Successful Treatment of Frozen Hip with Manipulation and Pressure Dilatation

Luukkainen, R; Sipola, E.; Varjo, Pekka

doi:10.2174/1874312900802010031

Cited by 16 publications

(14 citation statements)

References 5 publications

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“…Adhesive capsulitis (AC), though commonly investigated in the shoulder, can occur in any joint and commonly affects middle-aged females. Though, adhesive capsulitis may occur as a primary entity, or as a secondary entity superimposed on underlying joint pathology, the literature is especially limited in studying the hip [ 1 , 2 ]. AC of the hip (also known as ‘frozen hip’) has many similar clinical characteristics to those of AC of the shoulder, such as nonspecific and painful global range of motion (ROM) limitations, which may be nocturnal or exacerbated by weight bearing [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…AC of the hip (also known as ‘frozen hip’) has many similar clinical characteristics to those of AC of the shoulder, such as nonspecific and painful global range of motion (ROM) limitations, which may be nocturnal or exacerbated by weight bearing [ 3 ]. AC of the hip is often difficult to diagnose, as many standard diagnostic tests and imaging techniques provide little value [ 2 , 4 ]. To this end, the nonspecific nature of the presentation and exam findings may cause a clinician to question patient motivation in the absence of a true organic etiology.…”

Section: Introductionmentioning

confidence: 99%

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Adhesive capsulitis of the hip: a review addressing diagnosis, treatment and outcomes

Phillips

Catapano

et al. 2015

J Hip Preserv Surg

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Adhesive capsulitis (AC) of the hip (i.e. ‘Frozen Hip’), in part due to its difficulty in diagnosis, is an often overlooked and underappreciated entity of hip morbidity. This review aimed to elucidate a diagnostic approach and the surgical treatment options (with associated outcomes) of employing hip arthroscopy in the setting of AC. Electronic databases (EMBASE, MEDLINE and PubMed) were searched for available sources for all relevant clinical studies addressing the surgical management of AC. Additionally, reference lists of studies were hand-searched to find all relevant articles. Articles were systematically screened in duplicate, with agreement and descriptive statistics presented. Ten studies satisfied inclusion criteria. A total of 40 patients (mean age of 47.1 ± 14.8 years) were included. Diagnosis of AC of the hip commonly encompassed a combination of: decreased joint capacity; hip pain exacerbated by weight bearing or activity; and progressive decrease in global range of motion. Diagnostic arthroscopy was utilized in nine patients, and successful diagnosis of AC was achieved in all nine patients. Common treatments included pressure dilation (11 cases) and manipulation under anesthesia (11 cases). AC continues to be a difficult clinical entity to diagnose. Similarities are seen between hip AC and shoulder AC as diagnosis is often a result of ruling out all other possible conditions, and treatment options and outcomes resemble those of the shoulder counterpart. With successful outcomes harping on timely diagnosis and effective treatment, the use of hip arthroscopy may be of benefit to achieving this.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Adhesive capsulitis of the hip: a review addressing diagnosis, treatment and outcomes

Phillips

Catapano

et al. 2015

J Hip Preserv Surg

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“…Since Caroit et al introduced the concept of adhesive capsulitis of the hip (ACH) in 1963, 1 less than 20 articles have reported on this condition. [1][2][3][4][5][6][7][8][9][10][11][12][13] All of them were case reports or case series of small numbers of patients and included many cases secondary to underlying conditions like marked degenerative arthritis in addition to primary cases. Primary or idiopathic ACH is characterized by a painful limitation in active and passive hip motions without concomitant pathology or antecedent trauma in the hip joint.…”

Section: Introductionmentioning

confidence: 99%

Adhesive capsulitis of the hip

Kim

Yoo

Kwak

et al. 2017

J Orthop Surg (Hong Kong)

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“…However, technique application does not signify that any incidental or intentionally induced joint cavitation from the glenohumeral or femoroacetabular articulations is an integral component of care such that it provides additional therapeutic benefit to the patient’s treating spinal condition (whether or not there is an associated component of pain referral/radiation to the extremities). In fact, published MUA studies on the shoulder and hip joints are concerned solely with primary conditions of these articulations, such as adhesive capsulitis [57-59,67]. Consequently, any supportive medical evidence for the utilization of MUA to treat frozen shoulder or hip articulations does not serve as a clinical basis for the routine application of MUA to these extremity joints when rendered as an adjunctive form of care during the MUA management of a spine pain condition.…”

Section: Introductionmentioning

confidence: 99%

“…However, a recent health technology assessment found limitations in the studies published on MUA management of frozen shoulder [69], with the only study deemed adequate revealing no evidence of better outcome with MUA over home exercise. For similar conditions of the hip joint (the femoroacetabular joint [67]), there is a general paucity of clinical papers in the peer reviewed medical literature.…”

Section: Introductionmentioning

confidence: 99%

Spinal manipulation under anesthesia: a narrative review of the literature and commentary

DiGiorgi

2013

Chiropr Man Therap

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As exhibited throughout the medical literature over many decades, there is a lack of uniformity in the manner in which spine pain patients have historically qualified for and received manipulation under anesthesia (MUA). Also, for different professions that treat the same types of spinal conditions via the same means, fundamental MUA decision points vary within the published protocols of different professional associations. The more recent chiropractic literature communicates that the evidence to support the efficacy of MUA of the spine remains largely anecdotal. In addition, it has been reported that the types of spinal conditions most suitable for MUA are without clear-cut consensus, with various indications for MUA of the low back resting wholly upon the opinions and experiences of MUA practitioners. This article will provide a narrative review of the MUA literature, followed by a commentary about the current lack of high quality research evidence, the anecdotal and consensus basis of existing clinical protocols, as well as related professional, ethical and legal concerns for the chiropractic practitioner. The limitations of the current medical literature related to MUA via conscious/deep sedation need to be recognized and used as a guide to clinical experience when giving consideration to this procedure. More research, in the form of controlled clinical trials, must be undertaken if this procedure is to remain a potential treatment option for chronic spine pain patients in the chiropractic clinical practice.

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Successful Treatment of Frozen Hip with Manipulation and Pressure Dilatation

Abstract: Abstract:A 44-year old man with prolonged frozen hip was treated with manipulation under anesthesia and pressure dilatation of the left hip joint. The treatment was successful and after one year the hip was symptomless.

Cited by 16 publications

References 5 publications

Adhesive capsulitis of the hip: a review addressing diagnosis, treatment and outcomes

Adhesive capsulitis of the hip: a review addressing diagnosis, treatment and outcomes

Adhesive capsulitis of the hip

Spinal manipulation under anesthesia: a narrative review of the literature and commentary

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