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Frozen shoulder: a long-term prospective study.

A I Binder, D Y Bulgen, B L Hazleman

    Annals of the Rheumatic Diseases
    |June 1, 1984
    PubMed
    Summary
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    Frozen shoulder (adhesive capsulitis) often shows persistent objective range of motion restriction, even years later. However, patients typically experience minimal functional impairment in the late stage of this condition.

    Area of Science:

    • Orthopedics
    • Rheumatology
    • Physical Medicine and Rehabilitation

    Background:

    • The natural history and long-term outcomes of frozen shoulder (adhesive capsulitis) remain incompletely understood.
    • Limited data exists on the functional impact of persistent shoulder restriction in the late stages of frozen shoulder.

    Purpose of the Study:

    • To prospectively investigate the long-term functional outcomes and range of motion in patients with frozen shoulder.
    • To identify factors associated with less satisfactory outcomes in frozen shoulder patients.

    Main Methods:

    • Prospective study design involving 40 patients diagnosed with frozen shoulder.
    • Follow-up duration ranged from 40 to 48 months (mean 44 months).
    • Comparison of range of motion with age- and sex-matched healthy controls.

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    Main Results:

    • Significant reduction in shoulder range of motion compared to controls was observed.
    • Objective restriction was severe in 5 patients and mild in 11 patients.
    • Patients were frequently unaware of their impaired shoulder range of motion.
    • Dominant arm involvement, manual labor, and mobilization physiotherapy correlated with poorer outcomes.

    Conclusions:

    • Persistent objective range of motion deficits are common in the late stage of frozen shoulder.
    • Despite objective deficits, significant functional impairment is minimal in the late stage.
    • Factors such as dominant arm use and manual labor may influence recovery trajectory.