Mlv SK, Mittal R, Chauhan N. Arthroscopic findings after manipulation under anesthesia in idiopathic capsulitis of the shoulder: A prospective study. World J Clin Cases 2023; 11(34): 8147-8152 [PMID: 38130786 DOI: 10.12998/wjcc.v11.i34.8147]
Corresponding Author of This Article
Ravi Mittal, FRCS, MBBS, MS, Doctor, Professor, Senior Lecturer, Surgeon, Department of Orthopaedics, All India Institute of Medical Sciences, Sri Aurobindo Marg, Ansari Nagar, New Delhi 110029, India. ravimittal66@hotmail.com
Research Domain of This Article
Otorhinolaryngology
Article-Type of This Article
Prospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Share the Article
Mlv SK, Mittal R, Chauhan N. Arthroscopic findings after manipulation under anesthesia in idiopathic capsulitis of the shoulder: A prospective study. World J Clin Cases 2023; 11(34): 8147-8152 [PMID: 38130786 DOI: 10.12998/wjcc.v11.i34.8147]
World J Clin Cases. Dec 6, 2023; 11(34): 8147-8152 Published online Dec 6, 2023. doi: 10.12998/wjcc.v11.i34.8147
Arthroscopic findings after manipulation under anesthesia in idiopathic capsulitis of the shoulder: A prospective study
Sai Krishna Mlv, Ravi Mittal, Nitin Chauhan
Sai Krishna Mlv, Department of Orthopaedics, Aayush Hospital, Eluru 534002, Andhra Pradesh, India
Ravi Mittal, Nitin Chauhan, Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi 110029, India
Author contributions: Mlv SK and Chauhan N contributed to the data acquisition, initial manuscript drafting, and incorporating revisions of this manuscript; Mittal R participated in the conception, supervision, and critical analysis and was the primary surgeon of this study.
Institutional review board statement: The study was approved by the institutional ethical committee (IESC/T-300/02.08.2013).
Clinical trial registration statement: We have not done any intervention or any randomization as a part of our study. We have only documented the findings observed during the procedure. The same was documented in the consort statement.
Informed consent statement: Informed consent was obtained from all the patients.
Conflict-of-interest statement: All authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Corresponding author: Ravi Mittal, FRCS, MBBS, MS, Doctor, Professor, Senior Lecturer, Surgeon, Department of Orthopaedics, All India Institute of Medical Sciences, Sri Aurobindo Marg, Ansari Nagar, New Delhi 110029, India. ravimittal66@hotmail.com
Received: September 1, 2023 Peer-review started: September 1, 2023 First decision: September 20, 2023 Revised: September 30, 2023 Accepted: November 21, 2023 Article in press: November 21, 2023 Published online: December 6, 2023 Processing time: 95 Days and 20.9 Hours
ARTICLE HIGHLIGHTS
Research background
Manipulation under anesthesia (MUA) of the shoulder joint is a commonly used method for the treatment of adhesive capsulitis. Though it has been known to be associated with a variety of complications, there is a paucity of studies describing arthroscopic findings after MUA.
Research motivation
Even though MUA is a very commonly practiced modality of treatment of adhesive capsulitis of the shoulder, there is not enough literature that documents the intraarticular changes after MUA.
Research objectives
The object of this study was to document the arthroscopic findings after MUA of the shoulder in patients with idiopathic adhesive capsulitis of the shoulder.
Research methods
This was a prospective study to describe the arthroscopic findings in patients with idiopathic adhesive capsulitis of the shoulder after MUA.
Research results
All patients showed the presence of synovitis. Most patients had global synovitis, while 1 patient had synovitis limited to the rotator interval. A majority of patients post manipulation showed tears in anterior capsule, whereas only 1 patient had avulsion of the anterior labrum post manipulation.
Research conclusions
MUA leads to the rupture of the capsule, which is the desired outcome. However, the site of rupture of the capsule is dependent on the maneuvers of MUA. In addition, partial tears of the rotator cuff and osteochondral fractures of the glenoid can occur.
Research perspectives
MUA for a frozen shoulder can lead to damage to other intra-articular structures besides the rupture of the capsule, which is the main aim of this procedure. In most cases, it leads to rupture of the anterior capsule.
