CLINICAL TRIAL
COMPARATIVE STUDY
JOURNAL ARTICLE
RANDOMIZED CONTROLLED TRIAL
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Manipulation under anesthesia for frozen shoulder with and without steroid injection.

OBJECTIVE: To study the effect of manipulating a shoulder with adhesive capsulitis (frozen shoulder) under anesthesia with and without corticosteroid injection.

DESIGN: Randomized trial.

SETTING: Hospital.

PARTICIPANTS: Twenty-four patients referred for manipulation of a frozen shoulder.

INTERVENTION: The patients were randomized into 2 groups. One group received an injection of corticosteroid and manipulation; the other was only administered manipulation during anesthesia.

MAIN OUTCOME MEASURES: The degree of shoulder mobility and pain before and after the manipulation.

RESULTS: Manipulation under anesthesia increased the mobility of the affected shoulder. Injection with lidocaine and betamethason did not enhance the effect of the manipulation.

CONCLUSION: Manipulation under anesthesia without intraarticular corticosteroids is recommended as the therapy for frozen shoulder.

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