Frozen Shoulder: Current Concept of Management

Tito Sumarwoto; Seti Aji Hadinoto; Musa Fasa Roshada

doi:10.3889/oamjms.2021.5716

Authors

Tito Sumarwoto Department of Orthopaedic and Traumatology, Faculty of Medicine, Sebelas Maret University, Prof. Dr. R Soeharso Orthopaedic Hospital, Surakarta, Indonesia
Seti Aji Hadinoto Department of Orthopaedic and Traumatology, Faculty of Medicine, Sebelas Maret University, Prof. Dr. R Soeharso Orthopaedic Hospital, Surakarta, Indonesia
Musa Fasa Roshada Department of Orthopaedic and Traumatology, Faculty of Medicine, Sebelas Maret University, Surakarta, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2021.5716

Keywords:

Frozen shoulder, Adhesive Capsulitis, manipulation under anaesthesia, shoulder arthroscopy, capsular release

Abstract

BACKGROUND: Frozen shoulder is a musculoskeletal disorder resulting from chronic inflammation of the capsule subsynovial layer and characterized with capsular thickening, progressive fibrosis, and contracture of the glenohumeral joint capsule. This condition is a relatively common condition that mimics other condition and its management requires deliberate consideration of patient’s condition.

REVIEW ARTICLE: This article reviews and summarize latest findings of frozen shoulder. The diagnosis of frozen shoulder is described from the patient history, physical examination in look, feel, and move sequence to the supporting examinations. The current evidence of managements of frozen shoulder is described, from the nonoperative to the surgical approach.

CONCLUSION: Most of frozen shoulder cases resolve spontaneously thus conservative treatment should be the first choice of frozen shoulder. However, for cases that failed with conservative treatment and had a debilitating effect to patient’s daily life or cases with history of surgery, operative treatment should be considered. Operative treatment is aimed to release the capsule either by manipulation under anesthesia, by arthroscopy, or by open surgery. Physical rehabilitation following every procedure is mandatory and key to maintain range of motion years following the surgery.

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References

Neviaser AS, Hannafin JA. Adhesive capsulitis: A review of current treatment. Am J Sports Med. 2010;38(11):2346-56. https://doi.org/10.1177/0363546509348048 PMid:20110457

Le HV, Lee SJ, Nazarian A, Rodriguez EK. Adhesive capsulitis of the shoulder: Review of pathophysiology and current clinical treatments. Shoulder Elbow. 2017;9(2):75-84. https://doi.org/10.1177/1758573216676786 PMid:28405218

Walmsley S, Osmotherly PG, Rivett DA. Clinical identifiers for early-stage primary/idiopathic adhesive capsulitis: Are we seeing the real picture? Phys Ther. 2014;94(7):968-76. https://doi.org/10.2522/ptj.20130398 PMid:24652474

White D, Choi H, Peloquin C, Zhu Y, Zhang Y. Secular trend of adhesive capsulitis. Arthritis Care Res (Hoboken). 2011;63(11):1571-5. https://doi.org/10.1002/acr.20590 PMid:22034118

Prodromidis AD, Charalambous CP. Is There a Genetic Predisposition to Frozen Shoulder?: A Systematic Review and Meta-Analysis. JBJS Rev. 2016 Feb 23;4(2):01874474- 201602000-00004. https://doi.org/10.2106/JBJS.RVW.O.00007. PMID: 27490134.

Neviaser AS, Neviaser RJ. Adhesive capsulitis of the shoulder. J Am Acad Orthop Surg. 2011;19(9):536-42. PMid:21885699

Wang K, Ho V, Hunter-Smith DJ, Beh PS, Smith KM, Weber AB. Risk factors in idiopathic adhesive capsulitis: A case control study. J Shoulder Elbow Surg. 2013;22(7):e24-9. https://doi.org/10.1016/j.jse.2012.10.049 PMid:23352186

Zreik NH, Malik RA, Charalambous CP. Adhesive capsulitis of the shoulder and diabetes: A meta-analysis of prevalence. Muscles Ligaments Tendons J. 2016;6(1):26-34. https://doi.org/10.32098/mltj.01.2016.04

Lubis AM, Lubis VK. Matrix metalloproteinase, tissue inhibitor of metalloproteinase and transforming growth factor-beta 1 in frozen shoulder, and their changes as response to intensive stretching and supervised neglect exercise. J Orthop Sci. 2013;18(4):519-27. https://doi.org/10.1007/s00776-013-0387-0 PMid:23604641

Kelley MJ, Shaffer MA, Kuhn JE, Michener LA, Seitz AL, Uhl TL, et al. Shoulder pain and mobility deficits: Adhesive capsulitis: Clinical practice guidelines linked to the international classification of functioning, disability, and health from the orthopaedic section of the American physical therapy association. J Orthop Sports Phys Ther. 2013;43(5):A1-31. https://doi.org/10.2519/jospt.2013.0302

Feeley SM, Larson ES, Diduch DR. Adhesive capsulitis : Current concepts. Ann Sports Med Res. 2017;4(6):1124.

Manske RC, Prohaska D. Clinical commentary and literature review: Diagnosis, conservative and surgical management of adhesive capsulitis. Shoulder Elbow. 2010;2(4):238-54. https://doi.org/10.1111/j.1758-5740.2010.00095.x

Manske RC, Prohaska D. Diagnosis and management of adhesive capsulitis. Curr Rev Musculoskelet Med. 2008;1(3- 4):180-9. https://doi.org/10.1007/s12178-008-9031-6 PMid:19468904

Wu YT, Ho CW, Chen YL, Li TY, Lee KC, Chen LC. Ultrasoundguided pulsed radiofrequency stimulation of the suprascapular nerve for adhesive capsulitis: A prospective, randomized, controlled trial. Anesth Analg. 2014;119(3):686-92. https://doi.org/10.1213/ane.0000000000000354 PMid:25010824

Yoong P, Duffy S, McKean D, Hujairi NP, Mansour R, Teh JL. Targeted ultrasound-guided hydrodilatation via the rotator interval for adhesive capsulitis. Skeletal Radiol. 2015;44(5):703- 8. https://doi.org/10.1007/s00256-014-2047-7

Walmsley S, Osmotherly PG, Walker CJ, Rivett DA. Power Doppler ultrasonography in the early diagnosis of primary/ idiopathic adhesive capsulitis: An exploratory study. J Manipulative Physiol Ther. 2013;36(7):428-35. https://doi.org/10.1016/j.jmpt.2013.05.024 PMid:23830711

Harris G, Bou-Haidar P, Harris C. Adhesive capsulitis: Review of imaging and treatment. J Med Imaging Radiat Oncol. 2013;57(6):633-43. https://doi.org/10.1111/1754-9485.12111 PMid:24283550

Gokalp G, Algin O, Yildirim N, Yazici Z. Adhesive capsulitis: Contrast-enhanced shoulder MRI findings. J Med Imaging Radiat Oncol. 2011;55(2):119-25. https://doi.org/10.1111/j.1754-9485.2010.02215.x PMid:21501399

Zhao W, Zheng X, Liu Y, Yang W, Amirbekian V, Diaz LE, et al. An MRI study of symptomatic adhesive capsulitis. PLoS One. 2012;7(10):e47277. https://doi.org/10.1371/journal.pone.0047277 PMid:23082152

Song KD, Kwon JW, Yoon YC, Choi SH. Indirect MR arthrographic findings of adhesive capsulitis. AJR Am J Roentgenol. 2011;197(6):1105-9. https://doi.org/10.2214/ajr.10.6099 PMid:22109326

Ahn KS, Kang CH, Oh YW, Jeong WK. Correlation between magnetic resonance imaging and clinical impairment in patients with adhesive capsulitis. Skeletal Radiol. 2012;41(10):1301-8. https://doi.org/10.1007/s00256-012-1391-8 PMid:22430562

Zappia M, di Pietto F, Aliprandi A, Pozza S, de Petro P, Muda A, et al. Multi-modal imaging of adhesive capsulitis of the shoulder. Insights Imaging. 2016;7(3):365-71. https://doi.org/10.1007/s13244-016-0491-8 PMid:27107871

Cerny M, Omoumi P, Larbi A, Manicourt D, Perozziello A, Lecouvet F, et al. CT arthrography of adhesive capsulitis of the shoulder: Are MR signs applicable? Eur J Radiol Open. 2017;4:40-4. https://doi.org/10.1016/j.ejro.2017.03.002 PMid:28409175

Hsu JE, Anakwenze OA, Warrender WJ, Abboud JA. Current review of adhesive capsulitis. J Shoulder Elbow Surg. 2011;20(3):502-14. https://doi.org/10.1016/j.jse.2010.08.023 PMid:21167743

Robinson CM, Seah KT, Chee YH, Hindle P, Murray IR. Frozen shoulder. J Bone Joint Surg Br. 2012;94(1):1-9. PMid:22219239

Griggs SM, Ahn A, Green A. Idiopathic adhesive capsulitis. J Bone Joint Surg Am Vol. 2000;82(10):1398-407.

Yip M, Francis AM, Roberts T, Rokito A, Zuckerman JD, Virk MS. Treatment of Adhesive capsulitis of the shoulder: A critical analysis review. JBJS Rev. 2018;6(6):e5. https://doi.org/10.2106/jbjs.rvw.17.00165 PMid:29916942

Levine WN, Kashyap CP, Bak SF, Ahmad CS, Blaine TA, Bigliani LU. Nonoperative management of idiopathic adhesive capsulitis. J Shoulder Elbow Surg. 2007;16(5):569-73. https://doi.org/10.1016/j.jse.2006.12.007 PMid:17531513

Rill BK, Fleckenstein CM, Levy MS, Nagesh V, Hasan SS. Predictors of outcome after nonoperative and operative treatment of adhesive capsulitis. Am J Sports Med. 2011;39(3):567-74. https://doi.org/10.1177/0363546510385403 PMid:21160014

Sharma S, Jacobs L. Management of frozen shoulderconservative vs surgical? Ann R Coll Surg Engl. 2011;93(5):343-4. PMid:21943454

Blanchard V, Barr S, Cerisola FL. The effectiveness of corticosteroid injections compared with physiotherapeutic interventions for adhesive capsulitis: A systematic review. Physiotherapy. 2010;96(2):95-107. https://doi.org/10.1016/j.physio.2009.09.003 PMid:20420956

de Carli A, Vadalà A, Perugia D, Frate L, Iorio C, Fabbri M, et al. Shoulder adhesive capsulitis: Manipulation and arthroscopic arthrolysis or intra-articular steroid injections? Int Orthop. 2012;36(1):101-6. https://doi.org/10.1007/s00264-011-1330-7 PMid:21833684

Song A, Higgins LD, Newman J, Jain NB. Glenohumeral corticosteroid injections in adhesive capsulitis: A systematic search and review. PM R. 2014;6(12):1143-56. https://doi.org/10.1016/j.pmrj.2014.06.015 PMid:24998406

Shin SJ, Lee SY. Efficacies of corticosteroid injection at different sites of the shoulder for the treatment of adhesive capsulitis. J Shoulder Elbow Surg. 2013;22(4):521-7. https://doi.org/10.1016/j.jse.2012.06.015 PMid:22999847

Yoon SH, Lee HY, Lee HJ, Kwack KS. Optimal dose of intraarticular corticosteroids for adhesive capsulitis: A randomized, triple-blind, placebo-controlled trial. Am J Sports Med. 2013;41(5):1133-9. https://doi.org/10.1177/0363546513480475 PMid:23507791

Roh YH, Yi SR, Noh JH, Lee SY, Oh JH, Gong HS, et al. Intra-articular corticosteroid injection in diabetic patients with adhesive capsulitis: A randomized controlled trial. Knee Surg Sports Traumatol Arthrosc. 2012;20(10):1947-52. https://doi.org/10.1007/s00167-011-1776-6 PMid:22113218

Lorbach O, Kieb M, Scherf C, Seil R, Kohn D, Pape D. Good results after fluoroscopic-guided intra-articular injections in the treatment of adhesive capsulitis of the shoulder. Knee Surg Sports Traumatol Arthrosc. 2010;18(10):1435-41. https://doi.org/10.1007/s00167-009-1030-7 PMid:20076945

Lorbach O, Anagnostakos K, Scherf C, Seil R, Kohn D, Pape D. Nonoperative management of adhesive capsulitis of the shoulder: Oral cortisone application versus intra-articular cortisone injections. J Shoulder Elbow Surg. 2010;19(2):172-9. https://doi.org/10.1016/j.jse.2009.06.013 PMid:19800262

Griesser MJ, Harris JD, Campbell JE, Jones GL. Adhesive capsulitis of the shoulder: A systematic review of the effectiveness of intra-articular corticosteroid injections. J Bone Joint Surg Am. 2011;93(18):1727-33. https://doi.org/10.2106/jbjs.j.01275 PMid:21938377

Lee JH, Kim SB, Lee KW, Lee SJ, Lee JU. Effect of hypertonic saline in intra-articular hydraulic distension for adhesive capsulitis. PM R. 2015;7(7):721-6. https://doi.org/10.1016/j.pmrj.2015.04.013 PMid:25937021

Lee LC, Lieu FK, Lee HL, Tung TH. Effectiveness of hyaluronic acid administration in treating adhesive capsulitis of the shoulder: A systematic review of randomized controlled trials. Biomed Res Int. 2015;2015:314120. https://doi.org/10.1155/2015/314120 PMid:25802845

Harris JD, Griesser MJ, Copelan A, Jones GL. Treatment of adhesive capsulitis with intra-articular hyaluronate: A systematic review. Int J Shoulder Surg. 2011;5(2):31-7. https://doi.org/10.4103/0973-6042.83194 PMid:21897581

Struyf F, Meeus M. Current evidence on physical therapy in patients with adhesive capsulitis: What are we missing? Clin Rheumatol. 2014;33(5):593-600. https://doi.org/10.1007/s10067-013-2464-3 PMid:24374758

Page MJ, Green S, Kramer D, Johnston RV, McBain B, Buchbinder R. Electrotherapy modalities for adhesive capsulitis (frozen shoulder). Cochrane Database Syst Rev. 2016;10:CD011324. https://doi.org/10.1002/14651858.cd011324 PMid:25271097

Chen CY, Hu CC, Weng PW, Huang YM, Chiang CJ, Chen CH, et al. Extracorporeal shockwave therapy improves short-term functional outcomes of shoulder adhesive capsulitis. J Shoulder Elbow Surg. 2014;23(12):1843-51. https://doi.org/10.1016/j.jse.2014.08.010 PMid:25441567

Ma SY, Je HD, Jeong JH, Kim HY, Kim HD. Effects of wholebody cryotherapy in the management of adhesive capsulitis of the shoulder. Arch Phys Med Rehabil. 2013;94:9-16. https://doi.org/10.1016/j.apmr.2012.07.013 PMid:22850489

van de Laar SM, van der Zwaal P. Management of the frozen shoulder. In: Orthopedic Research and Reviews. Vol. 6. United Kingdom: Dove Press; 2014. p. 81-90. Available: https:// www.dovepress.com/management-of-the-frozen-shoulderpeer-reviewed-fulltext-article-orr. [Last accessed on 2021 Jan 16]. https://doi.org/10.2147/orr.s71115

Tsvieli O, Atoun E, Consigliere P, Polyzois I, Walecka J, Pradhan R, et al. Manipulation under anaesthetic for frozen shoulder using Codman’s paradox: A safe and early return of function. Int Orthop. 2018;42(2):339-44. https://doi.org/10.1007/s00264-017-3558-3 PMid:28699020

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. https://doi.org/10.1302/2058-5241.4.180044 PMid:30993011

Barnes CP, Lam PH, Murrell GA. Short-term outcomes after arthroscopic capsular release for adhesive capsulitis. J Shoulder Elbow Surg. 2016;25(9):e256-64. https://doi.org/10.1016/j.jse.2015.12.025 PMid:26968090

Grant JA, Schroeder N, Miller BS, Carpenter JE. Comparison of manipulation and arthroscopic capsular release for adhesive capsulitis: A systematic review. J Shoulder Elbow Surg. 2013;22(8):1135-45. https://doi.org/10.1016/j.jse.2013.01.010 PMid:23510748

Kanbe K. Clinical outcome of arthroscopic capsular release for frozen shoulder: Essential technical points in 255 patients. J Orthop Surg Res. 2018;13(1):56. https://doi.org/10.1186/s13018-018-0758-5 PMid:29548325

Eljabu W, Klinger HM, von Knoch M. Prognostic factors and therapeutic options for treatment of frozen shoulder: A systematic review. Arch Orthop Trauma Surg. 2016;136(1):1-7. https://doi.org/10.1007/s00402-015-2341-4 PMid:26476720