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Frozen Shoulder: Reported Outcomes and Results: What Should We and the Patient Expect?

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Shoulder Stiffness

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Abstract

Shoulder stiffness is a common problem with an unknown etiology that dramatically impacts shoulder range of motion and limits functional abilities. Risk factors for frozen shoulder commonly include diabetes, female gender, age 40–60 years, and prolonged immobilization. Conservative management is the appropriate first-line treatment, but it is not always successful. This chapter presents evidence to support options for surgical intervention including hydrodilatation, manipulation under anesthesia, coracohumeral ligament release, and arthroscopic 360° capsular release. Caution must be used when performing manipulation under anesthesia as it carries risk of iatrogenic fracture or soft tissue injury as a consequence of the forces used to break up capsular adhesions. Coracohumeral ligament release is a less frequently performed procedure because of the open approach, but it improves pain, function, and range of motion when a concomitant open procedure is indicated. Arthroscopic 360° capsular release is the treatment of choice for recalcitrant cases of frozen shoulder as it improves humeral head translation and shoulder range of motion with the least risk to the patient.

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Albert Einstein College of Medicine, New York, NY, USA

    Kevin D. Plancher MD, MS

  2. Plancher Orthopaedics and Sports Medicine, New York, NY, USA

    Kevin D. Plancher MD, MS

  3. Orthopaedic Foundation, Stamford, CT, USA

    Kevin D. Plancher MD, MS

  4. Department of Research, Orthopaedic Foundation, Stamford, CT, USA

    Stephanie C. Petterson MPT, PhD

Authors
  1. Kevin D. Plancher MD, MS
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  2. Stephanie C. Petterson MPT, PhD
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Corresponding author

Correspondence to Kevin D. Plancher MD, MS .

Editor information

Editors and Affiliations

  1. Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Miyagi, Japan

    Eiji Itoi

  2. Department of Orthopaedic Surgery, Instituto Argentino de Diagnóstico y Tratamiento, Buenos Aires, Argentina

    Guillermo Arce

  3. Department of Orthopedics and Trauma, University of Adelaide, Adelaide, South Australia, Australia

    Gregory I. Bain

  4. Dept. of Orthopaedic Surgery, University of Groningen Sports Medicine Center, Groningen, The Netherlands

    Ronald L. Diercks

  5. Taos Orthopaedic Institute Orthopaedic Sports Medicine, Taos, New Mexico, USA

    Dan Guttmann

  6. Orthpaedic Sports Medicine, University of Munich Hospital Rechts der Isar, Munich, Germany

    Andreas B. Imhoff

  7. Department of Orthopaedic Surgery, UConn Musculoskeletal Institute, Farmington, Connecticut, USA

    Augustus D. Mazzocca

  8. Funabashi Orthopaedic Sports Med Cn Shoulder & Elbow Service, Chiba, Japan

    Hiroyuki Sugaya

  9. Dept. of Orthopaedic Surgery, Hallym University Sacred Heart Hospital, Gyeonggi-Do, Korea, Republic of (South Korea)

    Yon-Sik Yoo

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© 2015 ISAKOS

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Plancher, K.D., Petterson, S.C. (2015). Frozen Shoulder: Reported Outcomes and Results: What Should We and the Patient Expect?. In: Itoi, E., et al. Shoulder Stiffness. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-46370-3_22

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  • DOI: https://doi.org/10.1007/978-3-662-46370-3_22

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-46369-7

  • Online ISBN: 978-3-662-46370-3

  • eBook Packages: MedicineMedicine (R0)

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