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Adhesive Capsulitis: Difference between revisions
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===Surgery=== | ===Surgery=== | ||
In a multi-centre trial of 503 adults with severe persistent frozen shoulder symptoms were randomised to arthroscopic capsular release (ACR), manipulation under anaesthesia (MUA), or physiotherapy. Arthroscopic capsular release was significantly better than manipulation under anaesthesia and physiotherapy, but the differences were small and unlikely to be clinically significant. Arthroscopic capsular release has significant side effects such as stroke, pneumonia, deep vein thrombosis.<ref>{{#pmid:33010843}}</ref> | In a multi-centre trial of 503 adults with severe persistent frozen shoulder symptoms were randomised to arthroscopic capsular release (ACR), manipulation under anaesthesia (MUA), or physiotherapy supplemented with corticosteroid injection. Arthroscopic capsular release was significantly better than manipulation under anaesthesia and physiotherapy, but the differences were small and unlikely to be clinically significant. Arthroscopic capsular release has significant side effects such as stroke, pneumonia, deep vein thrombosis.<ref>{{#pmid:33010843}}</ref> | ||
== Resources == | |||
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==References== | ==References== | ||
Revision as of 12:52, 29 May 2022
This article is a stub.
Treatment
Steroid Injection
- Steroid Injections provide short term but not long term benefit[1]
Surgery
In a multi-centre trial of 503 adults with severe persistent frozen shoulder symptoms were randomised to arthroscopic capsular release (ACR), manipulation under anaesthesia (MUA), or physiotherapy supplemented with corticosteroid injection. Arthroscopic capsular release was significantly better than manipulation under anaesthesia and physiotherapy, but the differences were small and unlikely to be clinically significant. Arthroscopic capsular release has significant side effects such as stroke, pneumonia, deep vein thrombosis.[2]
Resources
References
- ↑ Kitridis D, Tsikopoulos K, Bisbinas I, Papaioannidou P, Givissis P. Efficacy of pharmacological therapies for adhesive capsulitis of the shoulder: A systematic review and network meta-analysis. Am J Sports Med 2019;47(14):3552-3560.
- ↑ Rangan et al.. Management of adults with primary frozen shoulder in secondary care (UK FROST): a multicentre, pragmatic, three-arm, superiority randomised clinical trial. Lancet (London, England) 2020. 396:977-989. PMID: 33010843. DOI.
Literature Review
Literature Review
- Reviews from the last 7 years: review articles, free review articles, systematic reviews, meta-analyses, NCBI Bookshelf
- Articles from all years: PubMed search, Google Scholar search.
- TRIP Database: clinical publications about evidence-based medicine.
- Other Wikis: Radiopaedia, Wikipedia Search, Wikipedia I Feel Lucky, Orthobullets,
