Amirrza Sadeghifar, Farshad Zanderahimi, Alireza Sarhadi Zade, Maryam Aazami and Alireza Saied*

Kerman Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran

*Corresponding Author: Alireza Saied, Kerman Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran.

Received: November 22, 2022; Published: January 16, 2023

Abstract

Introduction: Frozen shoulder is a painful condition of the joint for which surgery may be helpful when conservative treatment fails. In this prospective study, we compared two common methods of surgical treatment.

Patients and methods: Between April 2010 and March 2012, 54 patients with frozen shoulder were treated under anesthesia by one of the two methods of arthroscopic release and manipulation. The variables studied in the comparison were postoperative pain, ASES and SST scores, range of motion in different directions, and pain at the last post-surgery follow-up visit.

Results: All of the patients in the two groups had significant improvements in comparison to preoperative scores at a follow-up visit at least one year after surgery. The difference between the two groups was not significant in internal rotation, forward flexion, and pain at the final follow-up visit, but for the other variables, the arthroscopy group showed greater improvement. No statistically significant association was found among any of the variables considered in the comparison and diabetes, age, sex, and dominant limb involvement.

Conclusions: Based upon the findings of the present study it seems that both manipulation under anesthesia and arthroscopic release are effective treatments for frozen shoulder. However, arthroscopy was associated with less postoperative pain and greater improvement some parameters of range of shoulder motion, in comparison with manipulation under anesthesia. The results in diabetic patients were similar to those for nondiabetics in most respects.

Keywords: Anesthesia - Arthroscopy – diabetes - frozen shoulder –Manipulation.

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Citation

Citation: Alireza Saied., et al. “Arthroscopic Release Versus Manipulation Under Anesthesia for Frozen Shoulder - A Prospective Study”.Acta Scientific Orthopaedics 6.2 (2023): 41-47.

Copyright

Copyright: © 2023 Alireza Saied., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.