Document Detail


Arthroscopic observations before and after manipulation of frozen shoulder.
MedLine Citation:
PMID:  8461078     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this article is to report the arthroscopic findings before and immediately after manipulation for frozen shoulder. Twenty patients were selected for manipulation under general anesthesia after failing to improve with conservative measures in 6 months. The findings showed the joint capsule was difficult to penetrate with the arthroscope cannula and obturator because of the thickness of the capsular tissue. The glenohumeral joint accepted less than the normal amount of fluid. The humeral head was tight against the glenoid even in the suspended position. The main intraarticular finding was vascular synovitis. There were no intraarticular adhesions or degenerative changes. An immediate postmanipulation second-look arthroscopy showed there was synovial and capsular hemorrhage indicative of tearing from the manipulation. After glenohumeral manipulation, the joint accepted more fluid, and the humerus was easily distracted away from the glenoid with intraarticular distention.
Authors:
G Uitvlugt; D A Detrisac; L L Johnson; M D Austin; C Johnson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association     Volume:  9     ISSN:  0749-8063     ISO Abbreviation:  Arthroscopy     Publication Date:  1993  
Date Detail:
Created Date:  1993-05-06     Completed Date:  1993-05-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8506498     Medline TA:  Arthroscopy     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  181-5     Citation Subset:  IM    
Affiliation:
Ingham Medical Center, Lansing, Michigan.
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MeSH Terms
Descriptor/Qualifier:
Arthroscopy
Bursitis / diagnosis*,  surgery*
Female
Humans
Male
Manipulation, Orthopedic
Middle Aged
Shoulder Joint / pathology*
Synovitis / diagnosis*,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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