Pandey, Vivek and Madi, Sandesh S (2021) Clinical guidelines in the management of frozen shoulder: an update! Indian Journal of Orthopaedics, 55 (2). pp. 299-309. ISSN 0019-5413

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Abstract

Among all the prevalent painful conditions of the shoulder, frozen shoulder remains one of the most debated and illunderstood conditions. It is a condition often associated with diabetes and thyroid dysfunction, and which should always be investigated in patients with a primary stif shoulder. Though the duration of ‘traditional clinicopathological staging’ of frozen shoulder is not constant and varies with the intervention(s), the classifcation certainly helps the clinician in planning the treatment of frozen shoulder at various stages. Most patients respond very well to combination of conservative treatment resulting in gradual resolution of symptoms in 12–18 months. However, the most efective treatment in isolation is uncertain. Currently, resistant cases that do not respond to conservative treatment for 6–9 months could be ofered surgical treatment as either arthroscopic capsular release or manipulation under anaesthesia. Though both invasive options are not clinically superior to another, but manipulation could result in unwarranted complications like fractures of humerus or rotator cuf tear.

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