Zusammenfassung
Die adhäsive Kapsulitis ist eine der häufigsten Ursachen für Beschwerden mit Funktionseinschränkung der Schulter. Die genaue Pathogenese ist unklar, es wird jedoch eine abnormale Produktion von Zytokinen beschrieben, welche zu einer reaktiven Fibrosierung der Kapsel und des Rotatorenintervalls führen. Die konservative Behandlung beinhaltet neben Analgetika und physiotherapeutischer Übungsbehandlung auch den Einsatz oral oder intra-artikulär verabreichter Kortikosteroide. Diese zeigen in der Behandlung der adhäsiven Kapsulitis der Schulter eine schnelle Schmerzreduktion und Verbesserung der Schulterbeweglichkeit und sind in unseren Augen ein adäquates und komplikationsarmes Mittel zur Behandlung der idiopathischen Frozen Shoulder.
Abstract
Idiopathic adhesive capsulitis is a common illness of the shoulder leading to pain and limited range of motion. The underlying pathology remains uncertain. An abnormal production of cytokines is described, resulting in a reactive fibrosis of the capsule and the rotator interval. In the conservative treatment which includes pain killers, anti-inflammatory medication and physical therapy, the application of oral or intra-articular corticosteroids is also described. They lead to fast pain relief, improve range of motion and are, in our opinion, an adequate option in the treatment of idiopathic adhesive capsulitis of the shoulder.
This is a preview of subscription content, log in via an institution to check access.
Literaturverzeichnis
Arslan S, Celiker R (2001) Comparison of the efficacy of local corticosteroid injection and physical therapy for the treatment of adhesive capsulitis. Rheumatol Int 21:20–23
Balci N, Balci MK, Tuzuner S (1999) Shoulder adhesive capsulitis and shoulder range of motion in type II diabetes mellitus: association with diabetic complications. J Diabetes Complications 13:135–140
Binder A, Hazleman BL, Parr G, Roberts S (1986) A controlled study of oral prednisolone in frozen shoulder. Br J Rheumatol 25:288–292
Blockey NJ, Wright JK, Kellgren JH (1954) Oral cortisone therapy in periarthritis of the shoulder; a controlled trial. Br Med J 1:1455–1457
Bridgman JF (1972) Periarthritis of the shoulder and diabetes mellitus. Ann Rheum Dis 31:69–71
Buchbinder R, Green S, Youd JM, Johnston RV (2006) Oral steroids for adhesive capsulitis. Cochrane Database Syst RevCD006189
Bunker TD (1997) Frozen shoulder: unravelling the enigma. Ann R Coll Surg Engl 79:210–213
Bunker TD, Reilly J, Baird KS, Hamblen DL (2000) Expression of growth factors, cytokines and matrix metalloproteinases in frozen shoulder. J Bone Joint Surg Br 82:768–773
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 48:829–838
Goldberg BA, Scarlat MM, Harryman DT (1999) Management of the stiff shoulder. J Orthop Sci 4:462–471
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:1398–1407
Hand GC, Athanasou NA, Matthews T, Carr AJ (2007) The pathology of frozen shoulder. J Bone Joint Surg Br 89:928–932
Hannafin JA, Chiaia TA (2000) Adhesive capsulitis. A treatment approach. Clin Orthop Relat Res 95–109
Hazleman BL (1972) The painful stiff shoulder. Rheumatol Phys Med 11:413–421
Jerosch J, Fayaz HC (2005) Orthopedic refresher. Adhesive capsulitis. Etiology, diagnosis and therapy. Z Orthop Ihre Grenzgeb 143:R21–R37
Levine WN, Kashyap CP, Bak SF et al (2007) Nonoperative management of idiopathic adhesive capsulitis. J Shoulder Elbow Surg 16:569–573
Lorbach O, Anagnostakos K, Scherf C et al (2008) Non-operative Management of Adhesive Capsulitis of the Shoulder: Oral Cortisone Application versus Intra-articular Cortisone Injections. Podium Presentation, Congress of the SECEC/ESSSE 2008 Brugge, Belgium
Lorbach O, Kusma M, Scherf C et al (2007) Die intra-artikuläre Glukokortikoid-Injektionsserie zur Behandlung der Adhäsiven Kapsulitis der Schulter. Vortrag, Kongress der dt Gesellschaft für Orthopädie und Orthop Chirurgie, Berlin, Oktober 2007
McKee MD, Waddell JP, Kudo PA et al (2001) Osteonecrosis of the femoral head in men following short-course corticosteroid therapy: a report of 15 cases. CMAJ 164:205–206
Mullett H, Byrne D, Colville J (2007) Adhesive capsulitis: human fibroblast response to shoulder joint aspirate from patients with stage II disease. J Shoulder Elbow Surg 16:290–294
Neviaser RJ, Neviaser TJ (1987) The frozen shoulder. Diagnosis and management. Clin Orthop Relat Res 59–64
Rizk TE, Pinals RS, Talaiver AS (1991) Corticosteroid injections in adhesive capsulitis: investigation of their value and site. Arch Phys Med Rehabil 72:20–22
Ryans I, Montgomery A, Galway R et al (2005) A randomized controlled trial of intra-articular triamcinolone and/or physiotherapy in shoulder capsulitis. Rheumatology (Oxford) 44:529–535
Saag KG, Koehnke R, Caldwell JR et al (1994) Low dose long-term corticosteroid therapy in rheumatoid arthritis: an analysis of serious adverse events. Am J Med 96:115–123
Van Der Windt DA, Koes BW, Deville W et al (1998) Effectiveness of corticosteroid injections versus physiotherapy for treatment of painful stiff shoulder in primary care: randomised trial. BMJ 317:1292–1296
Walsh LJ, Wong CA, Oborne J et al (2001) Adverse effects of oral corticosteroids in relation to dose in patients with lung disease. Thorax 56:279–284
Widiastuti-Samekto M, Sianturi GP (2004) Frozen shoulder syndrome: comparison of oral route corticosteroid and intra-articular corticosteroid injection. Med J Malaysia 59:312–316
Interessenkonflikt
Es besteht kein Interessen Knoflikte
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Lorbach, O., Anagnostakos, K., Scherf, C. et al. Kortikosteroide zur Behandlung der Adhäsiven Kapsulitis der Schulter. Obere Extremität 3, 198–202 (2008). https://doi.org/10.1007/s11678-008-0002-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11678-008-0002-8