozen shoulder with and without steroid injection.
abstract: 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.
authors.affiliation: Jorvi Regional Hospital, Espoo, Finland.
authors.forename: J
authors.initials: J
authors.lastname: Kivimäki
authors.forename: T
authors.initials: T
authors.lastname: Pohjolainen
mesh_terms: 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
chemical_list: D000779:Anesthetics, Local; D000893:Anti-Inflammatory Agents; D001623:Betamethasone; D008012:Lidocaine