Volume 20 No 10 (2022)
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Treatment Strategy for Frozen Shoulder; review article
Howaydah Ahmed Mohamed Othman, Sanaa Ahmed El-Tohamy, Mohamed Muftah Ben Naji, Ashraf Elsayed Ahmed Elsayed
Abstract
Frozen shoulder (FS) is a common shoulder disorder characterized by a gradual increase of pain of spontaneous onset and limitation in range of motion of the glenohumeral joint. The pathophysiology of FS is relatively well understood as a pathological process of synovial inflammation followed by capsular fibrosis, but the cause of FS is still unknown. Treatment modalities for FS include medication, local steroid injection, physiotherapy, hydrodistension, manipulation under anesthesia, arthroscopic capsular release, and open capsular release. Conservative management leads to improvement in most cases. However, there is no consensus as to the most efficacious treatments for this condition. In this review article, we provide an overview of current treatment methods for FS. Conclusion: While managing FS, clinician must investigate and manage the patient for any associated conditions especially diabetes and thyroid dysfunction alongside treating the FS. With the availability of trained musculoskeletal sonologist along with advanced sonographic machines, USG could be considered as a primary tool to confirm the diagnosis of FS and rule out secondary disorders rather than straightaway subjecting the patient to MRI. Largely, combination of conservative treatment works quite well in most patients of FS with good to excellent outcomes and must be tried for at least 6–9 months before embarking upon any invasive procedure
Keywords
Adhesive capsulitis; Frozen shoulder; Shoulder; Treatment
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