Current concepts of natural course and in management of frozen shoulder: A clinical overview

  • Wojciech Konarski | wkonarski@poczta.onet.pl Department of Orthopaedic Surgery, Ciechanów Hospital, Ciechanów, Poland.
  • Tomasz Poboży Department of Orthopaedic Surgery, Ciechanów Hospital, Ciechanów, Poland.
  • Martyna Hordowicz Hospice of St. Christopher, Outpatient Pain Clinic, Warsaw, Poland.
  • Kamil Poboży Medical Faculty, Warsaw Medical University, Warsaw, Poland.
  • Julia Domańska Medical Faculty, Warsaw Medical University, Warsaw, Poland.

Abstract

Frozen Shoulder (FS) by many specialists is still considered a benign, self-limiting condition, which usually resolves without intervention. This concept originated in the 70’, stating that FS will proceed from “the freezing” phase, with the predominance of inflammation and pain to “the frozen” phase with marked stiffness in the joint and “the thawing” phase, with a progressive return to the normal Range Of Motion (ROM) and function. Nevertheless, numerous authors have recently challenged this concept, arguing that most patients with FS will never fully recover, and suffer from residual pain and loss of function. Lack of early intervention, when a patient does not improve with conservative treatment, might lead to disability. We have discussed the recent concepts in the natural course of the disease and discussed both noninvasive and surgical methods in the treatment of FS.

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References

1. Malhi AM, Khan R. Correlation between clinical diagnosis and arthroscopic findings of the shoulder. Postgrad Med J. 2005;81(960):657–659. doi:10.1136/pgmj.2004.030254
2. Rangan A, Hanchard N, McDaid C. What is the most effective treatment for frozen shoulder?. BMJ. 2016;354:i4162. Published 2016 Aug 23. doi:10.1136/bmj.i4162
3. Yan J, Zhang XM. A randomized controlled trial of ultrasound-guided pulsed radiofrequency for patients with frozen shoulder. Medicine (Baltimore). 2019;98(1):e13917. doi:10.1097/MD.0000000000013917
4. Uppal HS, Evans JP, Smith C. Frozen shoulder: A systematic review of therapeutic options. World J Orthop. 2015;6(2):263–268. Published 2015 Mar 18. doi:10.5312/wjo.v6.i2.263
5. Whelton C, Peach CA. Review of diabetic frozen shoulder. Eur J Orthop Surg Traumatol. 2018;28(3):363–371. doi:10.1007/s00590-017-2068-8
6. Cho CH, Song KS, Kim BS, Kim DH, Lho YM. Biological Aspect of Pathophysiology for Frozen Shoulder. Biomed Res Int. 2018;2018:7274517. Published 2018 May 24. doi:10.1155/2018/7274517
7. Wong CK, Levine WN, Deo K, et al. Natural history of frozen shoulder: fact or fiction? A systematic review. Physiotherapy. 2017;103(1):40–47. doi:10.1016/j.physio.2016.05.009
8. Chan HBY, Pua PY, How CH. Physical therapy in the management of frozen shoulder. Singapore Med J. 2017;58(12):685–689. doi:10.11622/smedj.2017107
9. Jain TK, Sharma NK. The effectiveness of physiotherapeutic interventions in treatment of frozen shoulder/adhesive capsulitis: a systematic review. J Back Musculoskelet Rehabil. 2014;27(3):247–273. doi:10.3233/BMR-130443
10. Tyree KA, May J. A NOVEL APPROACH TO TREATMENT UTILIZING BREATHING AND A TOTAL MOTION RELEASE® EXERCISE PROGRAM IN A HIGH SCHOOL CHEERLEADER WITH A DIAGNOSIS OF FROZEN SHOULDER: A CASE REPORT. Int J Sports Phys Ther. 2018;13(5):905–919.
11. Cho CH, Bae KC, Kim DH. Treatment Strategy for Frozen Shoulder. Clin Orthop Surg. 2019;11(3):249–257. doi:10.4055/cios.2019.11.3.249
12. Hanchard NC, Goodchild L, Thompson J, O'Brien T, Davison D, Richardson C. Evidence-based clinical guidelines for the diagnosis, assessment and physiotherapy management of contracted (frozen) shoulder: quick reference summary. Physiotherapy. 2012;98(2):117–120. doi:10.1016/j.physio.2012.01.001
13. Wu WT, Chang KV, Han DS, Chang CH, Yang FS, Lin CP. Effectiveness of Glenohumeral Joint Dilatation for Treatment of Frozen Shoulder: A Systematic Review and Meta-analysis of Randomized Controlled Trials. Sci Rep. 2017;7(1):10507. Published 2017 Sep 5. doi:10.1038/s41598-017-10895-w
14. Shin SJ, Lee SY. Efficacies of corticosteroid injection at dif¬ferent sites of the shoulder for the treatment of adhesive capsulitis. J Shoulder Elbow Surg. 2013;22(4):521-7
15. Buchbinder R, Green S, Youd JM, Johnston RV. Oral steroids for adhesive capsulitis. Cochrane Database Syst Rev 2006; (4): CD006189 [PMID: 17054278 DOI: 10.1002/14651858.CD006189]
16. Buchbinder R, Green S, Youd JM. Corticosteroid injections for shoulder pain. Cochrane Database Syst Rev 2003; (1): CD004016 [PMID: 12535501 DOI: 10.1002/1465 1858.CD004016]).
17. Asheghan M, Aghda AK, Hashemi E, Hollisaz M. INVESTIGATION OF THE EFFECTIVENESS OF ACUPUNCTURE IN THE TREATMENT OF FROZEN SHOULDER. Mater Sociomed. 2016;28(4):253–257. doi:10.5455/msm.2016.28.253-257
18. Cao XY, Zhao HY. A pilot study of ultrasound-guided acupotomy for the treatment of frozen shoulder. Medicine (Baltimore). 2019;98(42):e17632. doi:10.1097/MD.0000000000017632
19. Rymaruk S, Peach C. Indications for hydrodilatation for frozen shoulder. EFORT Open Rev. 2017;2(11):462–468. Published 2017 Nov 22. doi:10.1302/2058-5241.2.160061
20. Buchbinder R, Green S, Youd JM, Johnston RV, Cumpston M. Arthrographic distension for adhesive capsulitis (frozen shoulder). Cochrane Database Syst Rev. 2008;(1):CD007005. Published 2008 Jan 23. doi:10.1002/14651858.CD007005
21. Mun SW, Baek CH. Clinical efficacy of hydrodistention with joint manipulation under interscalene block compared with intra-articular corticosteroid injection for frozen shoulder: a prospective randomized controlled study. J Shoulder Elbow Surg. 2016;25(12):1937–1943. doi:10.1016/j.jse.2016.09.021
22. Maund E, Craig D, Suekarran S, et al. Management of frozen shoulder: a systematic review and cost-effectiveness analysis. Health Technol Assess. 2012;16(11):1–264. doi:10.3310/hta16110
23. “Health Sciences.” UK FROST - UK FROST, The University of York, www.york.ac.uk/healthsciences/research/trials/research/trials/ukfrost/. Accessed 02.2020
24. Koh KH: Corticosteroid injection for adhesive capsulitis in primary care: a systematic review of randomised clinical trials. Singapore Med J 2016;57:646–57
25. Kraal T, Beimers L, The B, Sierevelt I, van den Bekerom M, Eygendaal D. Manipulation under anaesthesia for frozen shoulders: outdated technique or well-established quick fix?. EFORT Open Rev. 2019;4(3):98-109. Published 2019 Mar 19. doi:10.1302/2058-5241.4.180044
26. Jellad A, May W, Zrig A, et al. Intra-articular distension preceded by physical therapy versus intra-articular distension followed by physical therapy for treating adhesive capsulitis of the shoulder. J Back Musculoskelet Rehabil. 2020;33(3):443-450. doi:10.3233/BMR-181426
27. Griggs SM, Ahn A, Green A Idiopathic adhesive capsulitis. A prospective functional outcome study of nonoperative treatment. J Bone Joint Surg Am. 2000 Oct; 82(10):1398-407.
28. Kivimäki J, Pohjolainen T, Malmivaara A, Kannisto M, Guillaume J, Seitsalo S, Nissinen M Manipulation under anesthesia with home exercises versus home exercises alone in the treatment of frozen shoulder: a randomized, controlled trial with 125 patients. J Shoulder Elbow Surg. 2007 Nov-Dec; 16(6):722-6.
29. Meyer C, Stein G, Kellinghaus J, Schneider TL [Management of Idiopathic Frozen Shoulder - Prospective Evaluation of Mobilisation under Anaesthesia and an Additional Subacromial Cortisone Injection].Z Orthop Unfall. 2015 Dec; 153(6):613-7
30. Sun Y, Liu S, Chen S, Chen J (2018) The effect of corticosteroid injection into rotator interval for early frozen shoulder: a randomized controlled trial. Am J Sports Med 46:663–670
31. Chang KV, Wu WT, Han DS, et al: Static and dynamic shoulder imaging to predict initial effectiveness and recurrence after ultrasound-guided subacromial corticosteroid injections. Arch Phys Med Rehabil 2017;98:1984–94
32. Elnady B, Rageh EM, Hussein MS, et al. In shoulder adhesive capsulitis, ultrasound-guided anterior hydrodilatation in rotator interval is more effective than posterior approach: a randomized controlled study [published online ahead of print, 2020 May 8]. Clin Rheumatol. 2020;10.1007/s10067-020-05131-2. doi:10.1007/s10067-020-05131-2
33. Vastamaki H, Varjonen L, Vastamaki M. Optimal time for manipulation of frozen shoulder may be between 6 and 9 months. Scand J Surg. 2015;104(4):260-6.
34. Kim DH, Song KS, Min BW, Bae KC, Lim YJ, Cho CH. Early Clinical Outcomes of Manipulation under Anesthesia for Refractory Adhesive Capsulitis: Comparison with Arthroscopic Capsular Release. Clin Orthop Surg. 2020;12(2):217-223. doi:10.4055/cios19027
35. Ando A, Hamada J, Hagiwara Y, et al. Short-term Clinical Results of Manipulation Under Ultrasound-Guided Brachial Plexus Block in Patients with Idiopathic Frozen Shoulder and Diabetic Secondary Frozen Shoulder. The Open Orthopaedics Journal. 2018 ;12:99-104. DOI: 10.2174/1874325001812010099.
36. Kim DH, Song KS, Min BW, Bae KC, Lim YJ, Cho CH. Early Clinical Outcomes of Manipulation under Anesthesia for Refractory Adhesive Capsulitis: Comparison with Arthroscopic Capsular Release. Clin Orthop Surg. 2020;12(2):217-223. doi:10.4055/cios19027
37. Tsvieli O, Atoun E, Consigliere P, et al. Manipulation under anaesthetic for frozen shoulder using Codman's paradox: a safe and early return of function. Int Orthop. 2018;42(2):339-344. doi:10.1007/s00264-017-3558-3
38. Zheng X, Li Y, Mu M, et al. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2020;34(6):737-743. doi:10.7507/1002-1892.201911033
39. Su Y-D, Lee T-C, Lin Y-C, Chen S-K (2019) Arthroscopic release for frozen shoulder: Does the timing of intervention and diabetes affect outcome? PLoS ONE 14(11): e0224986. https:// doi.org/10.1371/journal.pone.0224986
Published
2021-01-28
Info
Issue
Section
Reviews
Keywords:
frozen shoulder, adhesive capsulitis, shoulder pain, range of motion, menegement
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How to Cite
Konarski, W., Poboży, T., Hordowicz, M., Poboży, K., & Domańska, J. (2021). Current concepts of natural course and in management of frozen shoulder: A clinical overview. Orthopedic Reviews, 12(4). https://doi.org/10.4081/or.2020.8832