Volume 25, Issue 117, November 2021

Manipulation under general anesthesia with hydrodistention versus manipulation under general anesthesia with steroid injection in the treatment of frozen stage adhesive capsulitis of the shoulder

Aso Khalil Mahmood^1♦, Ali Abdalnabi Alwan Al-tamimi², Areewan Muhammadsalih Saeed³

¹M.B.Ch.B, KBMS, Orthopedic Trainee, Sulaymaniyah Teaching Hospital, Sulaimani, Kurdistan Region, Iraq
²M.B.Ch.B, FICMS, Orthopedic Surgeon, School of Medicine, Sulaimani University, Sulaimani, Kurdistan Region, Iraq
³M.B.Ch.B, FICMS, Orthopedician, College of Medicine, Sulaimani University, Sulaimani, Kurdistan Region, Iraq

^♦Corresponding author
M.B.Ch.B, KBMS, Orthopedic Trainee, Sulaymaniyah Teaching Hospital, Sulaimani, Kurdistan Region, Iraq

ABSTRACT

Background and objective: Frozen shoulder can result in severe pain, stiffness, and movement failure. Anesthesia manipulation is on management method to control pain and improving motion under general anesthesia combined with hydrodistention or steroid injection. This study aimed to compare the effectiveness of manipulation under general anesthesia with hydrodistention versus manipulation under general anesthesia with steroid injection in the frozen shoulder treatment. Patients and methods: The present prospective study was conducted on 40 patients with frozen shoulder. Eighteen patients were treated with manipulation under general anesthesia and hydrodistention, and twenty-two with manipulation under general anesthesia and steroid injection. They were followed up in the one, three, and six-month after the treatment. At each follow-up, the patients’ pain and disability were evaluated through the shoulder pain and disability index (SPADI) questionnaire. The collected data were analyzed through SPSS software. Results: The results revealed that most of the patients were females, aged over 60 years with an average of 56.38 years. Patients undergone manipulation under general anesthesia with hydrodistention and manipulation under general anesthesia with steroid injection were not significantly different regarding their total pain score, total disability score, and total spadi score at the base (p-value>0.05). A significantly difference was observed between them in terms of their pain score, total disability score, and total spadi score (p-value<0.001). Conclusion: In comparison with manipulation under general anesthesia with steroid injection, manipulation under general anesthesia with hydrodistention was found significantly more effective in treating patients with frozen shoulder.

Keywords: manipulation under anesthesia, adhesive capsulitis, frozen shoulder, manipulation under general anesthesia, hydrodistention, steroid injection

Medical Science, 2021, 25(117), 3044-3053

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