Time for a New Name for Frozen Shoulder—Contracture of the Shoulder

  title={Time for a New Name for Frozen Shoulder—Contracture of the Shoulder},
  author={T. Bunker},
  journal={Shoulder \& Elbow},
  pages={4 - 9}
  • T. Bunker
  • Published 1 January 2009
  • Biology
  • Shoulder & Elbow
Contracted (Frozen) Shoulder is an enigmatic common, disabling and painful condition. The last two decades have seen advances made in our understanding of the pathology, natural history and associations of this condition. This understanding has allowed led to the development of new and effective methods of treating the disease. Despite these advances there is still a long way to go before we have a full understanding of this condition. 

The Management of Frozen Shoulder

This review brings together published trials and systematic reviews of current treatment options for frozen shoulder in order to help guide a pragmatic approach to managing patients with frozen shoulder and to identify areas for further research.

Melorheostosis Masquerading as a Frozen Shoulder in a Sportsman

A patient who was referred to an orthopaedic upper limb clinic with a presumed diagnosis of a frozen shoulder who turned out to have the rather rare condition, melorheostosis, was successfully treated by arthroscopic debridement.


Adhesive Capsulitis is a painful and disabling disorder of unclear cause in which the shoulder capsule becomes inflamed and stiff, greatly restricting motion and causing chronic pain.

The Frozen Shoulder: Myths and Realities

Treatment options for frozen shoulder include manipulation under anaesthesia and arthroscopic release and are generally reserved for refractory cases, while management is controversial and depends on the phase of the condition.

Adhesive Capsulitis: Diagnosis, Etiology, and Treatment Strategies

The history, epidemiology, diagnosis, pathophysiology, evidence-based treatments, and outcomes associated with this complex and burdensome disease are reviewed.

Solving the Enigma of Frozen Shoulder

It is demonstrated that capsular contracture is not a major contributor to movement restriction in all patients who exhibit classical clinical features of frozen shoulder, and treatment is most commonly aimed at stretching glenohumeral joint structures to restore shoulder ROM while managing pain.

Treatment of adhesive capsulitis: a review.

There is no consensus on how the best way best to manage patients with this condition, so an evidence-based overview regarding the effectiveness of conservative and surgical interventions to treat adhesive capsulitis is provided.

The Pathogenesis and Classification of Shoulder Stiffness

The committee recommended that the term “stiff shoulder” is used to describe the patient who presents with a restricted range of motion and that the aetiology can be due to primary or secondary causes.

Masterclass Frozen shoulder contracture syndrome e Aetiology , diagnosis and management

The aim of this Masterclass is to synthesise evidence to provide a framework for assessment and management for frozen shoulder and to better understand epidemiology, patho-aetiology, assessment, best management, health economics, patient satisfaction and if possible prevention.



Frozen shoulder.

The separate stages of the disease are clearly definable and must be considered in prescribing treatment for the purpose of compressing the natural history and morbidity of this self-limited though disabling condition.

Frozen Shoulder: Diagnosis and Management

  • J. Warner
  • Medicine
    The Journal of the American Academy of Orthopaedic Surgeons
  • 1997
The shoulder stiffness due to trauma or surgery may necessitate either an arthroscopic or an open-release procedure, which are effective in restoring motion in cases of frozen shoulder refractory to nonoperative treatment.

Shoulder pain with particular reference to the frozen shoulder.

  • F. Simmonds
  • Medicine
    The Journal of bone and joint surgery. British volume
  • 1949
An explanation of the pathogenesis of lesions of the musculo-tendinous cuff is submitted in which the different types of clinico-pathological syndrome are correlated.

The role of surgery in frozen shoulder.

The role of treatment which includes physiotherapy, analgesics, injection of cortisone, manipulation and surgical release, must be assessed in the context of a tendency to self-resolution.

The association between frozen shoulder and Dupuytren's disease.

It is shown that Dupuytren's disease is 8.27 times more common in patients with frozen shoulder than in the general population; the difference between the two was highly statistically significant (P < .001, chi(2) test).

Loss of scapulohumeral motion (frozen shoulder).

Duplay (1896) was the first investigator to recognize pathologic disorders of extra-articular tissues as possible factors responsible for stiff and painful shoulders and extracted from the all-inclusive term ‘‘scapulo-periarthritis’’ many unequivocal entities.

Arthroscopic Release of Frozen Shoulder

The primary components of this technique include a scalene block and forward elevation manipulation followed by surgical release of the rotator interval and anterior-inferior capsule.

The classic. Loss of scapulohumeral motion (frozen shoulder). Ann Surg. 1952;135:193-204.

  • A. Depalma
  • Medicine
    Clinical orthopaedics and related research
  • 2008
(The Classic Article is ©1952 by Lippincott Williams & Wilkins and is reprinted with permission from DePalma AF. Loss of scapulohumeral motion (frozen shoulder). Ann Surg. 1952;135:193–204.)

Recalcitrant chronic adhesive capsulitis of the shoulder. Role of contracture of the coracohumeral ligament and rotator interval in pathogenesis and treatment.

The contracture of the coracohumeral ligament and rotator interval appears to be the main lesion in chronic adhesive capsulitis.

The Resistant Frozen Shoulder: Manipulation Versus Arthroscopic Release

Patients with diabetes in particular may benefit from early intervention for restoration of range of movement and pain relief, and the patients in the arthroscopic division group had significantly better pain relief and restoration of function.