ARTÍCULOS MÉDICOS

Hombro y codo

Incidence and prognostic factors for postoperative frozen shoulder after shoulder surgery: a prospective cohort study

Archives of Orthopaedic and Trauma Surgery

March 2017, Volume 137, Issue 3, pp 293–301

Incidence and prognostic factors for postoperative frozen shoulder after shoulder surgery: a prospective cohort study

Authors

Rinco C. T. Koorevaar, Esther van‘t Riet, Marcel Ipskamp, Sjoerd K. Bulstra

Abstract

Purpose

Frozen shoulder is a potential complication after shoulder surgery. It is a clinical condition that is often associated with marked disability and can have a profound effect on the patient’s quality of life. The incidence, etiology, pathology and prognostic factors of postoperative frozen shoulder after shoulder surgery are not known. The purpose of this explorative study was to determine the incidence of postoperative frozen shoulder after various operative shoulder procedures. A second aim was to identify prognostic factors for postoperative frozen shoulder after shoulder surgery.

Methods

505 consecutive patients undergoing elective shoulder surgery were included in this prospective cohort study. Follow-up was 6 months after surgery. A prediction model was developed to identify prognostic factors for postoperative frozen shoulder after shoulder surgery using the TRIPOD guidelines. We nominated five potential predictors: gender, diabetes mellitus, type of physiotherapy, arthroscopic surgery and DASH score.

Results

Frozen shoulder was identified in 11% of the patients after shoulder surgery and was more common in females (15%) than in males (8%). Frozen shoulder was encountered after all types of operative procedures. A prediction model based on four variables (diabetes mellitus, specialized shoulder physiotherapy, arthroscopic surgery and DASH score) discriminated reasonably well with an AUC of 0.712.

Conclusions

Postoperative frozen shoulder is a serious complication after shoulder surgery, with an incidence of 11%. Four prognostic factors were identified for postoperative frozen shoulder: diabetes mellitus, arthroscopic surgery, specialized shoulder physiotherapy and DASH score. The combination of these four variables provided a prediction rule for postoperative frozen shoulder with reasonable fit.

Level of evidence

Level II, prospective cohort study.

Keywords

IncidencePrognostic factorsPostoperative frozen shoulderShoulder surgery

References

1.
Audigé L, Blum R, Müller AM, Flury M, Durchholz H (2015) Complications following arthroscopic rotator cuff tear repair: a systematic review of terms and definitions with focus on shoulder stiffness. Orthop J Sports Med 3(6):2325967115587861
2.
Denard PJ, Lädermann A, Burkhart SS (2011) Prevention and management of stiffness after arthroscopic rotator cuff repair: systematic review and implications for rotator cuff healing. Arthroscopy 27:842–848. doi:10.1016/j.arthro.2011.01.013CrossRefPubMedGoogle Scholar
3.
Huberty DP, Schoolfield JD, Brady PC, Vadala AP, Arrigoni P, Burkhart SS (2009) Incidence and treatment of postoperative stiffness following arthroscopic rotator cuff repair. Arthroscopy 25:880–890. doi:10.1016/j.arthro.2009.01.018CrossRefPubMedGoogle Scholar
4.
Vezeridis PS, Goel DP, Shah AA, Sung SY, Warner JJ (2010) Postarthroscopic arthrofibrosis of the shoulder. Sports Med Arthrosc 18:198–206. doi:10.1097/JSA.0b013e3181ec84a5CrossRefPubMedGoogle Scholar
5.
Debeer P, Franssens F, Roosen I, Dankaerts W, Claes L (2014) Frozen shoulder and the big five personality traits. J Shoulder Elbow Surg 23:221–226. doi:10.1016/j.jse.2013.07.049CrossRefPubMedGoogle Scholar
6.
Robinson CM, Seah KT, Chee YH, Hindle P, Murray IR (2012) Frozen shoulder. J Bone Joint Surg [Br] 94:1–9. doi: 10.1302/0301-620X.94B1.27093
7.
Vastamäki H, Vastamäki M (2014) Postoperative stiff shoulder after open rotator cuff repair: a 3- to 20-year follow-up study. Scand J Surg 103:263–270. doi:10.1177/1457496913514383CrossRefPubMedGoogle Scholar
8.
Evans JP, Guyver PM, Smith CD (2015) Frozen shoulder after simple arthroscopic procedures: what is the risk? Bone Joint J 97:963–966. doi:10.1302/0301-620X.97B7.35387
9.
Eljabu W, Klinger HM, von Knoch M (2016) Prognostic factors and therapeutic options for treatment of frozen shoulder: a systematic review. Arch Orthop Trauma Surg 136:1–7
10.
Gerber C, Espinosa N, Perren TG (2001) Arthroscopic treatment of shoulder stiffness. Clin Orthop Relat Res 390:119–128CrossRefGoogle Scholar
11.
Francheschi F, Papalia R, Palumbo A, Vasta S, Maffulli N, Denaro V (2011) Management of postoperative shoulder stiffness. Sports Med Arthrosc 19:420–427. doi:10.1097/JSA.0b013e3182393e06CrossRefGoogle Scholar
12.
Holloway GB, Schenk T, Williams GR, Ramsey ML, Iannotti JP (2001) Arthroscopic capsular release for the treatment of refractory postoperative or post-fracture shoulder stiffness. J Bone Joint Surg [Am] 83:1682–1687CrossRefGoogle Scholar
13.
Diercks RL, Stevens M (2004) Gentle thawing of the frozen shoulder: a prospective study of supervised neglect versus intensive physical therapy in seventy-seven patients with frozen shoulder syndrome followed up for two years. J Shoulder Elbow Surg 13:499–502CrossRefPubMedGoogle Scholar
14.
Bunker TD, Schranz PJ (1998) Clinical challenges in orthopaedics: the shoulder. Taylor and Francis, Abingdon, UK
15.
Constant CR, Murley AH (1987) A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 214:160–164Google Scholar
16.
Hudak PL, Amadio PC, Bombardier C (1996) Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand). The Upper Extremity Collaborative Group (UECG). Am J Ind Med 29:602–608CrossRefPubMedGoogle Scholar
17.
Terluin B, van Marwijk HW, Ader HJ, de Vet HC, Penninx BW, Hermens ML (2006) The Four-Dimensional Symptom Questionnaire (4DSQ): a validation study of a multidimensional self-report questionnaire to assess distress, depression, anxiety and somatization. BMC Psychiatry 6:34CrossRefPubMedPubMedCentralGoogle Scholar
18.
Koorevaar RC, Terluin B, van ‘t Riet E, Madden K, Bulstra SK (2016) Validation of the Four-Dimensional Symptom Questionnaire (4DSQ) and prevalence of psychological symptoms in orthopedic shoulder patients. J Orthop Res 34:683–691. doi:10.1002/jor.23051CrossRefPubMedGoogle Scholar
19.
Herbert RD (2014) Cohort studies of aetiology and prognosis: they’re different. J Physiother 60:241–244CrossRefPubMedGoogle Scholar
20.
Collins GS, Reitsma JB, Altman DG, Moons KG (2015) Transparent reporting of a multivariable prediction model for Individual Prognosis or Diagnosis (TRIPOD): the TRIPOD statement. J Clin Epidemiol 68:134–143CrossRefPubMedGoogle Scholar
21.
Peduzzi P, Concato J, Kemper E, Holford TR, Feinstein ARJ (1996) A simulation study of the number of events per variable in logistic regression analysis. J Clin Epidemiol 49:1373–1379
22.
Harrell F, Lee K, Mark D (1996) Multivariate prognostic models: issues in developing models, evaluating assumptions and adequacy, and measuring and reducing errors. Stat Med 15:361–387CrossRefPubMedGoogle Scholar
23.
Hosmer DW, Lemesbow S (1980) Goodness of fit tests for the multiple logistic regression model. Commun Stat Theor Methods 9:1043–1069CrossRefGoogle Scholar
24.
Koo SS, Parsley BK, Burkhart SS, Schoolfiel JD (2011) Reduction of postoperative stiffness after arthroscopic rotator cuff repair: results of a customized physical therapy regimen based on risk factors for stiffness. Arthroscopy 27:155–160. doi:10.1016/j.arthro.2010.07.007CrossRefPubMedGoogle Scholar
25.
Zuckerman JD, Rokito A (2011) Frozen shoulder: a consensus definition. J Shoulder Elbow Surg 20:322–325CrossRefPubMedGoogle Scholar
26.
Kelley MJ, Shaffer MA, Kuhn JE, Michener LA, Seitz AL, Uhl TL (2013) Shoulder pain and mobility deficits: adhesive capsulitis. J Orthop Sports Phys Ther 43:1–31CrossRefGoogle Scholar
27.
Carrillon Y, Noel E, Fantino O, Perrin-Fayolle O, Tran-Minh VA (1999) Magnetic resonance imaging findings in idiopathic adhesive capsulitis of the Shoulder. Rev Rhum Engl Ed 66:201–206PubMedGoogle Scholar
28.
Lee JC, Sykes C, Saifuddin A, Connell D (2005) Adhesive capsulitis: sonographic changes in the rotator cuff interval with arthroscopic correlation. Skeletal Radiol 34:522–527CrossRefPubMedGoogle Scholar
29.
Tamai K, Yamato M (1997) Abnormal synovium in the frozen shoulder: a preliminary report with dynamic magnetic resonance imaging. J Shoulder Elbow Surg 6:534–543

GENERAL

COLUMNA VERTEBRAL

HOMBRO Y CODO

MANO Y MUÑECA

CADERA Y PELVIS

RODILLA

PIE Y
TOBILLO

ORTOPEDIA PEDIÁTRICA

TRAUMATOLOGÍA DEPORTIVA

ARTÍCULOS MÉDICOS

Hombro y codo

Incidence and prognostic factors for postoperative frozen shoulder after shoulder surgery: a prospective cohort study

Incidence and prognostic factors for postoperative frozen shoulder after shoulder surgery: a prospective cohort study

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

Keywords

Artículos por Especialidades

NOSOTROS

DOCENCIA

BIBLIOTECA

OTROS

SECRETARÍA TÉCNICA

Especialidades

GENERAL

COLUMNA VERTEBRAL

HOMBRO Y CODO

MANO Y MUÑECA

CADERA Y PELVIS

RODILLA

PIE Y TOBILLO

ORTOPEDIA PEDIÁTRICA

TRAUMATOLOGÍA DEPORTIVA

ARTÍCULOS MÉDICOS

Hombro y codo

Incidence and prognostic factors for postoperative frozen shoulder after shoulder surgery: a prospective cohort study

Incidence and prognostic factors for postoperative frozen shoulder after shoulder surgery: a prospective cohort study

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

Keywords

Artículos por Especialidades

NOSOTROS

DOCENCIA

BIBLIOTECA

OTROS

SECRETARÍA TÉCNICA

Introduce tu búsqueda en el cajetín para encontrar contenido.

Especialidades

PIE Y
TOBILLO