Manipulation under anesthesia for frozen shoulders: A retrospective cohort study

Tim Kraal, Oetz Van der Meer, Maaike van den Borne, Koen Koenraadt, Denise Eygendaal, Ronald Boer

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Abstract

Manipulation under anesthesia is a well-established, but controversial, treatment for frozen shoulders. We will evaluate our results of manipulation and physiotherapy in stage two frozen shoulders. Questionnaires were sent to 65 patients with stage 2 frozen shoulders, treated with manipulation under anaesthesia between January 2012 and January 2014. Outcome parameters consisted of SPADI, OSS, EQ- 5D, pain and satisfaction. A response rate of 75% was obtained. Mean follow up was 21 months (range 11-36). The median SPADI score was 11.2 (IQR 0.8-25.2) and median OSS was 39.0 (IQR 30-43). Only 72% of patients reported that they reached their pre injury level of functioning. A satisfaction rate of 92% was reported. Manipulation is a relatively easy intervention with a high satisfaction rate. We assume that manipulation could shorten the duration of symptoms. However, this needs to be confirmed in a randomized trial with a control group.
Original languageEnglish
Pages (from-to)400-405
JournalActa orthopaedica Belgica
Volume85
Issue number4
Publication statusPublished - 1 Dec 2019

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