Similar outcomes between arthroscopic capsular release and manipulation under anesthesia for frozen shoulder: A meta-analysis

Autor: Yifan Xiao, Hang Tang, Jiahao Meng, Yumei Wu, Weijie Liu, Pan Liu, Shuguang Gao
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Asian Journal of Surgery, Vol 47, Iss 10, Pp 4287-4294 (2024)
Druh dokumentu: article
ISSN: 1015-9584
DOI: 10.1016/j.asjsur.2024.03.055
Popis: To compared the arthroscopic capsular release (ACR) with manipulation under anaesthesia (MUA) for the surgical treatment of frozen shoulder (FS) based on postoperative outcomes and complications. PubMed, Cochrane Library, Embase, and Web of Science were searched on October 2, 2023 to retrieve eligible studies that compared ACR with MUA in terms of clinical outcomes (pain visual analogue scale, external rotation, forward flexion and adverse events) for patients with FS. Mean differences (MD) were calculated for continuous outcomes and odds ratios (OR) were calculated for dichotomous outcomes. Six papers, including 5 clinical studies (a total of 690 shoulders), were included in the final meta-analysis. The forward flexion was found to be larger in the ACR group at 3 months (MD, 2.73; 95%CI, 0.42–5.04; I2 = 44%; P = 0.02) and 6 months (MD, 2.36; 95%CI, 1.29–3.44; I2 = 0%; P
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