Die S2e-Leitlinie Schultersteife

Friedrich Dehlinger; Ulf Bökeler; Hanna Brandt; Lars Brunnader; Lars Eden; Andrea Pfingsten; Robert Prill

doi:10.1055/a-2123-4952

Zeitschrift für Orthopädie und Unfallchirurgie, Table of Contents

Z Orthop Unfall 2024; 162(05): 521-529
DOI: 10.1055/a-2123-4952

Guideline

The S2e Guideline on Shoulder Stiffness

Article in several languages: English | deutsch

Authors

Friedrich Dehlinger

¹Departement for Shoulder and Elbow Surgery, Acura Fachklinik GmbH, Albstadt, Deutschland
Ulf Bökeler

²Klinik für Orthopädie, Unfallchirurgie und Sporttraumatologie, Zentrum für Schwerbrandverletzte, Marien Hospital Stuttgart, Stuttgart, Deutschland (Ringgold ID: RIN39659)
Hanna Brandt

³Faculty of Applied Social and Health Sciences, Department Physiotherapy, Ostbayerische Technische Hochschule Regensburg, Regensburg, Deutschland (Ringgold ID: RIN84614)
Lars Brunnader

⁴Abteilung für Orthopädie und Traumatologie, Krankenhaus der Barmherzigen Brüder Eisenstadt, Eisenstadt, Deutschland
Lars Eden

⁵Klinik für Unfall-, Schulter- und Wiederherstellungschirurgie, Sportmedizin und Sporttraumatologie, Krankenhaus Rummelsberg gGmbH, Schwarzenbruck, Deutschland (Ringgold ID: RIN430810)
Andrea Pfingsten

³Faculty of Applied Social and Health Sciences, Department Physiotherapy, Ostbayerische Technische Hochschule Regensburg, Regensburg, Deutschland (Ringgold ID: RIN84614)
Robert Prill

⁶Center of Orthopaedics and Traumatology, University Hospital Brandenburg/Havel, Brandenburg Medical School Theodor Fontane, Brandenburg an der Havel, Deutschland

⁷Faculty of Health Sciences Brandenburg, Brandenburg Medical School Theodor Fontane, Neuruppin, Deutschland (Ringgold ID: RIN477107)

Abstract

The clinical picture of “frozen shoulder” is still poorly understood. In order to present the current state of knowledge on aetiology, diagnosis, and treatment, and to provide recommendations for the professional groups involved, a working group was formed by the DGOU and the DVSE to create a German language, evidence-based guideline, which was published in 2022 by the AWMF. The following summarises the development and the most important results.

Keywords

clinical guideline - shoulder stiffness - frozen shoulder - recommendation - therapy

Full Text

References

References
1 Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften (AWMF). AWMF-Regelwerk „Leitlinien“. 2012 Accessed July 07, 2023 at: http://www.awmf.org/leitlinien/awmf-regelwerk.html
2 Hanchard NC, Goodchild L, Thompson J. et al. Evidence-based clinical guidelines for the diagnosis, assessment and physiotherapy management of contracted (frozen) shoulder: quick reference summary. Physiotherapy 2012; 98: 117-120
3 Kelley MJ, Shaffer MA, Kuhn JE. et al. Shoulder pain and mobility deficits: adhesive capsulitis. J Orthop Sports Phys Ther 2013; 43: A1-A31
4 Centre for Evidence-Based Medicine, OCEBM Levels of Evidence Working Group*. “The Oxford Levels of Evidence 2”. Accessed July 07, 2023 at: https://www.cebm.ox.ac.uk/resources/levels-of-evidence/ocebm-levels-of-evidence
5 Rizk TE, Pinals RS. Frozen shoulder. Semin Arthritis Rheum 1982; 11: 440-452
6 Itoi E, Arce G, Bain GI. et al. Shoulder Stiffness: Current Concepts and Concerns. Arthroscopy 2016; 32: 1402-1414
7 Prodromidis AD, Charalambous CP. Is There a Genetic Predisposition to Frozen Shoulder? A Systematic Review and Meta-Analysis. JBJS Rev 2016; 4: e4
8 Kulm S, Langhans MT, Shen TS. et al. Genome-Wide Association Study of Adhesive Capsulitis Suggests Significant Genetic Risk Factors. J Bone Joint Surg Am 2022; 104: 1869-1876
9 Ryan V, Brown H, Minns Lowe CJ. et al. The pathophysiology associated with primary (idiopathic) frozen shoulder: A systematic review. BMC Musculoskelet Disord 2016; 17: 340
10 Booker SJ, Boyd M, Gallacher S. et al. The colonisation of the glenohumeral joint by Propionibacterium acnes is not associated with frozen shoulder but is more likely to occur after an injection into the joint. Bone Joint J 2017; 99-B: 1067-1072
11 Bunker TD, Boyd M, Gallacher S. et al. Association between Propionibacterium acnes and frozen shoulder: a pilot study. Shoulder Elbow 2014; 6: 257-261
12 Yian EH, Contreras R, Sodl JF. Effects of glycemic control on prevalence of diabetic frozen shoulder. J Bone Joint Surg Am 2012; 94: 919-923
13 Roh YH, Yi SR, Noh JH. et al. Intra- articular corticosteroid injection in diabetic patients with adhesive capsulitis: a randomized controlled trial. Knee Surg Sports Traumatol Arthrosc 2012; 20: 1947-1952
14 Vastamäki H, Kettunen J, Vastamäki M. The natural history of idiopathic frozen shoulder: a 2- to 27-year followup study. Clin Orthop Relat Res 2012; 470: 1133-1143
15 Hand C, Clipsham K, Rees JL. et al. Long-term outcome of frozen shoulder. J Shoulder Elbow Surg 2008; 17: 231-236
16 Koorevaar RCT, Van’t Riet E, Ipskamp M. et al. Incidence and prognostic factors for postoperative frozen shoulder after shoulder surgery: a prospective cohort study. Arch Orthop Trauma Surg 2017; 137: 293-301
17 Kelley MJ, Shaffer MA, Kuhn JE. et al. Shoulder pain and mobility deficits: adhesive capsulitis. J Orthop Sports Phys Ther 2013; 43: A1-A31
18 Padua R, de Girolamo L, Grassi A. et al. Choosing patient-reported outcome measures for shoulder pathology. EFORT Open Rev 2021; 6: 779-787
19 Cyriax J. Textbook of orthopedic MedicineDiagnosis of soft Tissue Lesions. 1. London: Balliere Tindall; 1982
20 Klauser AS, Tagliafico A, Allen GM. et al. Clinical indications for musculoskeletal ultrasound: a Delphi-based consensus paper of the European Society of Musculoskeletal Radiology. Eur Radiol 2012; 22: 1140-1148
21 Small KM, Adler RS, Shah SH. Expert Panel on Musculoskeletal Imaging. et al. ACR Appropriateness Criteria® Shoulder Pain-Atraumatic. J Am Coll Radiol 2018; 15 (Suppl. 11) S388-S402
22 Mengiardi B, Pfirrmann CW, Gerber C. et al. Frozen shoulder: MR arthrographic findings. Radiology 2004; 233: 486-492
23 Abd Elhamed HB, Koura GM, Hamada HA. et al. Effect of strengthening lower trapezius muscle on scapular tipping in patients with diabetic frozen shoulder: a randomized controlled study. Biomed Res India 2018; 29: 442-447
24 Balcı NC, Yuruk ZO, Zeybek A. et al. Acute effect of scapular proprioceptive neuromuscular facilitation (PNF) techniques and classic exercises in adhesive capsulitis: a randomized controlled trial. J Phys Ther Sci 2016; 284: 1219-1227
25 Celik D. Comparison of the outcomes of two different exercise programs on frozen shoulder. Acta Orthop Traumatol Turc 2010; 44: 285-292
26 Dundar U, Toktas H, Cakir T. et al. Continuous passive motion provides good pain control in patients with adhesive capsulitis. Int J Rehabil Res 2009; 32: 193-198
27 Horst R, Maicki T, Trąbka R. et al. Activity- vs. structural-oriented treatment approach for frozen shoulder: a randomized controlled trial. Clin Rehabil 2017; 31: 686-695
28 Mohamed A, Jan YK, Elsayed W. et al. Effect of dynamic scapular recognition on shoulder range of motion in patients with adhesive capsulitis. Arch Phys Med Rehabil 2017; 98: e57-e58
29 Russell S, Jariwala A, Conlon R. et al. A blinded, randomized, controlled trial assessing conservative management strategies for frozen shoulder. J Shoulder Elbow Surg 2014; 23: 500-507
30 Page MJ, Green S, Kramer S. et al. Manual therapy and exercise for adhesive capsulitis (frozen shoulder). Cochrane Database Syst Rev 2014; (08) CD011275
31 Buchbinder R, Hoving JL, Green S. et al. Short course prednisolone for adhesive capsulitis (frozen shoulder or stiff painful shoulder): a randomised, double blind, placebo controlled trial. Ann Rheum Dis 2004; 63: 1460-1469
32 Berghs BM, Sole-Molins X, Bunker TD. Arthroscopic release of adhesive capsulitis. J Shoulder Elbow Surg 2004; 13: 180-185
33 Shah N, Lewis M. Shoulder adhesive capsulitis: systematic review of randomised trials using multiple corticosteroid injections. Br J Gen Pract 2007; 57: 662-667
34 Yoon SH, Lee HY, Lee HJ. et al. Optimal dose of intra-articular corticosteroids for adhesive capsulitis: a randomized, triple-blind, placebo-controlled trial. Am J Sports Med 2013; 41: 1133-1139
35 Shang X, Zhang Z, Pan X. et al. Intra-Articular versus Subacromial Corticosteroid Injection for the Treatment of Adhesive Capsulitis: A Meta-Analysis and Systematic Review. Biomed Res Int 2019; 2019: 1274790
36 Loew M, Heichel TO, Lehner B. Intraarticular lesions in primary frozen shoulder after manipulation under general anesthesia. J Shoulder Elbow Surg 2005; 14: 16-21
37 Maund E, Craig D, Suekarran S. et al. Management of frozen shoulder: a systematic review and cost-effectiveness analysis. Health Technol Assess 2012; 16: 1-264
38 Suh CH, Yun SJ, Jin W. et al. Systematic review and meta-analysis of magnetic resonance imaging features for diagnosis of adhesive capsulitis of the shoulder. Eur Radiol 2019; 29: 566-577
39 Kraal T, Sierevelt I, van Deurzen D. et al. Corticosteroid injection alone vs additional physiotherapy treatment in early stage frozen shoulders. World J Orthop 2018; 9: 165-172
40 Griesser MJ, Harris JD, Campbell JE. et al. Adhesive capsulitis of the shoulder: a systematic review of the effectiveness of intra-articular corticosteroid injections. J Bone Joint Surg Am 2011; 93: 1727-1733
41 Park C, Lee S, Yi CW. et al. The effects of extracorporeal shock wave therapy on frozen shoulder patients’ pain and functions. J Phys Ther Sci 2015; 27: 3659-3661
42 Saltychev M, Laimi K, Virolainen P. et al. Effectiveness of Hydrodilatation in Adhesive Capsulitis of Shoulder: A Systematic Review and Meta-Analysis. Scand J Surg 2018; 107: 285-293
43 Su YD, Lee TC, Lin YC. et al. Arthroscopic release for frozen shoulder: Does the timing of intervention and diabetes affect outcome?. PLoS One 2019; 14: e0224986
44 Cho CH, Kim DH, Lee YK. Serial Comparison of Clinical Outcomes After Arthroscopic Capsular Release for Refractory Frozen Shoulder With and Without Diabetes. Arthroscopy 2016; 32: 1515-1520
45 Mehta SS, Singh HP, Pandey R. Comparative outcome of arthroscopic release for frozen shoulder in patients with and without diabetes. Bone Joint J 2014; 96-B: 1355-1358
46 Smith CD, Hamer P, Bunker TD. Arthroscopic capsular release for idiopathic frozen shoulder with intra-articular injection and a controlled manipulation. Ann R Coll Surg Engl 2014; 96: 55-60
47 Grant JA, Schroeder N, Miller BS. et al. Comparison of manipulation and arthroscopic capsular release for adhesive capsulitis: a systematic review. J Shoulder Elbow Surg 2013; 22: 1135-1145
48 Gerber C, Espinosa N, Perren TG. Arthroscopic treatment of shoulder stiffness. Clin Orthop Relat Res 2001; (390) 119-128
49 Dattani R, Ramasamy V, Parker R. et al. Improvement in quality of life after arthroscopic capsular release for contracture of the shoulder. Bone Joint J 2013; 95-B: 942-946
50 Lafosse L, Boyle S, Kordasiewicz B. et al. Arthroscopic arthrolysis for recalcitrant frozen shoulder: a lateral approach. Arthroscopy 2012; 28: 916-923
51 Barnes CP, Lam PH, Murrell GA. Short-term outcomes after arthroscopic capsular release for adhesive capsulitis. J Shoulder Elbow Surg 2016; 25: e256-e264
52 Jerosch J, Nasef NM, Peters O. et al. Mid-term results following arthroscopic capsular release in patients with primary and secondary adhesive shoulder capsulitis. Knee Surg Sports Traumatol Arthrosc 2013; 21: 1195-1202
53 Le Lievre HM, Murrell GA. Long-term outcomes after arthroscopic capsular release for idiopathic adhesive capsulitis. J Bone Joint Surg Am 2012; 94: 1208-1216
54 Kanbe K. Clinical outcome of arthroscopic capsular release for frozen shoulder: essential technical points in 255 patients. J Orthop Surg Res 2018; 13: 56
55 Fernandes MR. Arthroscopic capsular release for refractory shoulder stiffness. Rev Assoc Med Bras (1992) 2013; 59: 347-353
56 Holloway GB, Schenk T, Williams GR. et al. Arthroscopic capsular release for the treatment of refractory postoperative or post-fracture shoulder stiffness. J Bone Joint Surg Am 2001; 83: 1682-1687
57 De Carli A, Vadalà A, Perugia D. et al. Shoulder adhesive capsulitis: manipulation and arthroscopic arthrolysis or intra-articular steroid injections?. Int Orthop 2012; 36: 101-106
58 Redler LH, Dennis ER. Treatment of Adhesive Capsulitis of the Shoulder. J Am Acad Orthop Surg 2019; 27: e544-e554