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VOLUME 6 , ISSUE 1 ( January-April, 2020 ) > List of Articles

REVIEW ARTICLE

Frozen Shoulder: A Brief Review

Sayan Manna, Archana Y Nankar

Keywords : Adhesive capsulitis, Arthrography, Coracohumeral ligament, Frozen shoulder, Intervention, Pain, Platelet-rich plasma injection, Rotator cuff interval, Shoulder joint intervention

Citation Information : Manna S, Nankar AY. Frozen Shoulder: A Brief Review. J Recent Adv Pain 2020; 6 (1):29-32.

DOI: 10.5005/jp-journals-10046-0162

License: CC BY-NC 4.0

Published Online: 25-08-2013

Copyright Statement:  Copyright © 2020; The Author(s).


Abstract

Frozen shoulder, also known as adhesive capsulitis of the shoulder joint, is a very common and well-known entity in the field of pain medicine. The shoulder joint, being one of the most important and complex joint in the human body, gives much flexibility while compromising stability. But when flexibility is reduced, it causes much trouble and discomfort. Frozen shoulder is known for years but its definition, pathology, and treatment are yet to be standardized. In this article, there will be recapitulation of the anatomy, pathogenesis of frozen shoulder, and its correlation with clinical features in different stages, plus diagnosis of adhesive capsulitis on clinical examination as well as using advanced imaging techniques, will be discussed. The current available treatment modalities for frozen shoulder are also enumerated. Although newer imaging studies like arthrography, magnetic resonance imaging (MRI), magnetic resonance arthrography (MRA), and ultrasound aid the diagnosis of frozen shoulder, clinical examination with exclusion of other pathology remains the mainstay and the most cost-effective way of diagnosis. The commonest treatment modality still being physiotherapy with some interventions; operative management is done only in very selected cases as the last option. Interventions like hydrodilatation of joint capsule and intraarticular platelet-rich plasma (PRP) have a very good role in management along with physiotherapy. It is recommended that ultrasound should be used routinely for the interventions in frozen shoulder.


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  1. Le HV, Lee SJ, Nazarian A, et al. Adhesive capsulitis of the shoulder: review of pathophysiology and current clinical treatments. Shoulder Elbow 2017;9(2):75–84. DOI: 10.1177/1758573216676786.
  2. Duplay E. De la periarthrite scapulo-humérale et des raideurs de l‘épaule qui en sont la conséquence. Arch Gen Med 1872;20:513–542.
  3. Codman EA. Tendinitis of the short rotators. In: The Shoulder: Rupture of the Supraspinatus Tendon and Other Lesions in or about the Subacromial Bursa. Boston MA: Thomas Todd; 1934.
  4. Uppal HS, Evans JP, Smith C. Frozen shoulder: a systematic review of therapeutic options. World J Orthop 2015;6(2):263–268. DOI: 10.5312/wjo.v6.i2.263.
  5. Sung CM, Jung TS, Park HB. Are serum lipids involved in primary frozen shoulder? A case-control study. J Bone Joint Surg Am 2014;96(21):1828–1833. DOI: 10.2106/JBJS.M.00936.
  6. Neviaser AS, Neviaser RJ. Adhesive capsulitis of the shoulder. J Am Acad Orthop Surg 2011;19(9):536–542. DOI: 10.5435/00124635-201109000-00004.
  7. Chang IR, Varacallo M. Anatomy, Shoulder and Upper Limb, Glenohumeral Joint. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020-2019.
  8. Tamai K, Akutsu M, Yano Y. Primary frozen shoulder: brief review of pathology and imaging abnormalities. J Orthop Sci 2014;19(1):1–5. DOI: 10.1007/s00776-013-0495-x.
  9. Ryan V, Brown H, Minns Lowe CJ, et al. The pathophysiology associated with primary (idiopathic) frozen shoulder: A systematic review. BMC Musculoskelet Disord 2016;17(1):340. DOI: 10.1186/s12891-016-1190-9.
  10. Zuckerman JD, Rokito A. Frozen shoulder: a consensus definition. J Shoulder Elbow Surg 2011;20(2):322–325. DOI: 10.1016/j.jse.2010.07.008.
  11. Reeves B. The natural history of the frozen shoulder syndrome. Scan J Rheumatol 1976;4(4):193–196. DOI: 10.3109/03009747509165255.
  12. Brue S, Valentin A, Forssblad M, et al. Idiopathic adhesive capsulitis of the shoulder: a review. Knee Surg. Sports Traumatol. Arthroscopy 2007;15(8):1048–1054. DOI: 10.1007/s00167-007-0291-2.
  13. Mengiardi B, Pfirrmann CW, Gerber C, et al. Frozen shoulder: MR arthrographic findings. Radiology. 2004;233(2):486–492. DOI: 10.1148/radiol.2332031219.
  14. Homsi C, Bordalo-Rodrigues M, da Silva JJ, et al. Ultrasound in adhesive capsulitis of the shoulder: is assessment of the coracohumeral ligament a valuable diagnostic tool? Skelet Radiol 35(9):673–678. DOI: 10.1007/s00256-006-0136-y.
  15. Cerny M, Omoumi P, Larbi A, et al. CT arthrography of adhesive capsulitis of the shoulder: are MR signs applicable? European Journal of Radiology Open. 2017;4:40–44. DOI: 10.1016/j.ejro.2017.03.002.
  16. Ewald A. Adhesive capsulitis: A review. Am Fam Physician 2011;83(4):417–422.
  17. Green S, Buchbinder R, Hetrick S. Physiotherapy interventions for shoulder pain. Cochrane Database Syst Rev 2003(2):CD004258. DOI: 10.1016/S0031-9406(05)60024-7.
  18. Watson L, Bialocerkowski A, Dalziel R, et al. Hydrodilation (distension arthrography): a long-term clinical outcome series. Br J Sports Med 2007;41(3):167–173. DOI: 10.1136/bjsm.2006.028431.
  19. Lin J. Platelet-rich plasma injection in the treatment of frozen shoulder: A randomized controlled trial with 6-month follow-up. Int J Clin Pharmacol Ther 2018;56(8):366–371. DOI: 10.5414/CP203262.
  20. Iwata H. Pharmacologic and clinical aspects of intraarticular injection of hyaluronate. Clin Orthop Relat Res 1993(289):285–291. DOI: 10.1097/00003086-199304000-00042.
  21. Ozkan K, Ozcekic AN, Sarar S, et al. Suprascapular nerve block for the treatment of frozen shoulder. Saudi J Anaesth 2012;6(1):52–55. DOI: 10.4103/1658-354X.93061.
  22. Lorbach O, Anagnostakos K, Scherf C, et al. Nonoperative management of adhesive capsulitis of the shoulder: oral cortisone application versus intraarticular cortisone injections. J Shoulder Elbow Surg 2010;19(2):172–179. DOI: 10.1016/j.jse.2009.06.013.
  23. Van der Windt DA, van der Heijden GJ, Scholten RJ, et al. The efficacy of non-steroidal anti-inflammatory drugs (NSAIDS) for shoulder complaints. A systematic review. J Clin Epidemiol 1995;48(5):691–704. DOI: 10.1016/0895-4356(94)00170-u.
  24. Watson L, Dalziel R, Story I. Frozen shoulder: a 12-month clinical outcome trial. J Shoulder Elbow Surg 2000;9(1):16–22. DOI: 10.1016/s1058-2746(00)90004-1.
  25. D’orsi GM, Via AG, Frizziero A, et al. Treatment of adhesive capsulitis: a review. Muscles Ligaments Tendons J 2012;2(2):70–78.
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