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SA Orthopaedic Journal

versão On-line ISSN 2309-8309

SA orthop. j. vol.7 no.4 Pretoria Out./Dez. 2008

 

CLINICAL ARTICLE

 

Accessory features of frozen shoulder

 

 

JF de BeerI; F LamII

IMBChB, MMed(Orth). Orthopaedic Surgeon, Cape Shoulder Institute, Plattekloof, Panorama, Cape Town, South Africa
IIMBBS MRCS(Glasg), MRCS (Ed), MSc (Orth Engineering), FRCS Ed (Tr & Orth). Consultant Orthopaedic Surgeon, Hillingdon Hospital NHS Trust, Pield Heath Road, Hillingdon, Uxbridge, UB8 3NN

Correspondence

 

 


ABSTRACT

We have described nine clinical features to aid the clinical diagnosis of frozen shoulder. These include symptoms of pain and pins-and-needles radiating down the arm to the hand, feeling of lameness in the arm, tenderness over the medial border of scapula, rotator interval and supraclavicular fossa, reduction of pain with passive abduction and forward flexion of the shoulder, asymmetry of the arm position at rest with an increase in elbow-to-waist distance and apparent winging of the scapula. In this prospective study, we report the sensitivity, specificity, predictive values and diagnostic accuracy of each clinical test and discuss their probable causes and clinical relevance. The single most accurate diagnostic test was relief of symptoms with abduction and flexion. In the diagnosis of a patient with a painful stiff shoulder, if six of the accessory features with the highest correlation are present, the probability of having frozen shoulder is 80%.


 

 

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Reprint requests:
Dr J de Beer
PO Box 15741, Panorama 7506. Western Cape
e-mail: jodebeer@iafrica.com

 

 

This article was not submitted to an ethical committee for approval. The content of this article is the sole work of the authors. No benefits of any form have been derived from any commercial party related directly or indirectly to the subject of this article.

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