[The frozen shoulder].

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Abstract

[Indexed for MEDLINE] 16. Unfallchirurg. 2019 Dec;122(12):934-940. doi: 10.1007/s00113-019-00731-3. [Conservative treatment of frozen shoulder]. [Article in German] Franz A(1), Klose M(2), Beitzel K(3)(4). Author information: (1)ATOS Orthoparc Klinik, Aachener Str. 1021B, 50858, Köln, Deutschland. (2)Abteilung für Sportorthopädie, Technische Universität München, München, Deutschland. (3)ATOS Orthoparc Klinik, Aachener Str. 1021B, 50858, Köln, Deutschland. knut.beitzel@atos.de. (4)Abteilung für Sportorthopädie, Technische Universität München, München, Deutschland. knut.beitzel@atos.de. Idiopathic shoulder stiffness (i.e. frozen shoulder, FS) is a common pathology of the glenohumeral joint characterized by a sudden onset of pain syndrome and progressive restriction of the range of motion. While the histological changes of FS are accompanied by synovial inflammation and increasing capsular fibrosis, the underlying cause of FS is still unknown. The treatment options for FS are multifarious and include medication, local steroid injection, physiotherapy, hydrodistension, manipulation under anesthesia, arthroscopic and open capsular release. As the disease is usually self-limiting and the symptoms resolve after 2-3 years, especially conservative treatment measures are often clinically applied; however, in this context there is still no scientifically based consensus on which treatment measures are most likely to contribute to symptom relief in which phase of the disease. For this reason, this article focuses on the description of the scientifically investigated conservative treatment methods in FS and their temporal classification into the classical three-phase course of the disease. DOI: 10.1007/s00113-019-00731-3