Frozen Shoulder

Also known as adhesive capsulitis, a frozen shoulder is a common condition that leads to stiffness and a loss of joint mobility. Frozen shoulder causes the capsule surrounding the shoulder joint to contract and form scar tissue. The condition most commonly affects women between 40 and 60 years of age.

A frozen shoulder often occurs for no discernible reason. Some patients develop a frozen shoulder after a traumatic injury to the shoulder, but this is not the usual cause. Patients with diabetes have a higher risk for developing the condition.

Anatomy

The shoulder is comprised of three bones and is a “ball in socket” type of joint. The three bones that make up the shoulder are the upper arm bone (humerus), the collarbone (clavicle), and the shoulder blade (scapula). The humerus fits in a little pocket in the shoulder blade, creating the “ball in socket” visual. Synovial fluid in the shoulder helps to keep the joint lubricated for easier mobility while strong connective tissue surrounds the joint.

Causes

Frozen shoulder does not have any direct causes associated with it. However, frozen shoulder affects 10%-20% of people with diabetes. Other causes include hypothyroidism, hyperthyroidism, Parkinson’s disease, heart disease, and if the shoulder has been immobilized for a long period of time.

Symptoms

Most patients with frozen shoulder experience a dull aching pain and a reduced range of motion. Sleeping on the same side as the affected shoulder as well as normal daily activities like brushing hair and dressing can also be painful.

Treatment

Exercise and stretching the shoulder are the primary means to treat frozen shoulder. Physical therapy, anti-inflammatory medications and cortisone injections may also be prescribed. Most cases of frozen shoulder are resolved non-operatively. However, if the problem is not resolved, surgery may be recommended. The surgeon may perform an arthroscopic capsular release to break up the adhesions. The surgery is an outpatient procedure and can be performed under regional or general anesthesia. Physical therapy following surgery is important in order to regain maximum mobility.

 

For more information you can go to orthoinfo.aaos.org.


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