Arthroscopic Capsular Release Versus Manipulation under Anesthesia for Refractory Frozen Shoulder: .
Arthroscopic Capsular Release Versus Manipulation under Anesthesia for Refractory Frozen Shoulder: A Systematic Review with Meta-Analysis.
Orthop Surg . 2024 Jul;16(7):1517-1529. doi: 10.1111/os.14077. Epub 2024 May 15.This systematic review and meta-analysis included eight studies with 768 patients diagnosed with refractory frozen shoulder, comparing arthroscopic capsular release (ACR) versus manipulation under anesthesia (MUA). The pooled outcomes examined changes in pain (VAS), functional scores (ASES, CMS), range of motion, complication rates, and need for additional interventions. ACR provided statistically better pain relief after 12 months (p = 0.001) but did not meet the minimal clinically important difference. Rates of mild complications were similar between groups, but ACR showed a significantly higher rate of severe complications (p = 0.05).
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