Summary
We report a prospective study comparing the results of treatment for frozen shoulder by manipulation and physiotherapy, arthroscopic distension and physiotherapy, and physiotherapy alone in 75 patients. The first two gave better results than physiotherapy alone and we recommend arthroscopic distension as a good alternative to manipulation. It is more controllable and gives valuable information about the pathological lesions in the joint.
Résumé
Les auteurs présentent une étude prospective comparant les résultats du traitement du syndrome de ≪l'épaule gelée»≫ chez 75 malades, soit par manipulations et physiothérapie, soit par distension arthroscopique et physiothérapie, soit par physiothérapie isolée. Les deux premières méthodes donnent de meilleurs résultats que la physiothérapie isolée et les auteurs considèrent que la distension arthroscopique constitue, aux manipulations, une alternative recommandable. Elle peut être mieux contrôlée et elle fournit des informations valables quant aux lésions pathologiques intra-articulaires.
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References
Andren L, Lundberg BJ (1965) Treatment of rigid shoulders by joint distension during arthrography. Acta Orthop Scand 36: 45–53
Andrew JR, Carson WG (1983) Shoulder joint arthroscopy. Orthopaedics 6: 1157–1162
Annexton M (1979) Arthrography can help free “frozen shoulder”. JAMA 24 (9): 375–376
Apley AG (1977) A system of orthopaedics and fractures. 5th ed. Butterworths, London
Bateman J (1978) The shoulder and neck. 2nd ed. London, Toronto WB Saunders Company, Philadelphia
Bayley JIL, Kessel L (1982) Treatment of the frozen shoulder by manipulation: a pilot study. Shoulder surgery. Springer, Berlin Heidelberg New York
Berger MR, Froimson AI (1980) Frozen shoulder. Nurse Practitioner 5: 28–29
Cofield RH (1983) Arthroscopy of the shoulder. Mayo Clinic Proc 58: 501–508
Grey RG (1978) The natural history of “idiopathic” frozen shoulder. J Bone Joint Surg [Am] 60: 564
Ha'eri GB, Maitland A (1981) Arthroscopic findings in the frozen shoulder. J Rheumatol 8: 149–152
Kessel L, Bayley I, Young A (1981) The upper limb: the frozen shoulder. J Hosp Med [Br]; 25: 334–339
Macnab I (1973) Rotator cuff tendinitis. Ann R Coll Surg England 53: 271
MenLengracht E, Schwartz M (1952) The course and prognosis of periarthritis humeroscapularis with special regard to cases with general symptoms. Acta Med Scand 143:350
Ogilvie-Harris, Wiley AM (1986) Arthroscopic surgery of the shoulder: a general appraisal. J Bone Joint Surg [Br] 68: 201–207
Older MWJ (1982) Distension arthrography of the shoulder joint. Shoulder surgery. Springer, Berlin Heidelberg New York
Simmonds EA (1949) Shoulder pain: with particular reference to the “frozen” shoulder. J Bone Joint Surg [Br] 31: 426–432
Simon WH (1975) Soft tissue disorders of the shoulder (-frozen shoulder, calcific tendinitis and bicipital tendinitis). Symposium on Surg of the Shoulder 6: 521–539
Wiley AM (1982) Arthroscopic examination of the shoulder. Shoulder surgery. Springer, Berlin Heidelberg New York
Wiley AM, Older MW (1980) Shoulder arthroscopy. J Sports Med 8: 31–37
Wilson CL, Duff GL (1943) Pathological study of degeneration and rupture of the supraspunatus tendon. Arch Surg 47: 121
Young A (1982) Immunological studies in the frozen shoulder. Springer, Berlin Heidelberg New York
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Hsu, S.Y.C., Chan, K.M. Arthroscopic distension in the management of frozen shoulder. International Orthopaedics 15, 79–83 (1991). https://doi.org/10.1007/BF00179702
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DOI: https://doi.org/10.1007/BF00179702