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The Journal of Bone and Joint Surgery, Vol 74, Issue 5 738-746, Copyright © 1992 by Journal of Bone and Joint Surgery, Inc
Frozen shoulder. A long-term follow-up
B Shaffer, JE Tibone and RK Kerlan
Kerlan-Jobe Orthopaedic Clinic, Inglewood, California 90301.
Sixty-two patients (sixty-eight shoulders) who had been treated
non-operatively for idiopathic frozen shoulder were evaluated subjectively
and objectively at two years and two months to eleven years and nine months
of follow-up (average, seven years). Thirty-one (50 per cent) of these
patients still had either mild pain or stiffness of the shoulder, or both.
The range of motion averaged 161 degrees of forward flexion, 157 degrees of
forward elevation, 149 degrees of abduction, 65 degrees of external
rotation, and internal rotation to the level of the fifth thoracic spinous
process. Thirty-seven (60 per cent) of the sixty-two patients still
demonstrated some restriction of motion as compared with study-generated
control values (calculated as the average motion, in each plane, for the
thirty-seven unaffected shoulders of the patients who had unilateral
disease). Ten patients had restriction of forward flexion; eight, of
forward elevation; seventeen, of abduction; twenty-nine, of external
rotation; and ten, of internal rotation. However, when the motion of each
affected shoulder of thirty-seven patients who had unilateral involvement
was compared with that of the unaffected contralateral shoulder, eleven (30
per cent) demonstrated some restriction. None of these patients had
restriction of forward flexion; two had restriction of forward elevation;
two, of abduction; seven, of external rotation; and seven, of internal
rotation. The patients who had substantial restriction in three planes or
more were thirteen times more likely to be men (p greater than 0.05).
Marked restriction, when it was present, was most commonly in external
rotation. Only seven patients (11 per cent) reported mild functional
limitation.(ABSTRACT TRUNCATED AT 250 WORDS)
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