Muhammad Imran Khan, Mohammad Shafiq, Muhammad Saqib, Kamran Alamgir.
Adhesive Capsulitis Shoulder: Role of Manipulation under General Anesthesia along with Intra-articular Steroid Injection.
Ophthalmol Update Jan ;12(4):318-20.

Objective: To observe the affects of manipulation under general anaesthesia (MUA) plus intra-articular steroid injection in patients with primary frozen shoulder. Material and Methods: Fifty patients with idiopathic (primary) frozen shoulder, with unilateral involvement with minimum duration of six months were selected for this prospective study. The solution injected contained 5cc of 2% lidocaine HCl (xylocain) and 2cc (80 mg) methyl prednisolone acetate (depomedrol). All patients were injected once after manipulation under general anaesthesia. After the inra-articular injection, patients were advised to perform range of movements exercise within the limits of pain daily for as long as possible. They were asked to revisit out-patient department for follow-up at 1 week, 4 weeks and then at 12 weeks so that the outcome of treatment could be determined and recorded. Range of motions of the shoulder joint and pain at rest and during motion was taken in to account for diagnosis and follow up. Results: Total of 50 patients ranging from 40 years to 60 years (mean 48.38) was evaluated, out of which 32% were female and 18% were male. All the active range of motion of the shoulder joints, pain at rest as well as during motion improved considerable as compared to before the procedure. Conclusion: In patients with frozen shoulder, single MUA plus intra-articular injection of corticosteroid injection is effective in improving shoulder pain and disability.

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