A capsular dilatation facilitated shoulder manipulation for treating patients with frozen shoulder.

Kuptniratsaikul, Somsak; Kuptniratsaikul, Vilai; Tejapongvorachai, Tawechai; Itiravivong, Pibul

A capsular dilatation facilitated shoulder manipulation for treating patients with frozen shoulder.

Date

2002-06-22

Authors

Kuptniratsaikul, Somsak

Kuptniratsaikul, Vilai

Tejapongvorachai, Tawechai

Itiravivong, Pibul

Abstract

Forty patients with a diagnosis of frozen shoulder who had symptom for an average of 8 months and failed conservative treatment of at least 6 weeks of physical therapy were treated with capsular dilatation facilitated shoulder manipulation. Post-manipulation, the patient underwent arthroscopy for visualization, fibrin debridement and bleeding point coagulation. All the essential intra-articular structures ie, glenohumeral ligament, rotator cuff were intact. Post-operatively, all patients revealed substantial gain in shoulder range of motion as well as diminished shoulder pain. The average flexion, abduction, and internal rotation gain were 76.9+/-8.9, 18.1+/-5.7, 9.6+/-7.1 degrees respectively. External rotation gain in the position of 90 degrees shoulder abduction and shoulder adduction were 53.0+/-9.97 and 31.4+/-7.2 degrees respectively. The average pain score by visual analogue scale pre and 6-month post-manipulation were 80.6+/-8.6 and 7.6+/-7.3 respectively with the average of pain score of 73.0+/-10.4. The authors proposed an effective and safe technique employing intra-articular pressure to facilitate shoulder manipulation in order to treat frozen shoulder.

Description

Chotmaihet Thangphaet.

Citation

Kuptniratsaikul S, Kuptniratsaikul V, Tejapongvorachai T, Itiravivong P. A capsular dilatation facilitated shoulder manipulation for treating patients with frozen shoulder. Journal of the Medical Association of Thailand. 2002 Jun; 85 Suppl 1(): S163-9