Tayyab Mahmood, Muhammad Nadeem Ahsan, Muhammad Anas.
Outcome of Manipulation under Anesthesia in Frozen Shoulder with/without Steroid Injion in terms of Range of Motion.
Pak J Med Health Sci Jan ;12(4):1699-702.

Aim: To compare the mean difference in the range of motion between manipulation under anesthesia with and without injection of steroid in patient of frozen shoulder. Study design: Randomized control trial Place and duration of study: Department of Orthopedics, Bahawal Victoria Hospital, Bahawalpur from 1st May 2016 31st December 2017 Methods: A total of 156 patients, 30 to 75 years of age with frozen shoulder were included in the study. Patients with metabolic bone disease and osteoporosis were excluded. Pre-operative measurements of the range of motion of frozen shoulder (flexion, abduction, external rotation and internal rotation) were taken in all patients Then selected patients were placed randomly into two groups i.e. Group A (MUA without steroid) and Group B (MUA with steroid), by using lottery method. Results: The me an age of women in group A was 55.65+/-8.13 years and in group B was 55.23+/-8.26 years. Out of these 156 patients, 36.54% were male and 63.46% were females with ratio of 1:1.74. Post-manipulation, the results have shown that there was significant improvement (p-value<0.05) in range of motion in group B (MUA with steroid injection) compared to group A (MUA without steroid injection). Conclusion : There is significant improvement in range of motion after manipulation under anesthesia (MUA) with injection of steroid in patients with frozen shoulder compared to those in which MUA done without steroid injection.

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