Abstract
AbstractAmong all the prevalent painful conditions of the shoulder, frozen shoulder remains one of the most debated and ill-understood conditions. It is a condition often associated with diabetes and thyroid dysfunction, and which should always be investigated in patients with a primary stiff shoulder. Though the duration of ‘traditional clinicopathological staging’ of frozen shoulder is not constant and varies with the intervention(s), the classification certainly helps the clinician in planning the treatment of frozen shoulder at various stages. Most patients respond very well to combination of conservative treatment resulting in gradual resolution of symptoms in 12–18 months. However, the most effective treatment in isolation is uncertain. Currently, resistant cases that do not respond to conservative treatment for 6–9 months could be offered surgical treatment as either arthroscopic capsular release or manipulation under anaesthesia. Though both invasive options are not clinically superior to another, but manipulation could result in unwarranted complications like fractures of humerus or rotator cuff tear.
Funder
Manipal Academy of Higher Education, Manipal
Publisher
Springer Science and Business Media LLC
Subject
Orthopedics and Sports Medicine
Reference106 articles.
1. Itoi, E., Arce, G., Bain, G. I., Diercks, R. L., Guttmann, D., Imhoff, A. B., et al. (2016). Shoulder stiffness: Current concepts and concerns. Arthroscopy, 32(7), 1402–1414.
2. Buchbinder, R., & Green, S. (2004). Effect of arthrographic shoulder joint distension with saline and corticosteroid for adhesive capsulitis. British Journal of Sports Medicine, 38(4), 384–385.
3. Shah, N., & Lewis, M. (2007). Shoulder adhesive capsulitis: Systematic review of randomised trials using multiple corticosteroid injections. British Journal of General Practice, 57(541), 662–667.
4. Hand, C., Clipsham, K., Rees, J. L., & Carr, A. J. (2008). Long-term outcome of frozen shoulder. Journal of Shoulder and Elbow Surgery, 17(2), 231–236.
5. Kingston, K., Curry, E. J., Galvin, J. W., & Li, X. (2018). Shoulder adhesive capsulitis: Epidemiology and predictors of surgery. Journal of Shoulder and Elbow Surgery, 27(8), 1437–1443.
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