Comparison of manipulation under anaesthesia (MUA) and periarticular injections in the clinical management and rehabilitation of frozen shoulder

The shoulder joint or glenohumeral joint is a synovial, multiaxial, spheroidal between the roughly hemispherical head of the humerus and shallow glenoid fossa of the scapula. Synovial membrane lines the fibrous capsule of the joint. This fibrous capsule may become inflamed and later thickened and constricted. This tightening combined with the pain restricts the joint movement. Frozen shoulder is a condition of varying severity characterized by the gradual development of global limitation of active and passive shoulder motion where radiographic findings other than osteopenia are absent. Frozen shoulder is also referred to as adhesive capsulitis, painful stiff shoulder, and periarthritis. This study was performed to compare and evaluate the results following treatment of adhesive capsulitis by manipulation under anaesthesia (MUA) and by periarticular injections. Also the study will show the results of different pharmacological agents used for periarticular injections (i.e. Methyl Prednisolone and Triamcinolone).This study was focused on subjects with complaints of pain and restriction of movement of shoulder joint attending the orthopedic clinic of Katihar Medical College as well as referred cases from district and peripheral hospitals.