Arthroscopic findings after manipulation under anesthesia in idiopathic capsulitis of the shoulder:A prospective study  

作　　者：Sai Krishna Mlv Ravi Mittal Nitin Chauhan 

机构地区：[1]Department of Orthopaedics,Aayush Hospital,Eluru 534002,Andhra Pradesh,India [2]Department of Orthopaedics,All India Institute of Medical Sciences,New Delhi 110029,India

出　　处：《World Journal of Clinical Cases》2023年第34期8147-8152,共6页世界临床病例杂志

基　　金：The study was approved by the institutional ethical committee(IESC/T-300/02.08.2013).

摘　　要：BACKGROUND Manipulation under anesthesia(MUA)of the shoulder joint is a commonly used method for the treatment of adhesive capsulitis.Though it has been known to be associated with a variety of complications,there is a paucity of studies describing the arthroscopic findings after MUA.AIM To describe the arthroscopic findings in patients with idiopathic adhesive capsulitis of the shoulder after MUA.METHODS We recruited 28 patients with idiopathic adhesive capsulitis who underwent arthroscopic capsular release.Manipulation of the shoulder was performed under anesthesia in all of these patients before capsular release.Intra-articular findings were recorded during arthroscopic capsular release in these patients.RESULTS All patients showed the presence of synovitis.Twenty-seven patients showed tears in the capsule on the anterior aspect.One patient had an avulsion of the anterior rim of the glenoid and labrum following the manipulation.Four patients had partial rotator cuff tears,and one patient showed a superior labrum anterior posterior lesion,which was not diagnosed preoperatively on magnetic resonance imaging.CONCLUSION MUA leads to rupture of the capsule,which is the desired outcome.However,the site of rupture of the capsule is dependent on the maneuvers of MUA.In addition,partial tears of the rotator cuff and osteochondral fractures of the glenoid can also occur.

关 键 词：Frozen shoulder ARTHROSCOPY Manipulation under anesthesia Prospective study 

分 类 号：R687.3[医药卫生—骨科学]