The Journal of Bone and Joint Surgery (American). 2008;90:1792.
doi:10.2106/JBJS.9008.ebo2
© 2008 The Journal of Bone and Joint Surgery, Inc.
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Evidence-Based Orthopaedics

Manipulation Under Anesthesia Did Not Enhance the Benefit Conferred by Home Exercises for Frozen Shoulder

Kivimäki J, Pohjolainen T, Malmivaara A, Kannisto M, Guillaume J, Seitsalo S, Nissinen M. Manipulation Under Anesthesia with Home Exercises versus Home Exercises Alone in the Treatment of Frozen Shoulder: A Randomized, Controlled Trial with 125 Patients. J Shoulder Elbow Surg. 2007Nov-Dec;16:722-6.[CrossRef][Medline]

The first 20% of the full text of this article appears below.

Question: In patients with frozen shoulder, does manipulation under anesthesia confer benefit in addition to that obtained from home exercises?

Design: Randomized (allocation concealed), blinded (outcome assessor) controlled trial with 1-year follow-up.

Setting: 3 regional hospitals in Finland.

Patients: 125 patients (mean age, 53 y; 71% women) who had a frozen shoulder with ≤140° in elevation and ≤30° in external rotation. Exclusion criteria included arthritis, osteoarthritis, traumatic bone or tendon changes in the affected shoulder, and rotator cuff rupture. Follow-up was 81% at 3 months and 63% at 1 year.

Intervention: Patients were allocated to receive manipulation under general anesthesia plus home exercises (n = 65) or home exercises alone (n = 60). Manipulation was done . . . [Full Text of this Article]

Joseph P. Iannotti, MD

Cleveland Clinic
Cleveland, Ohio


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