Mid-long term results of manipulation and arthroscopic release in frozen shoulder

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Celik H., Seckin M. F., Akcal M. A., KARA A., Kilinc B. E., Akman S.

Acta Ortopedica Brasileira, vol.25, no.6, pp.270-274, 2017 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 25 Issue: 6
  • Publication Date: 2017
  • Doi Number: 10.1590/1413-785220172506174033
  • Journal Name: Acta Ortopedica Brasileira
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.270-274
  • Keywords: Bursitis/physiopathology, Bursitis/surgery, Bursitis/therapy, Joint capsule release, Manipulation, orthopedic/methods
  • Istanbul Medipol University Affiliated: Yes


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.