Periarthritis shoulder – Effect of manipulation under general anesthesia on pain and range of movement
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2018, Vol 4, Issue 4
Abstract
Introduction Periarthritis shoulder is unique condition in sense that same pathology does not affect any other joints in particular other than shoulder2 Spontaneous occurrence of pain in shoulder unrelated to injury but at times associated with injury in 2030 of cases2 Main aim of treatment is symptomatic pain relief followed by restoration of normal joint movements Manipulation under General Anesthesia MUA appears to be mainstay of treatment for people who do not benefit by physiotherapy and universal shoulder mobilization exercises3Aim of Study To study effect of manipulation under general anesthesia on Periarthritis shoulderObjective To study improvement in Range of Movements Pain and Short DASH scoreMaterials and Methods Study was carried out in Pushpagiri Institute of Medical Sciences and Research Centre during September 2010 to September 2012 40 patients were selected for the study underwent MUA with intraarticular steroid injection 40mgml methyl prednisolone 2 Lignocaine 5ml and Hydrodilation 40ml cold normal saline They were started physiotherapy immediately and continuedResult Among the 40 patients 6 patients never returned for followup Data analysis of remaining 34 patients shows improvement in shoulder range of movement Quick DASH score decreased from 8372SD 71 to 2766 SD 70 VAS score improved from 729 SD 103 to 171 SD 084Conclusion Periarthritis shoulder treated with MUA with intraarticular steroid steroidLignocaine and hydrodilation with normal saline result in good immediate pain relief postoperatively and easy breakage of adhesions during the procedure This followed by immediate physiotherapy decreases pain adds good functional recovery and early return to daily activities of living Physiotherapy and universal shoulder mobilization exercises should be continued thereafter to prevent recurrence of symptomsKeywords Frozen shoulder syndrome Adhesive capsulitis Periarthritis Manipulation under anaesthesia Corticosteroids rehabilitation Shoulder
Authors and Affiliations
Sandeep Krishna Avulapati
Keywords
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- EP ID EP476691
- DOI 10.18231/2395-1362.2018.0067
- Views 95
- Downloads 0
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