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.
- 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.
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