Treatment Strategy for Frozen Shoulder

Frozen shoulder (FS) is a common shoulder disorder characterized by a gradual increase of pain of spontaneous onset and limitation in range of motion of the glenohumeral joint. The pathophysiology of FS is relatively well understood as a pathological process of synovial inflammation followed by caps...

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Bibliographic Details
Published in:Clinics in orthopedic surgery Vol. 11; no. 3; pp. 249 - 257
Main Authors: Cho, Chul-Hyun, Bae, Ki-Choer, Kim, Du-Han
Format: Journal Article
Language:English
Published: Korea (South) The Korean Orthopaedic Association 01.09.2019
대한정형외과학회
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ISSN:2005-291X, 2005-4408, 2005-4408
Online Access:Get full text
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Summary:Frozen shoulder (FS) is a common shoulder disorder characterized by a gradual increase of pain of spontaneous onset and limitation in range of motion of the glenohumeral joint. The pathophysiology of FS is relatively well understood as a pathological process of synovial inflammation followed by capsular fibrosis, but the cause of FS is still unknown. Treatment modalities for FS include medication, local steroid injection, physiotherapy, hydrodistension, manipulation under anesthesia, arthroscopic capsular release, and open capsular release. Conservative management leads to improvement in most cases. Failure to obtain symptomatic improvement and continued functional disability after 3 to 6 months of conservative treatment are general indications for surgical management. However, there is no consensus as to the most efficacious treatments for this condition. In this review article, we provide an overview of current treatment methods for FS.
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ISSN:2005-291X
2005-4408
2005-4408
DOI:10.4055/cios.2019.11.3.249