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Abstract

Background

The present study aimed to evaluate and determine the factors that affect short- and long-term outcome following manipulation under anaesthesia (MUA) of patients with adhesive capsulitis.

Methods

Patients recruited from January 1999 to January 2010 were retrospectively analyzed and classified as having primary or secondary adhesive capsulitis. All patients were assessed for range of movement (ROM) and Oxford Shoulder Scores (OSS) before and immediately postoperatively, as well as for OSS more than 1 year post MUA.

Results

In total, 295 patients (315 shoulders) were sequentially recruited, and information was collected at baseline, as well as at a mean follow-up of 28 days and 3.6 years. A significant improvement in OSS and ROM was noted 1 month post MUA (p < 0.0001) with females benefiting more than males (p < 0.0025). Long-term follow-up revealed that the improvement in OSS was maintained (p < 0.0001). Secondary adhesive capsulitis significantly reduced the efficacy of MUA as assessed by ROM (p < 0.0001). Other factors (age, initial ROM and OSS, and length of symptoms prior to MUA) did not significantly affect the outcome over the short- or long-term.

Conclusions

The findings of the present study show that all patient groups had a significantly improved ROM and OSS in the short-term with long-term maintenance of improved OSS.

Keywords

Adhesive capsulitis frozen shoulder manipulation outcome short-term long-term primary secondary

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References

Bunker

. Frozen shoulder. Curr Orthop 2011; 25: 11–18–11–18.

Shaffer

Tibone

Kerlan

. Frozen shoulder. A long-term follow-up. J Bone Joint Surg Am 1992; 74: 738–746–738–746.

Dodenhoff

Levy

Wilson

Copeland

. Manipulation under anaesthesia for primary frozen shoulder: effect on early recovery and return to activity. J Shoulder Elbow Surg 2000; 9: 23–26–23–26.

Thomas

WJC

Jenkins

Owen

. Treatment of frozen shoulder by manipulation under anaesthetic and injection Does the timing of treatment affect the outcome? J Bone Joint Surg Br 2011; 93: 1377–1381–1377–1381.

Jenkins

Thomas

WCJ

Corcoran

. The outcome of manipulation under general anesthesia for the management of frozen shoulder in patients with diabetes mellitus. J Shoulder Elbow Surg 2012; 21: 1492–1498–1492–1498.

Dawson

Rogers

Fitzpatrick

Carr

. The Oxford shoulder score revisited. Arch Orthop Trauma Surg 2009; 129: 119–123–119–123.

Kurer

Gooding

. Orthopaedic scores. http://www.orthopaedicscore.com/scorepages/oxford_shoulder_score.html .

Nevasier

Adhesive capsulitis. In: McGinty

Caspari

Jackson

Poehling

(eds). Operative arthroscopy, Second edition. Philadelphia, PA: Lippincott-Raven, 1996, pp. 785–791–785–791.

Reichmister

Friedman

. Long-term functional results after manipulation of the frozen shoulder. Md Med J 1999; 48: 7–11–7–11.

10.

Farrell

Sperling

Cofield

. Manipulation for frozen shoulder: long term results. J Shoulder Elbow Surg 2005; 14: 480–484–480–484.

11.

Flannery

Mullett

Colville

. Adhesive shoulder capsulitis: does the timing of manipulation influence outcome? Acta Orthop Belg 2007; 73: 21–25–21–25.

12.

Buchbinder

Green

Youd

Johnston

Cumpston

. Arthrographic distension for adhesive capsulitis (frozen shoulder). Cochrane Database Syst Rev 2008; 1. CD007005.

13.

Quraishi

Johnston

Bayer

Crowe

Chakrabarti

. Thawing the frozen shoulder: a randomised trial comparing manipulation under anaesthesia with hydrodilatation. J Bone Joint Surg Br 2007; 89: 1197–1200–1197–1200.

14.

Ogilvie-Harris

Biggs

Fitsialos

MacKay

. The resistant frozen shoulder. Manipulation versus arthroscopic release. Clin Orthop Relat Res 1995; 319: 238–248–238–248.

15.

Pearsall

Osbahr

Speer

. An arthroscopic technique for treating patients with frozen shoulder. Arthroscopy 1999; 15: 2–11–2–11.

16.

Rockwood

Matsen

Wirth

Lippitt

. The shoulder, Third edition. Philadelphia, PA: Saunders, 2004, pp. 1155–1157–1155–1157.

17.

Loew

Heichel

Lehner

. Intraarticular lesions in primary frozen shoulder after manipulation under general anaesthesia. J Shoulder Elbow Surg 2005; 14: 16–23–16–23.

18.

Reeves

. The natural history of the frozen shoulder syndrome. Scand J Rheumatol 1975; 4: 193–196–193–196.

19.

Hill

Jr Bogumill

. Manipulation in the treatment of frozen shoulder. Orthopaedics 1988; 11: 1255–1260–1255–1260.

20.

Placzek

Roubal

Freeman

Kulig

Nasser

Pagett

. Long-term effectiveness of translational manipulation for adhesive capsulitis. Clin Orthop 1988; 356: 181–191–181–191.

21.

Arkkila

Kantola

Viikari

Ronnemaa

. Shoulder capsulitis in type I and type II diabetic patients: association with diabetic complications and related diseases. Ann Rheum Dis 1996; 55: 907–914–907–914.

22.

Bridgman

. Periarthritis of the shoulder and diabetes mellitus. Ann Rheum Dis 1972; 31: 69–71–69–71.

23.

Bunker

. Frozen shoulder. Curr Orthop 1998; 12: 193–201–193–201.

24.

Pal

Anderson

Dick

Griffiths

. Limitation of joint mobility and shoulder capsulitis in insulin- and non-insulin-dependent diabetes mellitus. Br J Rheum 1986; 25: 147–151–147–151.

25.

Griggs

Ahn

Green

. Idiopathic adhesive capsulitis. A prospective functional outcome study of non-operative treatment. J Bone Joint Surg Am 2000; 82: 1398–1407–1398–1407.

26.

Janda

Hawkins

. Shoulder manipulation in patients with adhesive capsulitis and diabetes mellitus: a clinical note. J Shoulder Elbow Surg 1993; 2: 36–38–36–38.

27.

Wang

Huang

Hung

Chen

Liu

. Manipulation under anaesthesia for frozen shoulder in patients with and without non-insulin dependent diabetes mellitus. Int Orthop 2010; 34: 1227–1232–1227–1232.

28.

Hand

Clipsham

Rees