Skip to main content

Advertisement

SpringerLink
Log in

Manipulation under anaesthesia for frozen shoulder in patients with and without non-insulin dependent diabetes mellitus

  • Original Paper
  • Published:
International Orthopaedics Aims and scope Submit manuscript

Abstract

Manipulation under anaesthesia (MUA) has been used to speed up recovery. However, the outcome of frozen shoulder after MUA in patients with diabetes has not been well documented in the past. A higher prevalence of frozen shoulder has been reported in diabetes mellitus (DM) patients. In this study, we revealed the short- and long-term outcomes for treatment of frozen shoulders by MUA and compared these results in patients with and without non-insulin dependent DM by adjusted Constant score. The scores showed no significant differences between the two groups at both early and late follow-ups. Our results revealed that MUA for frozen shoulders is a simple and noninvasive procedure to improve symptoms and shoulder function within a short period of time. Even though DM is a predisposing factor to frozen shoulder, non-insulin dependent DM alone does not influence both the short- and long-term outcomes of frozen shoulder.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. American Diabetes Association (2008) Diagnosis and classification of diabetes mellitus. Diabetes Care 31(Suppl 1):S55–S60

    Article  Google Scholar 

  2. Balci N, Balci MK, Tuzuner S (1999) Shoulder adhesive capsulitis and shoulder range of motion in type II diabetes mellitus: association with diabetic complications. J Diabetes Complicat 13(3):135–140

    Article  CAS  PubMed  Google Scholar 

  3. Birch R, Jessop J, Scott G (1991) Brachial plexus palsy after manipulation of the shoulder. J Bone Joint Surg (B) 73(1):172

    CAS  Google Scholar 

  4. Chuang L, Tsai S, Juang J, Tsai W, Tai T (2000) Genetic epidemiology of type 1 diabetes mellitus in Taiwan. Diabetes Res Clin Pract 50(Suppl 2):S41–S47

    Article  PubMed  Google Scholar 

  5. Conboy VB, Morris RW, Kiss J, Carr AJ (1996) An evaluation of the Constant-Murley shoulder assessment. J Bone Joint Surg (B) 78(2):229–232

    CAS  Google Scholar 

  6. Constant CR, Murley AH (1987) A clinical method of functional assessment of the shoulder. Clin Orthop 214:160–164

    PubMed  Google Scholar 

  7. Dodenhoff RM, Levy O, Wilson A, Copeland SA (2000) Manipulation under anesthesia for primary frozen shoulder: effect on early recovery and return to activity. J Shoulder Elbow Surg 9(1):23–26

    Article  CAS  PubMed  Google Scholar 

  8. Fisher L, Kurtz A, Shipley M (1986) Association between cheiroarthropathy and frozen shoulder in patients with insulin-dependent diabetes mellitus. Br J Rheumatol 25(2):141–146

    Article  CAS  PubMed  Google Scholar 

  9. Goldberg BA, Scarlat MM, Harryman DT (1999) Management of the stiff shoulder. J Orthop Science 4(6):462–471

    Article  CAS  Google Scholar 

  10. Grey RG (1978) The natural history of "idiopathic" frozen shoulder. J Bone Joint Surg (A) 60(4):564

    CAS  Google Scholar 

  11. Holloway GB, Schenk T, Williams GR, Ramsey ML, Iannotti JP (2001) Arthroscopic capsular release for the treatment of refractory postoperative or post-fracture shoulder stiffness. J Bone Joint Surg (A) 83(11):1682–1687

    Google Scholar 

  12. Janda DH, Hawkins RJ (1993) Shoulder manipulation in patients with adhesive capsulitis and diabetes mellitus: a clinical note. J Shoulder Elbow Surg 2:36

    Article  Google Scholar 

  13. Kivimaki J, Pohjolainen T (2001) Manipulation under anesthesia for frozen shoulder with and without steroid injection. Arch Phys Med Rehabil 82(9):1188–1190

    Article  CAS  PubMed  Google Scholar 

  14. Kordella T (2002) Frozen shoulder & diabetes. Frozen shoulder affects 20 percent of people with diabetes. Proper treatment can help you work through it. Diabetes Forecast 55(8):60–64

    PubMed  Google Scholar 

  15. Massoud SN, Pearse EO, Levy O, Copeland SA (2002) Operative management of the frozen shoulder in patients with diabetes. J Shoulder Elbow Surg 11(6):609–613

    Article  PubMed  Google Scholar 

  16. Neviaser RJ, Neviaser TJ (1987) The frozen shoulder. Diagnosis and management. Clin Orthop 223:59–64

    PubMed  Google Scholar 

  17. Ogilvie-Harris DJ, Biggs DJ, Fitsialos DP, MacKay M (1995) The resistant frozen shoulder. Manipulation versus arthroscopic release. Clin Orthop 319:238–248

    PubMed  Google Scholar 

  18. Othman A, Taylor G (2002) Manipulation under anaesthesia for frozen shoulder. Int Orthop 26(5):268–270

    Article  CAS  PubMed  Google Scholar 

  19. Patel VR, Singh D, Calvert PT, Bayley JI (1999) Arthroscopic subacromial decompression: results and factors affecting outcome. J Shoulder Elbow Surg 8(3):231–237

    Article  CAS  PubMed  Google Scholar 

  20. Patrick SL, Kadohiro JK, Waxman SH, Curb JD, Orchard TJ, Dorman JS, Kuller LH, LaPorte RE (1997) IDDM incidence in a multiracial population. The Hawaii IDDM Registry, 1980–1990. Diabetes Care 20(6):983–987

    Article  CAS  PubMed  Google Scholar 

  21. Ramseier EW, Debrunner HU, Pfirrmann C (1992) Shoulder dislocation and periarthrosis humeroscapularis. Z Unfallchir Versicherungsmed 85(3):111–116

    CAS  PubMed  Google Scholar 

  22. Reeves B (1975) The natural history of the frozen shoulder syndrome. Scand J Rheumatol 4(4):193–196

    Article  CAS  PubMed  Google Scholar 

  23. Shaffer B, Tibone JE, Kerlan RK (1992) Frozen shoulder. A long-term follow-up. J Bone Joint Surg (A) 74(5):738–746

    CAS  Google Scholar 

  24. Wang JP, Huang TF, Hung SC, Ma HL, Wu JG, Chen TH (2007) Comparison of idiopathic, post-trauma and post-surgery frozen shoulder after manipulation under anesthesia. Int Orthop 31(3):333–337

    Article  PubMed  Google Scholar 

  25. Zuckerman JD, Cuomo F, Rokito S (1994) Definition and classification of frozen shoulder: a consensus approach. J Shoulder Elbow Surg 3:Z.72

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopaedics & Traumatology, Taipei Veterans General Hospital and National Yang-Ming University, Taipei, Taiwan, Republic of China

    Jung-Pan Wang, Tung-Fu Huang, Hsiao-Li Ma, Shih-Chieh Hung, Tain-Hsiung Chen & Chien-Lin Liu

Authors
  1. Jung-Pan Wang
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Tung-Fu Huang
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Hsiao-Li Ma
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Shih-Chieh Hung
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Tain-Hsiung Chen
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Chien-Lin Liu
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Tung-Fu Huang.

Additional information

Each author certifies that he or she has no commercial associations (e.g. consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with this article.

Level of Evidence: Level IV, prognostic study.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Wang, JP., Huang, TF., Ma, HL. et al. Manipulation under anaesthesia for frozen shoulder in patients with and without non-insulin dependent diabetes mellitus. International Orthopaedics (SICOT) 34, 1227–1232 (2010). https://doi.org/10.1007/s00264-010-0968-x

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00264-010-0968-x

Keywords

Search

Navigation