The Additional Effect of Tear after Passive Exercise during Distension Arthrography in Patients with Frozen Shoulder.

, Kim, Joon Sung; , Kwon, Jeong Yi; , Lee, Won Ihl; , Kim, Jae Min

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2008;32(3):324-326.

Kim, Joon Sung , Kwon, Jeong Yi , Lee, Won Ihl , Kim, Jae Min

Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Korea. Jaeminmd@gmail.com

동결견 환자의 관절낭 팽창술 시 수동관절운동의 부가적인 파열 효과

김준성, 권정이, 이원일, 김재민

가톨릭대학교 의과대학 재활의학교실

Abstract

Objective
To evaluate the effect of tear after passive ROM exercise during distension arthrography in patients with frozen shoulder.
Method
Fifteen patients (male: 7, female: 8, mean 57.5 years old) who had complained of shoulder pain with decreased ROM at least 3 months prior were enrolled. Distension arthrogrphy of 35 ml of fluid which contained 10 ml of 1% lidocaine, 1 ml of depomedrol (40 mg), 19 ml of normal saline, and 5 ml of radiocontrast material was injected by a single physician. Then if there was no capsular tear, passive ROM exercise was performed for two minutes.
Results
In seven of the thirteen patients, the occurrence of capsular tear was observed after only distension arthrography. In five of the six patients without capsular rupture, the occurrence of capsular tear was observed by passive ROM exercise after distension arthrography. Two patients were interrupted because of severe pain. Clinical outcomes of occurrence of capsular tear by conventional distension arthrography and by passive ROM exercise after distension arthrography were similar.
Conclusion
Passive ROM exercise after distension arthrography could serve as an effective method of capsular tear in patients with frozen shoulder. (J Korean Acad Rehab Med 2008; 32: 324-326)

Key Words: Adhesive capsulitis, Arthrography, Intraarticular injection, Manipulation