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Eur J Orthop Surg Traumatol. 2018 Apr;28(3):363-371. doi: 10.1007/s00590-017-2068-8. Epub 2017 Nov 1.

Review of diabetic frozen shoulder.

Author information

1
Shoulder and Elbow unit, University Hospital of South Manchester, Manchester, UK. crwhelton@doctors.org.uk.
2
Shoulder and Elbow unit, University Hospital of South Manchester, Manchester, UK.

Abstract

Frozen shoulder is a painful debilitating condition which can be diagnosed clinically. It is a condition of chronic inflammation and proliferative fibrosis resulting in painful limitation of shoulder movements with classical clinical signs. Diabetic patients are more likely to develop the disease and more likely to require operative management. Diabetic frozen shoulder is a difficult condition to manage, and the clinician must strike a balance between improving range of movement and treating pain, but not over-treating what is an essentially self-resolving condition. Treatment options principally include physiotherapy and intra-articular injections, and progression to hydrodilatation, manipulation under anaesthetic, or arthroscopic capsular release as required. In this article, we review the available literature to assess best management, and correlate with practice at our unit, proposing a management strategy for treating patients with diabetic frozen shoulder. Management decisions should be agreed upon jointly with the patient and be based upon comorbidities, severity and the natural history of the condition.

KEYWORDS:

Adhesive capsulitis; Diabetes; Diabetic; Frozen shoulder; Management

PMID:
29094212
DOI:
10.1007/s00590-017-2068-8
[Indexed for MEDLINE]

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