Frozen shoulder: clinical presentation, diagnosis, and current approaches to treatment

DOI: https://doi.org/10.29296/25877305-2022-10-03
Issue: 
10
Year: 
2022

A. Yarikov(1–3), Candidate of Medical Sciences; I. Lobanov(3, 4); I. Smirnov(3); Professor I. Ezhov(1, 2), MD; Professor O. Perlmutter(3), MD; Professor A. Fraerman(3), MD; A. Sosnin(1), Candidate of Medical Sciences; Professor A. Mukhin(5), MD; V. Khinovker(6–8), Candidate of Medical Sciences; A. Kotelnikov(9), Candidate of Medical Sciences; I. Garipov(9); S. Pardaev(10), Candidate of Medical Sciences; A. Khudoshin(1); N. Khudoshin(1), Candidate of Medical Sciences; N. Aladyshev(1); A. Abramenkov(1, 2); Professor S. Tsybusov(2), MD
1-Volga District Medical Center, Federal Biomedical Agency of Russia,
Nizhny Novgorod
2-N.I. Lobachevsky National Research Nizhny Novgorod State University
3-City Clinical Hospital Thirty-Nine, Nizhny Novgorod
4-“Tonus” Medical Center, Nizhny Novgorod
5-Volga Research Medical University, Nizhny Novgorod
6-Federal Siberian Research and Clinical Center, Federal Biomedical Agency
of Russia, Krasnoyarsk
7-Clinical Hospital Fifty-One, Federal Biomedical Agency of Russia, Zheleznogorsk
8-Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Ministry
of Health of Russia
9-Acad. G.A. Ilizarov National Medical Research Center for Traumatology
and Orthopedics, Kurgan
10-Samarkand Branch, Republican Specialized Research and Practical Medical Center for Traumatology and Orthopedics, Samarkand, Uzbekistan

Pain in the shoulder joint (SJ) is one of the most common causes of disability in the population, which accounts for 18% of sick leaves. This paper describes in detail the anatomy of SJ, the etiology and clinical presentation of the frozen shoulder (FS). Prominence is given to diagnostic techniques, such as magnetic resonance imaging, computed tomography, electroneuromyography, and ultrasound. The paper presents current methods for the treatment of FS. Special emphasis is placed on medical, interventional, and surgical treatments. Interventional treatment with glucocorticosteroids, hyaluronic acid, and platelet-rich plasma is comparatively analyzed. Early diagnosis and effective treatment can reduce or relieve pain in this group of patients and improve their quality of life.
Keywords: 
therapy
diagnosis
frozen shoulder
shoulder pain
cervicobrachial syndrome
scapulohumeral periarthrosis
impingement syndrome
scapulohumeral periarthropathy adhesive capsulitis.

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