A preliminary study of manipulation under anaesthesia for secondary frozen shoulder following breast cancer treatment

Leonidou, A.; Woods, D. A.
February 2014
Bulletin of The Royal College of Surgeons of England;Feb2014, Vol. 96 Issue 2, p111
INTRODUCTION The aim of this paper is to present the results of manipulation under anaesthesia (MUA) and injection of local anaesthetic and corticosteroid followed by a physiotherapy regime for secondary frozen shoulder after breast cancer treatment (surgery, radiotherapy), and to compare them with a control group. METHODS Patients referred to the senior author for secondary frozen shoulder following breast cancer treatment over a ten-year period were investigated. Recorded data included age, treatment for breast cancer, length of symptoms, Oxford shoulder score (OSS) and range of motion before and after shoulder MUA. These data were compared with a control group of patients with frozen shoulder. RESULTS A total of 263 patients were referred with 281 frozen shoulders. Of these, 7 patients (7 shoulders) had undergone previous breast cancer treatment and the remaining 256 patients (274 shoulders) formed the control group. None of the patients were diabetic. The mean preoperative OSS was 31 for the study group and 27 for the control group, improving to 43 for both groups following MUA. Forty-two per cent of the study group and fifteen per cent of the control group had a second MUA subsequently. At the long-term follow-up appointment, 71% of the study group patients were satisfied with their result. CONCLUSIONS The results of this preliminary study suggest that MUA, corticosteroid injection and subsequent physiotherapy have achieved good final results in a series of patients with frozen shoulder secondary to breast cancer treatment. Members of the multidisciplinary team looking after breast cancer patients should be aware of this management option and, on manifestation of this pathology, should refer the patient to an orthopaedic surgeon.


Related Articles

  • Rheumatology: 6. Localized rheumatism. Price, George E.; Esdaile, Dr. John M. // CMAJ: Canadian Medical Association Journal;7/25/2000, Vol. 163 Issue 2, p176 

    Reports on the diagnosis and treatment of rheumatism. Areas of the body affected by rheumatism, including the shoulder, elbow, wrist, hip, knee and foot; Treatment for rheumatism, including nonsteroidal anti-inflammatory drugs, analgesics, local ice packs, gentle mobilization exercises and...

  • Comparison of physiotherapy, manipulation, and corticosteroid injection for treating shoulder... Winters, Jan C.; Sobel, Jan S. // BMJ: British Medical Journal (International Edition);05/03/97, Vol. 314 Issue 7090, p1320 

    Investigates the effect of corticosteroid injection, manipulation and physiotherapy on the duration of shoulder complaints in patients treated in general practice in Great Britain. Complaints originating from synovial structures; Shoulder girdle disorder.

  • Comparative trial of endocrine versus cytotoxic treatment in advanced breast cancer. Priestman, T.; Baum, M.; Jones, Vera; Forbes, J. // British Medical Journal;5/14/1977, Vol. 1 Issue 6071, p1248 

    Compares the efficacy of cytotoxic and endocrine treatment in advanced breast cancer. Survival times in the cytotoxic treatment; Development of estradiol-receptor assay; Effect of additive hormonal treatment with tamoxifen; Production of remission rates and survival times.

  • Weakly hormone receptor-positive breast cancer and use of adjuvant hormonal therapy. Lin, Cassandra M.; Jaswal, Jasbir; Vandenberg, Theodore; Tuck, Alan; Brackstone, Muriel // Current Oncology;Dec2013, Vol. 20 Issue 6, pe612 

    A letter to the editor is presented on use of adjuvant hormonal therapy in breast cancer patients.

  • Don't delay corticosteroid inhalation therapy for asthmatics.  // Modern Medicine;Nov96, Vol. 64 Issue 11, p56 

    Presents an abstract of the study `Is Delayed Introduction of Inhaled Corticosteroids Harmful in Patients With Obstructive Airways Disease (asthma and COPD)?,' by S.E. Overbeek, H.A.M. Kerstjens, J.M. Bogaard et al and published in the July 1996 issue of the periodical `Chest.'

  • Adjuvant Breast Cancer Treatment and Cognitive Function: Current Knowledge and Research Directions. Phillips, Kelly-Anne; Bernhard, Jürg // JNCI: Journal of the National Cancer Institute;2/5/2003, Vol. 95 Issue 3, p190 

    Focuses on the effect of adjuvant breast cancer treatment on cognitive function. Role of chemotherapy-induced menopause and of adjuvant hormonal therapy in cognitive impairment; Confirmation of an effect of adjuvant chemotherapy; Investigation of preventive interventions that might minimize the...

  • Breast cancer: Aromatase inhibitors take on tamoxifen. Dowsett, Mitch; Howell, Anthony // Nature Medicine;Dec2002, Vol. 8 Issue 12, p1341 

    Discusses findings of a study of endocrine therapy after surgery for breast cancer using aromatase inhibitors. Effectiveness of inhibitors over tamoxifen which binds the estrogen receptor and blocks the proliferative effects of estrogen on breast cancer; Long-term hegemony of tamoxifen;...

  • Hormone Replacement Therapy. Schairer, C.; Lubin, J.; Troisi, R. // Annals of Internal Medicine;3/19/2002, Vol. 136 Issue 6, p456 

    Examines the association of estrogen-progestin with an increase risk for breast cancer. Increased risk for breast cancer in women using hormone replacement therapy; Risk and benefits of hormone replacement therapy; Risk of endometrial cancer with unopposed estrogen.

  • HRT not only remedy, conference told.  // Australian Nursing Journal;Dec97/Jan98, Vol. 5 Issue 6, p14 

    Reports that the hormone replacement therapy is not the only remedy for women with breast cancer. Effect of treating breast cancer on menopause; Development of a drugs that mimics the good effect of oestrogen.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics