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Choi, Kang, Jung, and Nam: Clinical Analysis of Frozen Shoulder
Original Article

J Korean Orthop Assoc 1975;10(4):461-465.

Published online: 20 December 1975

DOI: https://doi.org/10.4055/jkoa.1975.10.4.461

Clinical Analysis of Frozen Shoulder

Ki Hong Choi, M.D., Chung Nam Kang, M.D., Kang Hong Jung, M.D., Myung oh Nam, M.D.

1Department of Orthopedic Surgery, Ewiia University, College of Medicine, Seoul

Copyright © 1975 The Korean Orthopaedic Association

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The 133 cases of Frozen Shoulder are analysed clinically with followup study of at least 3 months. Sexual incidence was higher in female showing the ratio of 3.9 to 1 in compare with the male. The heihest age incidence was sixth decade commonly in both sex. Of the limitation of shoulder motion, abduction was most common and next external rotation.
The treatment Avas mainly conservatives with local injection of prednisolone at maximal tender point and physical therapy such as hot pack application, ultrasonic and pendulum exercise.

REFERENCES

1). Anderson L.D.Campbell's Operative Orthopedics. 5th ed.p. 1475. Saint Louis, The C. V. Mosby Company;1971.
2). Buck J.E.Treatment of “frozen shoulder by manipulation and cortisone. J. Bone Joint Surg. 37-B:167. 1955.
3). Crenshaw A. H.., Kilgore W. E.Surgical Treatment of Bicipital Tenosynovitis. J. Bone Joint Surg. 48-A:1496. 1966.
crossref
4). D. ePalma A.F.The Frozen Shoulder and Bicipital Tenosynovitis. J. Bone Joint Surg. 3. 5-A:253. 1953.
5). Duthie R.B.., Ferguson A.B. Jr.Mercer's Orthopedic Surgery. 7th edition, 936. London, Edward Arnold (Publishers) Ltd. 1973.
6). Haggart G.E.., Dignam R.J.., Sullivan T.S.Management of the aFrozen3 Shoulder. J.A.M.A. 161:1956.
7). Hammond G.., Torgerson W. R. Jr.., Dotter W.E.., Leach R.E.The painful shoulder. Instructional Course Lecture. Vol. XX:83. 1971.
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15). Watson-Jones R.Simple treatment of the stiff shoulder. J. Bone Joint Surg. 45-B:207. 1963.

<⮤ 1>
Age& Sex
Sex \ Age 20-30 31-40 41-50 51-60 61-70 71 Î Total
Male 3 15 8 1 27
Female 1 3 15 45 36 6 106
Total 1 3 18 60 44 7 133
<⮤ 2>
Chief Complaints
Chief Complaints No. %
only shoulder pain 15 11.2
only shoulder motion limit 7 5.2
pain and motion limit 111 83.5
tingling of affected arm 22 16.5
radiating pain to arm 14 10.5
cervical region discomfortness 4 3.0
weakness and atrophy of arm 2 0.1
<⮤ 3>
Maximum Tender point
Maximum tender point No. %
bicipital groove 47 35.3
greater tuberosity 18 21.1
supraspinatus 24 18.0
coracoid process 14 10.5
lesser tuberosity 7 5.2.
infraspinatus and teres minor 4 3.0
no remarkable tenderness 9 6.9
133 100
<⮤ 4>
Limitation of Motion
Motion cases.
abduction 䴜 105
ext. rotation 䴜 69
int. rotation 䴜 52
extension 䴜 18
flexion 䴜 17
adduction 䴜 12
<⮤ 5>
Prednisolone local injecton
time \ Dose 3mg 5mg 10mg
1 27 5 32(25.6%)
2 19 3 22(17.6%)
3 1 8 1 10 (8-0%)
4 12 5 17(13.6%)
5 2 29 2 33(26-4%)
6 3 3 (2.4%)
7 2 2 (1.6%)
8 Q 1 1 (0.8%)
y 10 5 5 (4.0%)
3(2.4%) 106(84.8) 16(12.8) 125(100%)
<⮤ 6>
Result
pain improved ROM cases
Good — 90。T 48(36.1%)
Fair — 60°〜90o 47(35.3%)
Poor —— or 士 30° 〜603 29(21.8%〉
Fail db or + 30° Î 9 (6.8%)
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