作者
Amar Rangan, Stephen D Brealey, Ada Keding, Belen Corbacho, Matthew Northgraves, Lucksy Kottam, Lorna Goodchild, Cynthia Srikesavan, Saleema Rex, Charalambos P Charalambous, Nigel Hanchard, Alison Armstrong, Andrew Brooksbank, Andrew Carr, Cushla Cooper, Joseph J Dias, Iona Donnelly, Catherine Hewitt, Sarah E Lamb, Catriona McDaid, Gerry Richardson, Sara Rodgers, Emma Sharp, Sally Spencer, David Torgerson, Francine Toye, Philip Ahrens, Cheryl Baldwick, Amit Bidwai, Asim Butt, Jamie Candal-Couto, Charalambos Charalambous, Mark Crowther, Steve Drew, Sunil Garg, Richard Hawken, Cormac Kelly, Matthew Kent, Kapil Kumar, Tom Lawrence, Christopher Little, Iain Macleod, Jodi George Malal, Tim Matthews, Damian McClelland, Neal Millar, Prabhakar Motkur, Rajesh Nanda, Chris Peach Peach, Tim Peckham, Jayanti Rai, Ravi Ray, Douglas Robinson, Philip Rosell, Adam Ruman, Adnan Saithna, Colin Senior, Harish Shanker, Barnaby Sheridan, Kanthan Theivendran, Simon Thomas, Balachandran Venateswaran
发表日期
2020/10/3
期刊
The Lancet
卷号
396
期号
10256
页码范围
977-989
出版商
Elsevier
简介
Background
Manipulation under anaesthesia and arthroscopic capsular release are costly and invasive treatments for frozen shoulder, but their effectiveness remains uncertain. We compared these two surgical interventions with early structured physiotherapy plus steroid injection.
Methods
In this multicentre, pragmatic, three-arm, superiority randomised trial, patients referred to secondary care for treatment of primary frozen shoulder were recruited from 35 hospital sites in the UK. Participants were adults (≥18 years) with unilateral frozen shoulder, characterised by restriction of passive external rotation (≥50%) in the affected shoulder. Participants were randomly assigned (2:2:1) to receive manipulation under anaesthesia, arthroscopic capsular release, or early structured physiotherapy. In manipulation under anaesthesia, the surgeon manipulated the affected shoulder to stretch and tear the tight capsule while the …
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