International Journal of Orthopaedics Sciences
2020, Volume 6 Issue 3
Functional outcome of adhesive capsulitis treated by manipulation
Author(s): Anupam Gupta, Prasanna C and Dinakar Rai
Abstract: An absolute indication of Manipulation under Anesthesia (MUA) for frozen shoulder is not extracted from literature. Though advanced medical sciences now have an option for arthroscopic release of soft tissue of shoulder, the results are variable in literature and recurrence recorded in literature varies up 30 to 40 percent. We adopted a non invasive approach for 40 cases of frozen shoulder. A functional outcome of patients treated with MUA and intra-articular injection with Methylprednisolone with Lignocaine (MP) was evaluated. Patients with frozen shoulder including those with diabetes were analyzed clinically, radio logically and SPADI score prior and post procedure done. The percentage of recovery noted. We noticed favorable and positive outcome in 67% despite strictly restricting our follow up for 3 months. A reminder here is the natural course of history which is generally self limiting and varies from 16 to 24 months. In view of possible recovery time, range of motions would further improve with recovery from pain. More than 4 studies were comparable, in this study we found external and internal rotation of shoulder joint not fully recovering, but reaching a range of motion for activities of daily living. Our results were comparable to other studies and conclude that MUA with injection of steroid speeds up recovery in range of movements and provides relief of pain.
How to cite this article:
Anupam Gupta, Prasanna C, Dinakar Rai. Functional outcome of adhesive capsulitis treated by manipulation. Int J Orthop Sci 2020;6(3):10-14. DOI: 10.22271/ortho.2020.v6.i3a.2168