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MID-LONG TERM RESULTS OF MANIPULATION AND ARTHROSCOPIC RELEASE IN FROZEN SHOULDER

OBJECTIVE: Surgical treatment options should be discussed in cases of frozen shoulder, which is usually treated in a conservative manner. In this study, we evaluated the efficacy of manipulation and arthroscopic release in cases of frozen shoulder which resisted conservative treatment. METHODS: A to...

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Autores principales: CELIK, HALUK, SECKIN, MUSTAFA FAIK, AKCAL, MEHMET AKIF, KARA, ADNAN, KILINC, BEKIR ERAY, AKMAN, SENOL
Formato: Online Artículo Texto
Lenguaje:English
Publicado: ATHA EDITORA 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5782862/
https://www.ncbi.nlm.nih.gov/pubmed/29375258
http://dx.doi.org/10.1590/1413-785220172506174033
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author CELIK, HALUK
SECKIN, MUSTAFA FAIK
AKCAL, MEHMET AKIF
KARA, ADNAN
KILINC, BEKIR ERAY
AKMAN, SENOL
author_facet CELIK, HALUK
SECKIN, MUSTAFA FAIK
AKCAL, MEHMET AKIF
KARA, ADNAN
KILINC, BEKIR ERAY
AKMAN, SENOL
author_sort CELIK, HALUK
collection PubMed
description OBJECTIVE: Surgical treatment options should be discussed in cases of frozen shoulder, which is usually treated in a conservative manner. In this study, we evaluated the efficacy of manipulation and arthroscopic release in cases of frozen shoulder which resisted conservative treatment. METHODS: A total of 32 patients who underwent manipulation and arthroscopic capsular release in 34 shoulders were included in the study. The average follow-up period was 49.5 months (range: 24-90 months). No reason for onset could be found in 8 (25%) patients, who were classified as primary frozen shoulder; twenty-four (75%) patients were classified as secondary frozen shoulder due to underlying pathologies. The average pre-operative complaint period was 11 months (range: 3-24 months). After arthroscopic examination, manipulation was performed first, followed by arthroscopic capsular release. The range of motion in both shoulders was compared before the procedure and in the last follow-up visit. Constant and Oxford classifications were used to assess functional results, and the results were assessed statistically. RESULTS: Patient values for passive elevation, abduction, adduction-external rotation, abduction-external rotation, and abduction-internal rotation increased in a statistically significant manner between the preoperative assessment and follow-up evaluation (p<0.01). The average change of 47.97±21.03 units observed in the patients’ values obtained in the control measurements against the pre-op Constant scores was determined to be statistically significant (p<0.01). According to the Oxford classification, 29 shoulders were sufficient. CONCLUSION: Successful results can be obtained with arthroscopic release performed after manipulation in patients with frozen shoulder resistant to conservative treatment. Level of Evidence IV, Case Series.
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spelling pubmed-57828622018-01-26 MID-LONG TERM RESULTS OF MANIPULATION AND ARTHROSCOPIC RELEASE IN FROZEN SHOULDER CELIK, HALUK SECKIN, MUSTAFA FAIK AKCAL, MEHMET AKIF KARA, ADNAN KILINC, BEKIR ERAY AKMAN, SENOL Acta Ortop Bras Original Articles OBJECTIVE: Surgical treatment options should be discussed in cases of frozen shoulder, which is usually treated in a conservative manner. In this study, we evaluated the efficacy of manipulation and arthroscopic release in cases of frozen shoulder which resisted conservative treatment. METHODS: A total of 32 patients who underwent manipulation and arthroscopic capsular release in 34 shoulders were included in the study. The average follow-up period was 49.5 months (range: 24-90 months). No reason for onset could be found in 8 (25%) patients, who were classified as primary frozen shoulder; twenty-four (75%) patients were classified as secondary frozen shoulder due to underlying pathologies. The average pre-operative complaint period was 11 months (range: 3-24 months). After arthroscopic examination, manipulation was performed first, followed by arthroscopic capsular release. The range of motion in both shoulders was compared before the procedure and in the last follow-up visit. Constant and Oxford classifications were used to assess functional results, and the results were assessed statistically. RESULTS: Patient values for passive elevation, abduction, adduction-external rotation, abduction-external rotation, and abduction-internal rotation increased in a statistically significant manner between the preoperative assessment and follow-up evaluation (p<0.01). The average change of 47.97±21.03 units observed in the patients’ values obtained in the control measurements against the pre-op Constant scores was determined to be statistically significant (p<0.01). According to the Oxford classification, 29 shoulders were sufficient. CONCLUSION: Successful results can be obtained with arthroscopic release performed after manipulation in patients with frozen shoulder resistant to conservative treatment. Level of Evidence IV, Case Series. ATHA EDITORA 2017 /pmc/articles/PMC5782862/ /pubmed/29375258 http://dx.doi.org/10.1590/1413-785220172506174033 Text en https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License
spellingShingle Original Articles
CELIK, HALUK
SECKIN, MUSTAFA FAIK
AKCAL, MEHMET AKIF
KARA, ADNAN
KILINC, BEKIR ERAY
AKMAN, SENOL
MID-LONG TERM RESULTS OF MANIPULATION AND ARTHROSCOPIC RELEASE IN FROZEN SHOULDER
title MID-LONG TERM RESULTS OF MANIPULATION AND ARTHROSCOPIC RELEASE IN FROZEN SHOULDER
title_full MID-LONG TERM RESULTS OF MANIPULATION AND ARTHROSCOPIC RELEASE IN FROZEN SHOULDER
title_fullStr MID-LONG TERM RESULTS OF MANIPULATION AND ARTHROSCOPIC RELEASE IN FROZEN SHOULDER
title_full_unstemmed MID-LONG TERM RESULTS OF MANIPULATION AND ARTHROSCOPIC RELEASE IN FROZEN SHOULDER
title_short MID-LONG TERM RESULTS OF MANIPULATION AND ARTHROSCOPIC RELEASE IN FROZEN SHOULDER
title_sort mid-long term results of manipulation and arthroscopic release in frozen shoulder
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5782862/
https://www.ncbi.nlm.nih.gov/pubmed/29375258
http://dx.doi.org/10.1590/1413-785220172506174033
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