Abstract
The movements of the shoulder joint may sometimes be markedley limited due to posttraumatic or inflammatory changes in the shoulder joint or in adjacent organs, a condition designated as contracture of the shoulder joint or frozen shoulder. The routine treatment consists of positioning the arm as often as possible in abduction, and of diligent active and passive mobilization exercises. In those patients who started the treatment after a long delay so that the articular as well as the periarticular tissues were very shrunken, manipulation of the shoulder joint was carried out under general anesthesia this led to the return of full motion of the joint in the great majority of these patients. However, in those patients who did not benefit by manipulation, surgical revision of the joint and of periarticular structures was carried out for excision of all scarified tissues. The result was restoration of the mobility of the joint to an adequate although not total range.
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References
Binder AI, Bulgen DY, Hazelman BL, Roberts J (1984) Frozen shoulder; a long term prospective study. Ann Rheum Dis 48:361–364
Duncan BF (1983) The frozen shoulder syndrome. Contemp Orthop 6:69–74
Fareed DO, Gallovan WR (1989) Office management of frozen shoulder syndrome. Clin Orthop 242:177–183
Grey RG (1978) The natural history of idiopathic frozen shoulder. J Bone Joint Surg (Am) 60:564–569
Leffert RD (1985) The frozen shoulder. Instr Course Lect 34:199–203
Neviaser RJ, Neviaser TJ (1981) The frozen shoulder. Diagnosis and management. Clin Orthop 223:59–64
Parker RD, Fracinson AL, Winsberg D (1988) Frozen shoulder treatment by manipulation under anesthesia. Orthop Trans 12:758
Reeves B (1975) The natural history of frozen shoulder syndrome. Scand J Rheum 4:193–202
Rizk TE, Pinals RJ (1982) Frozen shoulder. Semin Arthr Rheum 11:440–458
Shaffer B, Tibone JE, Kerlon RK (1992) Frozen shoulder. J Bone Joint Surg [Am] 74:738–746
Turek JL (1967) The shoulder. In: Turek JL (ed) Orthopedics. Principles and applications. Lippincott, Philadelphia
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Soren, A., Fetto, J.F. Contracture of the shoulder joint. Arch Orthop Trauma Surg 115, 270–272 (1996). https://doi.org/10.1007/BF00439051
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DOI: https://doi.org/10.1007/BF00439051