MİD-LONG TERM RESULTS OF MANİPULATİON AND ARTHROSCOPİC RELEASE İN FROZEN SHOULDER

Haluk Celik, Mustafa Faik Seckin, Mehmet Akif Akcal, Adnan Kara, Eray Kilinc, Senol Akman

Resumo


Objective: Surgical treatment options should be discussed in cases of frozen shoulder, which is usually treated in a conservative manner. In this study, the efficacy of manipulation and arthroscopic release in patients with frozen shoulder resistant to conservative treatment was discussed.
Methods: The patients who had manipulation and arthroscopic capsular release operation due to frozen shoulder were evaluated. Range of motion of both shoulders was compared before the operation and in the last follow-up visit. Constant and Oxford classifications were used for functional results.
Results: A total of 32 patients and 34 shoulders were included in the study. The average follow-up period was 49.5 months (24-90 months). The increase in the patients’ values of passive elevation, abduction, adduction-external rotation, abduction - external rotation, abduction - internal rotation measured during check-up compared to the preoperative values was statistically significant (p<0.01). It was determined that the average change of 47.97±21.03 units observed in the patients’ values obtained in the control measurements according to the pre-op Constant scores of the patients was 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. Level of Evidence IV, Case Series.



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