Intraarticular Finding and Clinical Result of Arthroscopic Diagnosis after Manual Manipulation in the Frozen Shoulder

Journal of the Korean Shoulder and Elbow Society 2000;3(1):33-38.
Published online June 30, 2000.

Young Lae Moon, M.D., Joon Kwang Park, M.D.*, Chan Sang Kim, M.D.*

Department of Orthopedic Surgery, Chosun University Medical School, Kwangju, Korea Department of Orthopedic Surgery, Seonam University, Namkwang Hospital, Kwangju, Korea*

동결견에서 수동 조작 후 관절경 검사시 보인 관절내 소견 및 임상 결과

문영래, 박준광, 김찬상

조선대학교 의과대학 정형외과학교실 서남대학교 부속 남광병원 정형외과학교실*

Abstract

Objective
s : The purpose of this study was to grading the severity of intra-articular lesions and evaluate the effects of arthroscopic surgery after manipulation of the resistant frozen shoulder. Materials and Methods : Forty-eight cases from 44 subjects, median age of 53, who underwent arthroscopic surgery after manipulation with minimum follow-up of 12 months were chosen. The UCLA shoulder rating scale was applied, and average scale was 18.2 points. Results : Twelve cases out of our series showed as rotator cuff tear which could produce secondary frozen shoulder. In postoperative follow up, 34 subjects complained of no pain or noctalgia, 5 showed mild degree of pain, 8 with mild degree of remained limited range of motion, and only 1 with no improvement. When viewed with UCLA shoulder rating scale, the most improved aspect was pain, and satisfaction of patient was following. And final average scale was 31.9 points. Conclusion : Our study revealed that arthroscopic surgery after manipulation showed favorably high final scale and patient’s satisfaction. Therefore, we recommend this modality for treatment of resistant frozen shoulder in a point of view that the diagnosis and treatment can be done simultaneously.

Key Words: Shoulder, Frozen shoulder, Manipulation, Arthroscopy