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 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.

Yazar Celik, Haluk
Seckin, Mustafa Faik
Akcal, Mehmet Akif
Kara, Adnan
Kilinc, Bekir Eray
Akman, Senol
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/2942
Tek Biçim Adres 10.1590/1413-785220172506174033
Konu Başlıkları Bursitis/physiopathology
Bursitis/surgery
Bursitis/therapy
Joint capsule release
Manipulation, orthopedic/methods
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı ACTA ORTOPEDICA BRASILEIRA
Dergi Cilt Bilgisi 25
Dergi Sayısı 6
Sayfalar 270 - 274
Yayın Yılı 2017
Eser Adı
[dc.title]
MID-LONG TERM RESULTS OF MANIPULATION AND ARTHROSCOPIC RELEASE IN FROZEN SHOULDER
Yazar
[dc.contributor.author]
Celik, Haluk
Yazar
[dc.contributor.author]
Seckin, Mustafa Faik
Yazar
[dc.contributor.author]
Akcal, Mehmet Akif
Yazar
[dc.contributor.author]
Kara, Adnan
Yazar
[dc.contributor.author]
Kilinc, Bekir Eray
Yazar
[dc.contributor.author]
Akman, Senol
Yayın Yılı
[dc.date.issued]
2017
Yayıncı
[dc.publisher]
ATHA COMUNICACAO & EDITORA
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
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.
Açıklama
[dc.description]
WOS: 000418820900006
Açıklama
[dc.description]
PubMed: 29375258
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Bursitis/physiopathology
Konu Başlıkları
[dc.subject]
Bursitis/surgery
Konu Başlıkları
[dc.subject]
Bursitis/therapy
Konu Başlıkları
[dc.subject]
Joint capsule release
Konu Başlıkları
[dc.subject]
Manipulation, orthopedic/methods
Haklar
[dc.rights]
info:eu-repo/semantics/openAccess
ISSN
[dc.identifier.issn]
1413-7852
ISSN
[dc.identifier.issn]
1809-4406
İlk Sayfa Sayısı
[dc.identifier.startpage]
270
Son Sayfa Sayısı
[dc.identifier.endpage]
274
Dergi Adı
[dc.relation.journal]
ACTA ORTOPEDICA BRASILEIRA
Dergi Sayısı
[dc.identifier.issue]
6
Dergi Cilt Bilgisi
[dc.identifier.volume]
25
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1590/1413-785220172506174033
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/2942
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
17
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
08 Şubat 2024 05:53
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Tıklayınız
shoulder frozen arthroscopic patients release manipulation follow-up average shoulders rotation results treatment statistically conservative capsular Constant performed period values significant classified months (range months) Oxford obtained manner Successful abduction-external adduction-external abduction elevation passive observed internal
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