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Clinical Guidelines in the Management of Frozen Shoulder: An Update!

Among 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. Thou...

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Autores principales: Pandey, Vivek, Madi, Sandesh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer India 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8046676/
https://www.ncbi.nlm.nih.gov/pubmed/33912325
http://dx.doi.org/10.1007/s43465-021-00351-3
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author Pandey, Vivek
Madi, Sandesh
author_facet Pandey, Vivek
Madi, Sandesh
author_sort Pandey, Vivek
collection PubMed
description Among 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.
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spelling pubmed-80466762021-04-27 Clinical Guidelines in the Management of Frozen Shoulder: An Update! Pandey, Vivek Madi, Sandesh Indian J Orthop Review Article Among 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. Springer India 2021-02-01 /pmc/articles/PMC8046676/ /pubmed/33912325 http://dx.doi.org/10.1007/s43465-021-00351-3 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Review Article
Pandey, Vivek
Madi, Sandesh
Clinical Guidelines in the Management of Frozen Shoulder: An Update!
title Clinical Guidelines in the Management of Frozen Shoulder: An Update!
title_full Clinical Guidelines in the Management of Frozen Shoulder: An Update!
title_fullStr Clinical Guidelines in the Management of Frozen Shoulder: An Update!
title_full_unstemmed Clinical Guidelines in the Management of Frozen Shoulder: An Update!
title_short Clinical Guidelines in the Management of Frozen Shoulder: An Update!
title_sort clinical guidelines in the management of frozen shoulder: an update!
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8046676/
https://www.ncbi.nlm.nih.gov/pubmed/33912325
http://dx.doi.org/10.1007/s43465-021-00351-3
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