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Archives of Orthopaedic and Trauma Surgery

, Volume 136, Issue 1, pp 1–7 | Cite as

Prognostic factors and therapeutic options for treatment of frozen shoulder: a systematic review

  • Walid EljabuEmail author
  • Hans Michael Klinger
  • Marius von Knoch
Orthopaedic Surgery

Abstract

Purpose

To evaluate the current status of scientific research on the natural history of frozen shoulder as published in the literature.

Materials and methods

This systematic review was carried out on PubMed data and was guided by PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). Articles had to meet inclusion criteria. The quality of the papers was assessed using a newly developed tool, AMQPP (Assessing the Methodological Quality of Published Papers). The AMQPP score was correlated with the level of evidence rating according to the Oxford Centre for Evidence-Based Medicine. Suitable papers were divided into groups according to the shoulder condition on which they reported. This article focuses on the frozen shoulder.

Results

Seven articles on frozen shoulder met the inclusion criteria. One article was considered to have level 1 of evidence. Three articles had level 3 and the remaining 3 had level 4. Three papers assessed the natural history and the natural course of different forms of stiff shoulder. The others indirectly assessed the natural history by evaluating therapy trends. None of the articles clearly referred to the role of regression to the mean of frozen shoulder specifically.

Conclusion

Spontaneous recovery to normal levels of function is possible and standardised non-operative treatment programmes are an effective alternative to surgery in most cases. However, patients with high risk factors such as diabetes mellitus, and those who suffer chronic symptoms or bilaterally affected, would benefit from early surgery. We also concluded that AMQPP score is simple and straight forward. It works as a quick quality-checking tool which helps researchers to identify the key points in each paper and reach a decision regarding the eligibility of the paper more easily. The AMQPP score is still open for further development.

Keywords

Natural history Frozen shoulder Stiff shoulder Adhesive capsulitis Non-operative therapy Regression to the mean AMQPP assessment tool 

Notes

Compliance with ethical standards

Conflict of interest

There are no competing interests (financial/potential influence the contents/other relationships or activities) involved in this work.

References

  1. 1.
    Hand C, Clipsham K, Rees JL, Carr AJ (2008) Long-term outcome of frozen shoulder. J Shoulder Elbow Surg 17(2):231–236 (Epub Nov 12) PubMedCrossRefGoogle Scholar
  2. 2.
    Shaffer B, Tibone JE, Kerlan RK (1992) Frozen shoulder. a long-term follow-up. J Bone Joint Surg Am 74(5):738–746PubMedGoogle Scholar
  3. 3.
    Neviaser JS (1945) Adhesive capsulitis of the shoulder: study of pathological findings in periarthritis of the shoulder. J Bone Joint Surg Am 27:211Google Scholar
  4. 4.
    Quigley TB (1963) Indication for manipulation and corticosteroids in the treatment of stiff shoulder. Surg Clin North Am 43:1715–1720PubMedGoogle Scholar
  5. 5.
    Diercks RL, Stevens M (2004) Gentle thawing of the frozen shoulder: a prospective study of supervised neglect versus intensive physical therapy in seventy-seven patients with frozen shoulder syndrome followed up for two years. J Shoulder Elb Surg 13(5):499–502CrossRefGoogle Scholar
  6. 6.
    Bunker TD, Anthony PP (1995) The pathology of frozen shoulder. A Dupuytren-like disease. J Bone Joint Surg Br 77(5):677–683PubMedGoogle Scholar
  7. 7.
    Moher D, Liberati A, Tetzlaff J et al (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ 339:b2535PubMedPubMedCentralCrossRefGoogle Scholar
  8. 8.
    Eljabu W, Klinger HM, von Knoch M (2015) The natural history of rotator cuff tears: a systematic review. Arch Orthop Trauma Surg 135(8):1055–1061. doi: 10.1007/s00402-015-2239-1 Epub 2015 May 6 PubMedCrossRefGoogle Scholar
  9. 9.
    Greenhalgh T (1997) Assessing the methodological quality of published papers. BMJ 315(7103):305–308PubMedPubMedCentralCrossRefGoogle Scholar
  10. 10.
    Lorbach O, Anagnostakos K, Scherf C, Seil R, Kohn D, Pape D (2010) Nonoperative management of adhesive capsulitis of the shoulder: oral cortisone application versus intra-articular cortisone injections. J Shoulder Elb Surg 19(2):172–179CrossRefGoogle Scholar
  11. 11.
    Ando A, Sugaya H, Hagiwara Y et al (2013) Identification of prognostic factors for the nonoperative treatment of stiff shoulder. Int Orthop 37(5):859–864PubMedPubMedCentralCrossRefGoogle Scholar
  12. 12.
    DeVries JG, Berlet GC (2010) Understanding levels of evidence for scientific communication. Foot Ankle Spec 3(4):205–209PubMedCrossRefGoogle Scholar
  13. 13.
    Reeves B (1975) The natural history of the frozen shoulder syndrome. Scand J Rheumatol 4(4):193–196PubMedCrossRefGoogle Scholar
  14. 14.
    Vastamäki H, Kettunen J, Vastamäki M (2012) The natural history of idiopathic frozen shoulder: a 2- to 27-year follow up study. Clin Orthop Relat Res 470(4):1133–1143PubMedPubMedCentralCrossRefGoogle Scholar
  15. 15.
    Levine WN, Kashyap CP, Bak SF, Ahmad CS, Blaine TA, Bigliani LU (2007) Nonoperative management of idiopathic adhesive capsulitis. J Shoulder Elb Surg 16(5):569–573CrossRefGoogle Scholar
  16. 16.
    Rill BK, Fleckenstein CM, Levy MS, Nagesh V, Hasan SS (2011) Predictors of outcome after nonoperative and operative treatment of adhesive capsulitis. Am J Sports Med 39(3):567–574PubMedCrossRefGoogle Scholar
  17. 17.
    Griggs SM, Ahn A, Green A (2000) Idiopathic adhesive capsulitis. A prospective functional outcome study of nonoperative treatment. J Bone Joint Surg Am. 82-A(10):1398–1407PubMedGoogle Scholar
  18. 18.
    Coleman BD, Khan KM, Maffulli N, Cook JL, Wark JD (2000) Studies of surgical outcome after patellar tendinopathy: clinical significance of methodological deficiencies and guidelines for future studies. Victorian institute of sport tendon study group. Scand J Med Sci Sports 10(1):2–11PubMedCrossRefGoogle Scholar
  19. 19.
    Tallon C, Coleman BD, Khan KM, Maffulli N (2001) Outcome of surgery for chronic achilles tendinopathy. A critical review. Am J Sports Med 29(3):315–320PubMedGoogle Scholar
  20. 20.
    Sambandam SN, Gul A, Priyanka P (2007) Analysis of methodological deficiencies of studies reporting surgical outcome following cemented total-joint arthroplasty of trapezio-metacarpal joint of the thumb. Int Orthop 31(5):639–645PubMedPubMedCentralCrossRefGoogle Scholar
  21. 21.
    Watsend AM, Osestad TM, Jakobsen RB, Engebretsen L (2009) Clinical studies on posterior cruciate ligament tears have weak design. Knee Surg Sports Traumatol Arthrosc 17(2):140–149. doi: 10.1007/s00167-008-0632-9 PubMedCrossRefGoogle Scholar
  22. 22.
    Chuang-Stein C, Tong DM (1997) The impact and implication of regression to the mean on the design and analysis of medical investigations. Stat Method Med Res 6(2):115–128CrossRefGoogle Scholar
  23. 23.
    Hand GC, Athanasou NA, Matthews T, Carr AJ (2007) The pathology of frozen shoulder. J Bone Joint Surg Br 89(7):928–932PubMedCrossRefGoogle Scholar
  24. 24.
    Carette S, Moffet H, Tardif J et al (2003) Intraarticular corticosteroids, supervised physiotherapy, or a combination of the two in the treatment of adhesive capsulitis of the shoulder: a placebo-controlled trial. Arthritis Rheum 48(3):829–838PubMedCrossRefGoogle Scholar
  25. 25.
    De Jong BA, Dahmen R, Hogeweg JA, Marti RK (1998) Intra-articular triamcinolone acetonide injection in patients with capsulitis of shoulder: a comparative study of two dose regimens. Clin Rehabil 12:211–215PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • Walid Eljabu
    • 1
    Email author
  • Hans Michael Klinger
    • 2
  • Marius von Knoch
    • 3
  1. 1.Department of Traumatology and Hand SurgeryKlinikum Bremerhaven ReinkenheideBremerhavenGermany
  2. 2.Department of Orthopaedic SurgeryGöttingen University HospitalGöttingenGermany
  3. 3.Department of Orthopaedics and Shoulder SurgeryOsterholz County HospitalOsterholz-ScharmbeckGermany

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