Pregledni rad
https://doi.org/10.21751/FRM-39-1-2-2
DIAGNOSIS AND TREATMENT OF FROZEN SHOULDER
Josip Ljoka
; Zavod za fizikalnu i rehabilitacijsku medicinu s reumatologijom, Klinička bolnica Dubrava, 10000 Zagreb, Hrvatska
*
Dubravka Bobek
; Zavod za fizikalnu i rehabilitacijsku medicinu s reumatologijom, Klinička bolnica Dubrava, 10000 Zagreb, Hrvatska
Matea Stiperski Matoc
; Zavod za fizikalnu i rehabilitacijsku medicinu s reumatologijom, Klinička bolnica Dubrava, 10000 Zagreb, Hrvatska
Katarina Doko Šarić
; Zavod za fizikalnu i rehabilitacijsku medicinu s reumatologijom, Klinička bolnica Dubrava, 10000 Zagreb, Hrvatska
Jan Aksentijević
; Zavod za fizikalnu i rehabilitacijsku medicinu s reumatologijom, Klinička bolnica Dubrava, 10000 Zagreb, Hrvatska
Matija Galović
; Zavod za fizikalnu i rehabilitacijsku medicinu s reumatologijom, Klinička bolnica Dubrava, 10000 Zagreb, Hrvatska
Višnja Abdović Škrabalo
; Zavod za fizikalnu i rehabilitacijsku medicinu s reumatologijom, Klinička bolnica Dubrava, 10000 Zagreb, Hrvatska
Iva Domić
; Zavod za fizikalnu i rehabilitacijsku medicinu s reumatologijom, Klinička bolnica Dubrava, 10000 Zagreb, Hrvatska
* Dopisni autor.
Sažetak
Frozen shoulder is one of the most complex and least understood painful conditions of the shoulder. It is characterized by pain and stiffness of the shoulder joint, along with reduced mobility, particularly in abduction and external rotation. The condition can be primary (of unknown cause) or secondary, following injuries such as rotator cuff tears or humeral fractures, as well as infections or inflammatory conditions. It is often associated with diabetes and thyroid disorders. Most patients respond well to conservative treatment methods, with symptoms usually resolving within 12 to 18 months. Diagnosis is made clinically, based on medical history and physical examination, with imaging techniques used to exclude other shoulder pathologies. Treatment includes initial protective measures, gentle mobility exercises, NSAIDs, physiotherapeutic modalities, and intra-articular corticosteroid injections, as well as hydrodilatation (HD) in more severe cases. In cases of intense pain, a suprascapular nerve block may be administered. For patients who do not show improvement after 6 to 9 months of conservative therapy, surgical options such as arthroscopic capsular release (ACR) or manipulation under anesthesia (MUA) may be considered.
Ključne riječi
Hrčak ID:
330725
URI
Datum izdavanja:
4.5.2025.
Posjeta: 0 *