Clinical results of shoulder manipulation under ultrasound-guided cervical nerve root block for frozen shoulder in patients with diabetes

Ryosuke Takahashi; Yukihiro Kajita; Yohei Harada; Yusuke Iwahori; Masataka Deie

doi:10.1016/j.jor.2020.03.019

Clinical results of shoulder manipulation under ultrasound-guided cervical nerve root block for frozen shoulder in patients with diabetes

J Orthop. 2020 May 29:21:297-301. doi: 10.1016/j.jor.2020.03.019. eCollection 2020 Sep-Oct.

Authors

Ryosuke Takahashi¹, Yukihiro Kajita^{1

2}, Yohei Harada², Yusuke Iwahori², Masataka Deie²

Affiliations

¹ Department of Orthopaedic Surgery, Ichinomiya Nishi Hospital, 1Jihira, Kaimei, Ichinomiya City, Aichi, 494-0001, Japan.
² Department of Orthopaedic Surgery, Aichi Medical University, 21 Karimata, Yazako, Nagakute City, Aichi, 480-1195, Japan.

Abstract

Background: We investigated clinical results of manipulation under ultrasound-guided cervical nerveroot block (MUC) in frozen shoulder (FS).

Methods: FS was defined refractory to conservative treatment and ≦100° in passive forward flexion. 15 shoulders were diabetes mellitus (DM) group and 81 were non-DM group. We evaluated ROM, JOA scores, Constant Shoulder Score, and UCLA scores pre and post-MUC.

Results: Although there were significantly improved the forward flexion, internal rotation, JOA scores, Constant Shoulder Score, and UCLA scores between pre and post-MUC in both groups, external rotation after MUC in DM group were significantly inferior to those in non-DM group.

Keywords: Diabetes; Frozen shoulder; Manipulation under ultrasound-guided fifth and sixth cervical nerve root block.

Publication types

Review