Operative management of the frozen shoulder in patients with diabetes

Massoud, Samir N.; Pearse, Eyiyemi; Levy, Ofer; Copeland, Stephen A.

doi:10.1067/mse.2002.127301

Cited by 101 publications

(77 citation statements)

References 20 publications

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“…Pathogenesis mechanisms have been proposed, such as endocrine, immunological, and inflammatory processes4. In addition, thyroid diseases, diabetes mellitus, Dupuytren contractures, breast cancer treatment, and autoimmune diseases have been associated with adhesive capsulitis in previous studies56789. Furthermore, patients diagnosed with myocardial infarctions and cerebral vascular diseases are reportedly at risk of adhesive capsulitis1011.…”

mentioning

confidence: 97%

Hyperthyroidism is a Risk Factor for Developing Adhesive Capsulitis of the Shoulder: A Nationwide Longitudinal Population-Based Study

Huang

Lin

Wang

et al. 2014

Sci Rep

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The purpose of this study was to investigate the prevalence and risk of adhesive capsulitis among hyperthyroidism patients. The data were obtained from the Longitudinal Health Insurance Database 2005 (LHID 2005) in Taiwan, using 1 million participants and a prospective population-based 7-year cohort study of survival analysis. The ambulatory-care claim records of patients diagnosed according to the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes relating to hyperthyroidism between January 1, 2004 and December 31, 2007, were obtained. The prevalence and the adjusted hazard ratio (HR) of adhesive capsulitis among hyperthyroid patients and the control group were estimated. Of 4472 hyperthyroid patients, 162 (671/100 000 person-years) experienced adhesive capsulitis during the 24 122 person-year follow-up period. The crude HR of stroke was 1.26 (95% confidence interval [CI], 1.06 to 1.49), which was larger than that of the control group. The adjusted HR of developing adhesive capsulitis was 1.22 (95% CI, 1.03 to 1.45) for hyperthyroid patients during the 7-year follow-up period, which achieved statistical significance. The results of our large-scale longitudinal population-based study indicated that hyperthyroidism is an independent risk factor of developing adhesive capsulitis.

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mentioning

confidence: 97%

Hyperthyroidism is a Risk Factor for Developing Adhesive Capsulitis of the Shoulder: A Nationwide Longitudinal Population-Based Study

Huang

Lin

Wang

et al. 2014

Sci Rep

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“…Conservative treatment or even thoughtful neglect is considered the treatment of choice, but if non-operative treatment has failed to alleviate pain, or if limitation of shoulder motion is too burdensome, manipulation under anesthesia (MuA) is still being used. Several retrospective studies suggest that duration of symptoms may be reduced by manipulation (2,(6)(7)(8)(9)(10)(11)(12), and good outcome is maintained for several decades (13). However, there are randomized controlled trials (RCTs) showing that MuA does not add effectiveness to an exercise program carried out by the patient after instruction (14) or to administration of an intra-articular steroid with distension (15) or hydrodilatation (16).…”

Section: Introductionmentioning

confidence: 99%

Optimal time for manipulation of frozen shoulder may be between 6 and 9 months

Vastamäki

Varjonen²,

Vastamäki

2015

Scand J Surg

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Background and Aims: idiopathic frozen shoulder can be successfully treated conservatively. manipulation under anesthesia, in randomized controlled studies, has proven to bring no additional benefit to other treatments. however, manipulation under anesthesia still is a used method mainly among patients with unbearable pain or too longstanding restriction of shoulder motion. manipulation under anesthesia may lead to significant improvement in shoulder motion and function. however, the best timing for manipulation under anesthesia is still unclear. we therefore investigated whether timing of manipulation under anesthesia has influence on the results of manipulation under anesthesia, concerning range of motion, pain, and function.Material and Methods: we followed 57 patients (65 shoulders; 31 in women) at 2-14 years after manipulation under anesthesia evaluating range of motion, pain, and function. their mean age at manipulation under anesthesia was 54.0 years. a total of 10 patients had diabetes. the time between the onset of symptoms and manipulation averaged 8.8 months. we formed two groups, those mobilized between 6 and 9 months after the onset of symptoms (Group a, 25 shoulders), and the others (Group b, 40 shoulders). we recorded visual analog scale pain, range of motion, simple shoulder test, and constantmurley scores.Results: patients manipulated between 6 and 9 months after the onset of symptoms had significantly better abduction and external rotation, less pain at rest and at night, and better simple shoulder test than the others.Conclusions: it seems that timing has statistically significant influence on results of manipulation of the idiopathic frozen shoulder. the best time for manipulation under anesthesia, if non-operative treatment has failed to alleviate pain or limitation of shoulder

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“…ACR is usually the best alternative for the patients; however, surgical outcome is inferior to in non-diabetic patients. 16,17 The latter is likely due to glycemic injury at the microvascular level.…”

Section: Discussionmentioning

confidence: 99%

“…We typically target the CHL and rotator interval, but also endorse freeing additional structures such as the inferior and posterior capsules in order to optimize shoulder elevation, internal and external rotations. [15][16][17] Preoperative evaluation of shoulder motion should dictate the degree of capsular release necessary to obtain a satisfactory result. In addition, documentation of baseline (Video 1) and postoperative range of motion is essential to motivate patients at the beginning of rehabilitation.…”

Section: Surgical Technique Surgical Anatomy and Preoperative Planningmentioning

confidence: 99%

Primary Frozen Shoulder Syndrome: Arthroscopic Capsular Release

Arce

2015

Arthroscopy Techniques

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Idiopathic adhesive capsulitis, or primary frozen shoulder syndrome, is a fairly common orthopaedic problem characterized by shoulder pain and loss of motion. In most cases, conservative treatment (6-month physical therapy program and intra-articular steroid injections) improves symptoms and restores shoulder motion. In refractory cases, arthroscopic capsular release is indicated. This surgical procedure carries several advantages over other treatment modalities. First, it provides precise and controlled release of the capsule and ligaments, reducing the risk of traumatic complications observed after forceful shoulder manipulation. Second, release of the capsule and the involved structures with a radiofrequency device delays healing, which prevents adhesion formation. Third, the technique is straightforward, and an oral postoperative steroid program decreases pain and allows for a pleasant early rehabilitation program. Fourth, the procedure is performed with the patient fully awake under an interscalene block, which boosts the patient's confidence and adherence to the physical therapy protocol. In patients with refractory primary frozen shoulder syndrome, arthroscopic capsular release emerges as a suitable option that leads to a faster and long-lasting recovery.

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Operative management of the frozen shoulder in patients with diabetes

Cited by 101 publications

References 20 publications

Hyperthyroidism is a Risk Factor for Developing Adhesive Capsulitis of the Shoulder: A Nationwide Longitudinal Population-Based Study

Hyperthyroidism is a Risk Factor for Developing Adhesive Capsulitis of the Shoulder: A Nationwide Longitudinal Population-Based Study

Optimal time for manipulation of frozen shoulder may be between 6 and 9 months

Primary Frozen Shoulder Syndrome: Arthroscopic Capsular Release

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