Frozen Shoulder
Shoulder anatomy
Description
- The shoulder joint is a multi-axial joint with muscles crossing it to allow shoulder range of motion (ROM)
- The rotator cuff muscles are important in allowing shoulder ROM
- The rotator cuff muscles consist of Subscapularis, Supraspinatus, Infraspinatus and Teres Minor
- Other important shoulder muscles that allow shoulder ROM include long head of Biceps and the Deltoid muscle
Frozen shoulder, also known as adhesive capsulitis is a shoulder condition where there is shoulder inflammation with clinical manifestation that includes shoulder pain and stiffness.
The shoulder pain and stiffness worsen over time and then slowly resolves. Full recovery may take 2-3 years.
Frozen shoulders commonly affect 40 to 60-year-old individuals and is associated with conditions like Diabetes and hormonal dysfunction that include thyroid abnormalities, cardiac disease, and Parkinsons.
Clinical manifestation
Frozen shoulder will present with shoulder pain.
Clinical examination will demonstrate decreased shoulder range of motion (ROM).
Normal shoulder abduction ROM
Normal shoulder external ROM
Normal shoulder internal ROM
Management
- Management include non operative measures or operative surgery where indicated
- Shoulder Rehabilitation
Shoulder injection with steroid and local anesthetic
Shoulder Rehabilitation
Rehabilitation exercises include stretching and rotator cuff/pericapsular stabilizer strengthening exercises.
Pendulum shoulder range of motion
Pendulum shoulder strength exercise
Shoulder strengthening with resistance band
Download ASSIC Performance Fingerprint or Strength & Conditioning apps for post shoulder joint replacement rehab guideline routines
Shoulder arthroscopy for capsular release
Description
Shoulder arthroscopy: arthroscopic shoulder joint surgery where rotator cuff tendons are repaired/debrided ± an acromioplasty ± removal of loose fragments ± debridement, capsular release.
