Comparison of idiopathic, post-trauma and post-surgery frozen ...

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Abstract Manipulation under anaesthesia (MUA) has been used to speed the recovery of frozen shoulder, which is said to be a self-limiting process. We wished ...
International Orthopaedics (SICOT) (2007) 31:333–337 DOI 10.1007/s00264-006-0195-7

ORIGINAL PAPER

Comparison of idiopathic, post-trauma and post-surgery frozen shoulder after manipulation under anaesthesia Jung-Pan Wang & Tung-Fu Huang & Shih-Chieh Hung & Hsiao-Li Ma & Jiunn-Ger Wu & Tain-Hsiung Chen

Received: 29 March 2006 / Revised: 14 May 2006 / Accepted: 16 May 2006 / Published online: 23 August 2006 # Springer-Verlag 2006

Abstract Manipulation under anaesthesia (MUA) has been used to speed the recovery of frozen shoulder, which is said to be a self-limiting process. We wished to assess the shortand long-term results of the treatment of frozen shoulders by manipulation under anaesthesia and compare the results between idiopathic, post-injury and post-operative frozen shoulders. We applied an adjusted Constant score (Constant score after excluding the 25 points allocated for the assessment of muscle strength) to assess all patients. In our series, 47 cases with 51 frozen shoulders were collected and evaluated retrospectively. The adjusted Constant score before manipulation was on average 22.8±4.9 (10–31) points. The score from the 3-week follow-up was 52.6±9.2 (31–67) points on average. The score from the 82-month follow-up was on average 70.1±6.2 (54–75) points, with 23 shoulders scored for a maximum point number of 75. The score at the early and late follow-ups was significantly lower for the post-operative group (63.2±6.7) when compared to the other two groups (P