Skip to main content

Management of the Stiff Shoulder

  • Chapter
  • First Online:
Arthroscopy

Abstract

The stiff shoulder has had many terms attached to it over the centuries. It was initially termed ‘periarthritis’ [1, 2], then ‘frozen shoulder’ [3] and then ‘adhesive capsulitis’ [4]. Codman described the pathophysiology of a chronic inflammatory process involving the capsule of the shoulder causing a thickening and contracture of this structure which secondarily becomes adherent to the humeral head. Zuckerman and colleagues in 2011 aimed to have a consensus definition of adhesive capsulitis. It was defined as ‘a condition characterized by functional restriction of both active and passive shoulder motion for which radiographs of the glenohumeral joint are essentially unremarkable except for the possible presence of osteopenia or calcific tendonitis’ [5].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 279.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Duplay ES. De la periarthrite scapulo-humerale. Rev Frat Trav Med. 1896;53:226.

    Google Scholar 

  2. Putnam JJ. The treatment of a form of painful periarthritis of the shoulder. Boston Med J. 1882;107:536–9.

    Article  Google Scholar 

  3. Codman EA. The shoulder. Boston: Todd; 1934. p. 216–24.

    Google Scholar 

  4. Neviaser JS. Adhesive capsulitis of the shoulder. J Bone Joint Surg Am. 1945;27:211–22.

    Google Scholar 

  5. Zuckerman JD, Rokito A. Frozen shoulder: a consensus definition. J Shoulder Elbow Surg. 2011;20(2):322–5. doi: 10.1016/j.jse.2010.07.008. Epub 2010 Nov 4.

    Google Scholar 

  6. Reeves B. The natural history of the frozen shoulder syndrome. Scand J Rheumatol. 1975;4:193–6.

    Article  CAS  PubMed  Google Scholar 

  7. Harryman DT, Lazarus MD. The stiff shoulder. In: Rockwood CA, editor. The shoulder. 3rd ed. Philadelphia: Saunders; 2004. p. 1121–72.

    Google Scholar 

  8. Binder AI, Bulgen DY, Hazelman BL, et al. Frozen shoulder: a long term prospective study. Ann Rheum Dis. 1984;43(3):361–4.

    Google Scholar 

  9. Lundberg BJ. The frozen shoulder. Clinical and radiological observations. The effect of manipulation under general anaesthesia. Structure and glycosaminoglycan content of the joint capsule. Local bone metabolism. Acta Orthop Scand Suppl. 1969;119:1–59.

    Article  CAS  PubMed  Google Scholar 

  10. Rizk TE, Christopher RP, Pinals RS, et al. Adhesive capsulitis (frozen shoulder): a new approach to its management. Arch Phys Med Rehabil. 1983;64:29–33.

    CAS  PubMed  Google Scholar 

  11. Reeves B. Arthrography of the shoulder. JBJS Br. 1966;48:424–35.

    CAS  PubMed  Google Scholar 

  12. Emig EW, Schweitzer ME, Karasick D, Lubowitz J. Adhesive capsulitis of the shoulder: MR diagnosis. AJR Am J Roentgenol. 1995;164(6):1457–9.

    Google Scholar 

  13. Lee SY, Park J, Song SW. Correlation of MR arthrographic findings and range of shoulder motions in patients with frozen shoulder. AJR. 2012;198:173–9.

    Article  PubMed  Google Scholar 

  14. Hanchard N, Goodchild L, Thompson J, et al. Evidence based clinical guidelines for the diagnosis, assessment and physiotherapy management of contracted (frozen) shoulder. V1.2, “standard” physiotherapy. Endorsed by the Chartered Society of Physiotherapy. 2011. http://www.csp.org.uk/skipp.

  15. Russell S, Jariwala A, Conlon R, Selfe J, Richards J, Walton M. A blinded, randomized, controlled trial assessing conservative management strategies for frozen shoulder. J Should Elbow Surg. 2014;23:500–7.

    Article  Google Scholar 

  16. Schellingerhout JM, Verhagen AP, Koes BW. Lack of uniformity in diagnostic labeling of shoulder pain: time for a different approach. Man Ther. 2008;13(6):478–83.

    Article  PubMed  Google Scholar 

  17. Harris G, Bou-Haidar P, Harris C. Adhesive capsulitis: review of imaging and treatment. J Med Imag Radiat Oncol. 2013;57(6):633–43. doi:10.1111/1754-9485.12111. Epub 2013 Sep 10.

    Article  Google Scholar 

  18. Jones DS, Chattopadhyay C. Suprascapular nerve block for the treatment of frozen shoulder in primary care: a randomized trial. Br J Gen Pract. 1999;49(438):39–41.

    CAS  PubMed  PubMed Central  Google Scholar 

  19. Dahan TH, Fortin L, Pelletier M, Petit M, Vadeboncoeur R, Suissa S. Double blind randomized clinical trial examining the efficacy of bupivacaine suprascapular nerve blocks in frozen shoulder. J Rheumatol. 2000;27(6):1464–9.

    CAS  PubMed  Google Scholar 

  20. Neviaser TJ. Arthroscopy of the shoulder. Orthop Clin N Am. 1987;18:361–72.

    CAS  Google Scholar 

  21. Watson L, Bialocerkowski A, Dalziel R, Balster S, Burke F, Finch C. Hydrodilatation (distension arthrography): a long-term clinical outcome series. Br J Sports Med. 2007;41:167–73.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Clement RG, Ray AG, Davidson C, Robinson CM, Perks FJ. Frozen shoulder: long-term outcomes following arthrographic distension. Acta Orthop Belg. 2013;79:368–74.

    PubMed  Google Scholar 

  23. Rizk T, Gavant MD, Pinals RS. Treatment of adhesive capsulitis with arthrographic capsular distension and rupture. Arch Phys Med Rehab. 1994;75:803–7.

    CAS  Google Scholar 

  24. Rashid A, Granville-Chapman J, Torrance E, Jackson S, Bhatti W, Funk L. Long term outcomes of hydrodilatation for frozen shoulder. 2015 in submission.

    Google Scholar 

  25. Quraishi NA, Johnston P, Bayer J. Thawing the frozen shoulder. A randomised trial comparing manipulation under anaesthesia with hydrodilatation. J Bone Joint Surg Br. 2007;89:1197–200.

    Article  CAS  PubMed  Google Scholar 

  26. Lafosse L, Boyle S, Kordasiewicz B, Aranberri-Gutiérrez M, Fritsch B, Meller R. Arthroscopic arthrolysis for recalcitrant frozen shoulder: a lateral approach. Arthroscopy. 2012;28(7):916–23. doi: 10.1016/j.arthro.2011.12.014. Epub 2012 Mar 14.

    Google Scholar 

  27. Holloway GB, Schenck T, Williams GR, Ramsay ML, Ianotti JP. Arthroscopic capsular release for the treatment of refractory postoperative or post-fracture shoulder stiffness. JBJS Am. 2001;83-A(11):1682–7.

    CAS  PubMed  Google Scholar 

  28. Snow M, Boutros I, Funk. Posterior arthroscopic capsular release in frozen shoulder. Arthroscopy. 2009;29(1):19–23.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Lennard Funk .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 ESSKA

About this chapter

Cite this chapter

Funk, L., Mandaleson, A. (2016). Management of the Stiff Shoulder. In: Randelli, P., Dejour, D., van Dijk, C., Denti, M., Seil, R. (eds) Arthroscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49376-2_52

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-49376-2_52

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-49374-8

  • Online ISBN: 978-3-662-49376-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics