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Manipulation under anesthesia for frozen shoulder with and without steroid injection
KIVIMAKI J; POHJOLAINEN T
ARCH PHYS MED REHABIL , 2001, vol. 82, n° 9, p. 1188-1190 Doc n°: 103896 Localisation : Documentation IRR Descripteurs : DD362 - TRAITEMENT DE REEDUCATION - EPAULE
Article consultable sur : http://www.archives-pmr.org
OBJECTIVE: To study the effect of manipulating a shoulder with adhesive capsulitis (frozen shoulder) under anesthesia with and without corticosteroid injection. DESIGN: Randomized trial. SETTING: Hospital. PARTICIPANTS: Twenty-four patients referred for manipulation of a frozen shoulder. INTERVENTION: The patients were randomized into 2 groups. One group received an injection of corticosteroid and manipulation; the other was only administered manipulation during anesthesia. MAIN OUTCOME MEASURES: The degree of shoulder mobility and pain before and after the manipulation. RESULTS: Manipulation under anesthesia increased the mobility of the affected shoulder. Injection with lidocaine and betamethason did not enhance the effect of the manipulation. CONCLUSION: Manipulation under anesthesia without intraarticular corticosteroids is recommended as the therapy for frozen shoulder. Langue : ANGLAIS Identifiant basis : 2002219869 |
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