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Idiopathic frozen shoulder.

Shane Brun1

  • 1MBBS, FFSEM (UK), FASMF, FACRRM, FRACGP, FARGP, MTrauma (Distinction), MSpMed, MEd, BAppSc, DCH, Associate Professor, College of Medicine and Dentistry, James Cook University, QLD; Visiting Professor, Sports Medicine Unit, University of Malaysia, MY; Senior Medical Officer and Instructor, Fédération Internationale de Football Association@(FIFA), CH; Senior Medical Officer and Instructor, Asian Football Confederation (AFC), MY. shane.brun@jcu.edu.au.

Australian Journal of General Practice
|November 14, 2019
PubMed
Summary
This summary is machine-generated.

Idiopathic frozen shoulder significantly impacts Australians, causing pain and stiffness. Primary care physicians are key in diagnosis and managing this condition with physiotherapy.

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Area of Science:

  • Orthopedics
  • Primary Care Medicine
  • Physiotherapy

Background:

  • Shoulder pain and stiffness affect over 25% of Australians.
  • Idiopathic frozen shoulder impacts more than 250,000 Australians, presenting a substantial health burden.
  • Primary care physicians manage most cases, playing a crucial role in diagnosis and treatment planning.

Purpose of the Study:

  • To detail the natural history, pathophysiology, phases, and clinical features of idiopathic frozen shoulder.
  • To identify patient risk factors for developing idiopathic frozen shoulder.
  • To outline an evidence-based conservative management strategy for idiopathic frozen shoulder.

Main Methods:

  • Review of the natural history, pathophysiology, and clinical presentation of idiopathic frozen shoulder.
  • Identification of risk factors associated with idiopathic frozen shoulder development.
  • Synthesis of evidence-based conservative treatment approaches.

Main Results:

  • Idiopathic frozen shoulder has a distinct natural history, pathophysiology, and clinical course.
  • Certain patient groups are at higher risk for developing this condition.
  • Conservative management, often in collaboration with physiotherapy, is effective for most patients.

Conclusions:

  • Primary care physicians are central to identifying and managing idiopathic frozen shoulder.
  • The majority of patients achieve positive outcomes with conservative management strategies.
  • A collaborative approach between primary care physicians and physiotherapists is essential for optimal patient care.