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Manipulation Under Anesthesia for Frozen Shoulders

  • Eiji ItoiEmail author
  • Hiroshi Minagawa
Chapter
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Abstract

Manipulation under anesthesia is commonly used when conservative treatment does not work in patients with frozen shoulder. This is an effective treatment option for refractory frozen shoulder. It is as effective as, but less costly than, arthroscopic capsular release. Manipulation can be performed under general anesthesia, but it can also be performed under interscalene block. Serious complications such as a fracture should be avoided with use of a short lever arm with slow and gentle motion. High-quality evidence needs to be established.

Keywords

Frozen shoulder Manipulation General anesthesia Intersalene block 

Supplementary material

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References

  1. 1.
    Andersen NH, Sojbjerg JO, Johannsen HV, Sneppen O. Frozen shoulder: arthroscopy and manipulation under general anesthesia and early passive motion. J Shoulder Elbow Surg. 1998;7(3):218–22.CrossRefPubMedGoogle Scholar
  2. 2.
    Atoun E, Funk L, Copland SA, Even T, Levy O, Rath E. The effect of shoulder manipulation on rotator cuff integrity. Acta Orthop Belg. 2013;79(3):255–9.PubMedGoogle Scholar
  3. 3.
    Birch R, Jessop J, Scott G. Brachial plexus palsy after manipulation of the shoulder. J Bone Joint Surg Br. 1991;73(1):172.PubMedGoogle Scholar
  4. 4.
    Boyles RE, Flynn TW, Whitman JM. Manipulation following regional interscalene anesthetic block for shoulder adhesive capsulitis: a case series. Man Ther. 2005;10(1):80–7.CrossRefPubMedGoogle Scholar
  5. 5.
    Castellarin G, Ricci M, Vedovi E, et al. Manipulation and arthroscopy under general anesthesia and early rehabilitative treatment for frozen shoulders. Arch Phys Med Rehabil. 2004;85(8):1236–40.CrossRefPubMedGoogle Scholar
  6. 6.
    De Carli A, Vadala A, Perugia D, et al. Shoulder adhesive capsulitis: manipulation and arthroscopic arthrolysis or intra-articular steroid injections? Int Orthop. 2012;36(1):101–6.CrossRefPubMedCentralPubMedGoogle Scholar
  7. 7.
    Duplay S. De la peri-arthrites scapulo-humerale et des raideurs de l’epaule qui en sont la consequence. Arch Gen Med. 1872;2:513–42.Google Scholar
  8. 8.
    Eid A. Miniopen coracohumeral ligament release and manipulation for idiopathic frozen shoulder. Int J Shoulder Surg. 2012;6(3):90–6.CrossRefPubMedCentralPubMedGoogle Scholar
  9. 9.
    Ekelund AL, Rydell N. Combination treatment for adhesive capsulitis of the shoulder. Clin Orthop Relat Res. 1992;282:105–9.PubMedGoogle Scholar
  10. 10.
    Endres NK, Elhassan B, Higgins LD, Warner JP. The stiff shoulder. In: Rockwood CAJM, Matsen III FA, Wirth MA, Lippitt SB, editors. The shoulder, vol. 2. 4th ed. Philadelphia: Saunders Elsevier; 2009. p. 1405–36.Google Scholar
  11. 11.
    Farrell CM, Sperling JW, Cofield RH. Manipulation for frozen shoulder: long-term results. J Shoulder Elbow Surg. 2005;14(5):480–4.CrossRefPubMedGoogle Scholar
  12. 12.
    Fisher AG. The frozen shoulder; treatment by manipulation. Br J Phys Med. 1951;14(3):49–52.PubMedGoogle Scholar
  13. 13.
    Flannery O, Mullett H, Colville J. Adhesive shoulder capsulitis: does the timing of manipulation influence outcome? Acta Orthop Belg. 2007;73(1):21–5.PubMedGoogle Scholar
  14. 14.
    Grant JA, Schroeder N, Miller BS, Carpenter JE. Comparison of manipulation and arthroscopic capsular release for adhesive capsulitis: a systematic review. J Shoulder Elbow Surg. 2013;22(8):1135–45.CrossRefPubMedGoogle Scholar
  15. 15.
    Haines JF, Hargadon EJ. Manipulation as the primary treatment of the frozen shoulder. J R Coll Surg Edinb. 1982;27(5):271–5.PubMedGoogle Scholar
  16. 16.
    Hamdan TA, Al-Essa KA. Manipulation under anaesthesia for the treatment of frozen shoulder. Int Orthop. 2003;27(2):107–9.PubMedGoogle Scholar
  17. 17.
    Helbig B, Wagner P, Dohler R. Mobilization of frozen shoulder under general anaesthesia. Acta Orthop Belg. 1983;49(1–2):267–74.PubMedGoogle Scholar
  18. 18.
    Hill Jr JJ, Bogumill H. Manipulation in the treatment of frozen shoulder. Orthopedics. 1988;11(9):1255–60.PubMedGoogle Scholar
  19. 19.
    Hollis R, Lahav A, West Jr HS. Manipulation of the shoulder using Codman’s paradox. Orthopedics. 2006;29(11):971–3.PubMedGoogle Scholar
  20. 20.
    Ibrahim T, Rahbi H, Beiri A, Jeyapalan K, Taylor GJ. Adhesive capsulitis of the shoulder: the rate of manipulation following distension arthrogram. Rheumatol Int. 2006;27(1):7–9.CrossRefPubMedGoogle Scholar
  21. 21.
    Jacobs LG, Smith MG, Khan SA, Smith K, Joshi M. Manipulation or intra-articular steroids in the management of adhesive capsulitis of the shoulder? A prospective randomized trial. J Shoulder Elbow Surg. 2009;18(3):348–53.CrossRefPubMedGoogle Scholar
  22. 22.
    Janda DH, Hawkins RJ. Shoulder manipulation in patients with adhesive capsulitis and diabetes mellitus: a clinical note. J Shoulder Elbow Surg. 1993;2(1):36–8.CrossRefPubMedGoogle Scholar
  23. 23.
    Jenkins EF, Thomas WJ, Corcoran JP, et al. The outcome of manipulation under general anesthesia for the management of frozen shoulder in patients with diabetes mellitus. J Shoulder Elbow Surg. 2012;21(11):1492–8.CrossRefPubMedGoogle Scholar
  24. 24.
    Kessel L, Bayley I, Young A. The upper limb: the frozen shoulder. Br J Hosp Med. 1981;25(4):334, 336–337, 339.PubMedGoogle Scholar
  25. 25.
    Khan JA, Devkota P, Acharya BM, et al. Manipulation under local anesthesia in idiopathic frozen shoulder – a new effective and simple technique. Nepal Med Coll J. 2009;11(4):247–53.PubMedGoogle Scholar
  26. 26.
    Kivimaki J, Pohjolainen T. Manipulation under anesthesia for frozen shoulder with and without steroid injection. Arch Phys Med Rehabil. 2001;82(9):1188–90.CrossRefPubMedGoogle Scholar
  27. 27.
    Kivimaki J, Pohjolainen T, Malmivaara A, et al. Manipulation under anesthesia with home exercises versus home exercises alone in the treatment of frozen shoulder: a randomized, controlled trial with 125 patients. J Shoulder Elbow Surg. 2007;16(6):722–6.CrossRefPubMedGoogle Scholar
  28. 28.
    Leonidou A, Woods DA. A preliminary study of manipulation under anaesthesia for secondary frozen shoulder following breast cancer treatment. Ann R Coll Surg Engl. 2014;96(2):111–5.CrossRefPubMedGoogle Scholar
  29. 29.
    Loew M, Heichel TO, Lehner B. Intraarticular lesions in primary frozen shoulder after manipulation under general anesthesia. J Shoulder Elbow Surg. 2005;14(1):16–21.CrossRefPubMedGoogle Scholar
  30. 30.
    Loyd JA, Loyd HM. Adhesive capsulitis of the shoulder: arthrographic diagnosis and treatment. South Med J. 1983;76(7):879–83.CrossRefPubMedGoogle Scholar
  31. 31.
    Lundberg BJ. Arthrography and manipulation in rigidity of the shoulder joint. Acta Orthop Scand. 1965;36:35–44.CrossRefPubMedGoogle Scholar
  32. 32.
    Lundberg BJ. The frozen shoulder. Clinical and radiographical observations. The effect of manipulation under general anesthesia. Structure and glycosaminoglycan content of the joint capsule. Local bone metabolism. Acta Orthop Scand Suppl. 1969;119:1–59.CrossRefPubMedGoogle Scholar
  33. 33.
    Magnussen RA, Taylor DC. Glenoid fracture during manipulation under anesthesia for adhesive capsulitis: a case report. J Shoulder Elbow Surg. 2011;20(3):e23–6.CrossRefPubMedGoogle Scholar
  34. 34.
    Malhotra N, Madison SJ, Ward SR, Mariano ER, Loland VJ, Ilfeld BM. Continuous interscalene nerve block following adhesive capsulitis manipulation. Reg Anesth Pain Med. 2013;38(2):171–2.CrossRefPubMedCentralPubMedGoogle Scholar
  35. 35.
    Maund E, Craig D, Suekarran S, et al. Management of frozen shoulder: a systematic review and cost-effectiveness analysis. Health Technol Assess. 2012;16(11):1–264.CrossRefPubMedGoogle Scholar
  36. 36.
    Milch H. Brachial palsy after manipulation of frozen shoulder. N Engl J Med. 1954;250(10):429–30.CrossRefPubMedGoogle Scholar
  37. 37.
    Minagawa H. Silent manipulation for frozen shoulder. MB Orthop. 2012;25(11):93–8.Google Scholar
  38. 38.
    Neviaser RJ, Neviaser TJ. The frozen shoulder. Diagnosis and management. Clin Orthop Relat Res. 1987;223:59–64.PubMedGoogle Scholar
  39. 39.
    Ogilvie-Harris DJ, Biggs DJ, Fitsialos DP, MacKay M. The resistant frozen shoulder. Manipulation versus arthroscopic release. Clin Orthop Relat Res. 1995;319:238–48.PubMedGoogle Scholar
  40. 40.
    Othman A, Taylor G. Manipulation under anaesthesia for frozen shoulder. Int Orthop. 2002;26(5):268–70.CrossRefPubMedCentralPubMedGoogle Scholar
  41. 41.
    Placzek JD, Roubal PJ, Freeman DC, Kulig K, Nasser S, Pagett BT. Long-term effectiveness of translational manipulation for adhesive capsulitis. Clin Orthop Relat Res. 1998;356:181–91.CrossRefPubMedGoogle Scholar
  42. 42.
    Placzek JD, Roubal PJ, Kulig K, Pagett BT, Wiater JM. Theory and technique of translational manipulation for adhesive capsulitis. Am J Orthop (Belle Mead NJ). 2004;33(4):173–9.Google Scholar
  43. 43.
    Quigley TB. Treatment of checkrein shoulder by use of manipulation and cortisone. J Am Med Assoc. 1956;161(9):850–4.CrossRefPubMedGoogle Scholar
  44. 44.
    Quraishi NA, Johnston P, Bayer J, Crowe M, Chakrabarti AJ. Thawing the frozen shoulder. A randomised trial comparing manipulation under anaesthesia with hydrodilatation. J Bone Joint Surg Br. 2007;89(9):1197–200.CrossRefPubMedGoogle Scholar
  45. 45.
    Reeves B. The natural history of the frozen shoulder syndrome. Scand J Rheumatol. 1975;4(4):193–6.CrossRefPubMedGoogle Scholar
  46. 46.
    Reichmister JP, Friedman SL. Long-term functional results after manipulation of the frozen shoulder. Md Med J. 1999;48(1):7–11.PubMedGoogle Scholar
  47. 47.
    Roubal PJ, Dobritt D, Placzek JD. Glenohumeral gliding manipulation following interscalene brachial plexus block in patients with adhesive capsulitis. J Orthop Sports Phys Ther. 1996;24(2):66–77.CrossRefPubMedGoogle Scholar
  48. 48.
    Shaffer B, Tibone JE, Kerlan RK. Frozen shoulder. A long-term follow-up. J Bone Joint Surg Am. 1992;74(5):738–46.PubMedGoogle Scholar
  49. 49.
    Sharma RK, Bajekal RA, Bhan S. Frozen shoulder syndrome. A comparison of hydraulic distension and manipulation. Int Orthop. 1993;17(5):275–8.PubMedGoogle Scholar
  50. 50.
    Thomas D, Williams RA, Smith DS. The frozen shoulder: a review of manipulative treatment. Rheumatol Rehabil. 1980;19(3):173–9.CrossRefPubMedGoogle Scholar
  51. 51.
    Thomas WJ, Jenkins EF, Owen JM, et al. Treatment of frozen shoulder by manipulation under anaesthetic and injection: does the timing of treatment affect the outcome? J Bone Joint Surg Br. 2011;93(10):1377–81.CrossRefPubMedGoogle Scholar
  52. 52.
    Uitvlugt G, Detrisac DA, Johnson LL, Austin MD, Johnson C. Arthroscopic observations before and after manipulation of frozen shoulder. Arthroscopy. 1993;9(2):181–5.CrossRefPubMedGoogle Scholar
  53. 53.
    van Royen BJ, Pavlov PW. Treatment of frozen shoulder by distension and manipulation under local anaesthesia. Int Orthop. 1996;20(4):207–10.CrossRefPubMedGoogle Scholar
  54. 54.
    Vastamaki H, Vastamaki M. Motion and pain relief remain 23 years after manipulation under anesthesia for frozen shoulder. Clin Orthop Relat Res. 2013;471(4):1245–50.CrossRefPubMedCentralPubMedGoogle Scholar
  55. 55.
    Wang JP, Huang TF, Hung SC, Ma HL, Wu JG, Chen TH. Comparison of idiopathic, post-trauma and post-surgery frozen shoulder after manipulation under anesthesia. Int Orthop. 2007;31(3):333–7.CrossRefPubMedCentralPubMedGoogle Scholar
  56. 56.
    Wang JP, Huang TF, Ma HL, Hung SC, Chen TH, Liu CL. Manipulation under anaesthesia for frozen shoulder in patients with and without non-insulin dependent diabetes mellitus. Int Orthop. 2010;34(8):1227–32.CrossRefPubMedCentralPubMedGoogle Scholar
  57. 57.
    Yilmazlar A, Turker G, Atici T, Bilgen S, Bilgen OF. Functional results of conservative therapy accompanied by interscalane brachial plexus block and patient-controlled analgesia in cases with frozen shoulder. Acta Orthop Traumatol Turc. 2010;44(2):105–10.CrossRefPubMedGoogle Scholar

Copyright information

© ISAKOS 2015

Authors and Affiliations

  1. 1.Department of Orthopaedic SurgeryTohoku University School of MedicineSendaiJapan
  2. 2.Department of Orthopaedic SurgeryJoto Orthopaedic HospitalAkitaJapan

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