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Local Anesthesia While Awake Versus General Anesthesia for Frozen Shoulder Manipulation
Sponsor: Izmir Katip Celebi University
Summary
This study compared two anesthesia approaches for shoulder manipulation in adults with primary frozen shoulder that had not improved after at least 6 months of conservative treatment. A total of 72 participants were randomly assigned to undergo manipulation either with ultrasound-guided wide-awake local anesthesia no tourniquet (WALANT) in an outpatient setting or under general anesthesia in the operating room. The main outcome was shoulder forward flexion 4 weeks after the procedure. Other outcomes included shoulder abduction, external rotation, internal rotation, pain, shoulder function, anxiety before the procedure, and early procedure-related complications. Participants were evaluated before the procedure and during the first 4 weeks after treatment. The study aimed to determine whether outpatient manipulation under WALANT could provide short-term clinical outcomes comparable to those of manipulation under general anesthesia.
Official title: WALANT Technique Versus General Anesthesia in Frozen Shoulder Manipulation: A Prospective Randomized Controlled Trial
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
72
Start Date
2025-02-24
Completion Date
2025-09-15
Last Updated
2026-07-28
Healthy Volunteers
No
Interventions
Ultrasound-Guided WALANT-Based Shoulder Manipulation
Ultrasound-guided administration of a 25-mL WALANT solution followed by standardized shoulder manipulation after a 30-minute waiting period in an outpatient setting.
Shoulder Manipulation Under General Anesthesia
Standardized shoulder manipulation performed in the operating room under general anesthesia induced with intravenous propofol.
Locations (1)
Izmir Katip Celebi University Ataturk Training and Research Hospital
Izmir, İzmir, Turkey (Türkiye)