Risk Factors Associated with Frozen Shoulder among Nepalese Population: A Hospital-based Comparative Study
Abstract
Introduction: Frozen shoulder is one of the common musculoskeletal disorders characterized by pain and restriction of motion of the shoulder joint. It is also considered a common self-limiting regional skeletal problem. This study aimed to evaluate related risk factors for frozen shoulders. Methods: This was a hospital-based comparative study involving 60 patients with a diagnosed frozen shoulder in the out-patient department as cases and 60 patients hospitalized during the same period with non-shoulder-related complaints as controls. A face-to-face interview was taken. Univariate and multivariate logistic regression analyses were performed. Results: A total of 120 consecutive subjects (60 patients with frozen shoulders and 60 controls) were taken. The mean age of cases was 54.7±3.21 years and that of controls was 42.08±2.74 years. Among the frozen shoulder patients, 33.3% had diabetes and 15% had a history of thyroid disorder. Multivariate logistic regression analysis showed age, diabetes mellitus, and thyroid dysfunction as independent risk factors for frozen shoulder (p<0.05). The frozen shoulder patients also had a higher prevalence of cardiac diseases and cervical spondylosis than the controls. No significant difference was found in body mass index, cholecystitis, history of surgical intervention, and uric acid level between the frozen shoulder group and the control group. Conclusions: The study findings indicated that diabetes, thyroid disease, and advanced age have been significantly associated with increased frozen shoulders.
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References
Wang K, Ho V, Hunter-Smith DJ, Beh PS, Smith KM, Weber AB. Risk factors in idiopathic adhesive capsulitis: a case-control study. J Shoulder Elbow Surg. 2013;22(7):e24-9. PMID: 23352186 DOI: https://doi.org/10.1016/j.jse.2012.10.049
Luime JJ, Koes BW, Hendriksen IJM, Burdorf A, Verhagen AP, Miedema HS, et al. Prevalence and incidence of shoulder pain in the general population; a systematic review. Scand J Rheumatol. 2004;33(2):73-81. PMID: 15163107 DOI: https://doi.org/10.1080/03009740310004667
Buchbinder R, Hoving JL, Green S, Hall S, Forbes A, Nash P. Short course prednisolone for adhesive capsulitis (frozen shoulder or stiff painful shoulder): a randomized, double-blind, placebo-controlled trial. Ann Rheum Dis. 2004;63(11):1460-9. PMID: 15479896 DOI: https://doi.org/10.1136/ard.2003.018218
Li W, Lu N, Xu H, Wang H, Huang J. Case-control study of risk factors for frozen shoulder in China. Int J Rheum Dis. 2015;18(5):508-13. PMID: 24438046 DOI: https://doi.org/10.1111/1756-185x.12246
Schiefer M, Teixeira PFS, Fontenelle C, Carminatti T, Santos DA, Righi LD, et al. Prevalence of hypothyroidism in patients with frozen shoulder. J Shoulder Elbow Surg. 2017;26(1):49-55. PMID: 27424251 DOI: https://doi.org/10.1016/j.jse.2016.04.026
Chan HBY, Pua PY, How CH. Physical therapy in the management of frozen shoulder. Singapore Med J. 2017;58(12):685-9. PMID: 29242941 DOI: https://doi.org/10.11622/smedj.2017107
Le H V, Lee SJ, Nazarian A, Rodriguez EK. Adhesive capsulitis of the shoulder: a review of pathophysiology and current clinical treatments. Shoulder Elbow. 2017;9(2):75-84. PMID: 28405218 DOI: https://doi.org/10.1177/1758573216676786
Dupont WD, Plummer WD Jr. Power and sample size calculations. A review and computer program. Control Clin Trials. 1990;11(2):116-28. PMID: 2161310 DOI: https://doi.org/10.1016/0197-2456(90)90005-m
Dwyer JT, Melanson KJ, Sriprachy-anunt U, Cross P, Wilson M. Dietary Treatment of Obesity. In: Feingold KR, Anawalt B, Boyce A, et al (eds). Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000 Available from: https://www.ncbi.nlm.nih.gov/books/NBK278991/table/diet-treatment-obes.table4clas/
Dias R, Cutts S, Massoud S. Frozen shoulder. BMJ. 2005;331(7530):1453-6. DOI: https://doi.org/10.1136/bmj.331.7530.1453
Milgrom C, Novack V, Weil Y, Jaber S, Radeva-Petrova DR, Finestone A. Risk factors for idiopathic frozen shoulder. Isr Med Assoc J. 2008;10(5):361-4. PMID: 18605360
Cho CH, Bae KC, Kim DH. Treatment Strategy for Frozen Shoulder. Clin Orthop Surg. 2019;11(3):249-57. PMID: 31475043 DOI: https://doi.org/10.4055/cios.2019.11.3.249
Goldin A, Beckman JA, Schmidt AM, Creager MA. Advanced glycation end products: sparking the development of diabetic vascular injury. Circulation. 2006;114(6):597-605. PMID: 16894049 DOI: https://doi.org/10.1161/circulationaha.106.621854
Morén-Hybbinette I, Moritz U, Scherstén B. The clinical picture of the painful diabetic shoulder--natural history, social consequences and analysis of concomitant hand syndrome. Acta Med Scand. 1987;221(1):73-82. PMID: 2436441 DOI: https://doi.org/10.1111/j.0954-6820.1987.tb01247.x
Cakir M, Samanci N, Balci N, Balci MK. Musculoskeletal manifestations in patients with thyroid disease. Clin Endocrinol (Oxf). 2003;59(2):162-7. PMID: 12864792 DOI: https://doi.org/10.1046/j.1365-2265.2003.01786.x
Wohlgethan JR. Frozen shoulder in hyperthyroidism. Arthritis & Rheumatology. 1987;30(8):936-9. DOI: https://doi.org/10.1002/art.1780300815
Pietrzak M. Adhesive capsulitis: An age-related symptom of metabolic syndrome and chronic low-grade inflammation? Med Hypotheses. 2016;88:12-7. PMID: 26880627 DOI: https://doi.org/10.1016/j.mehy.2016.01.002
Lewis J. Frozen shoulder contracture syndrome – Aetiology, diagnosis and management. Man Ther. 2015;20(1):2-9. PMID: 25107826 DOI: https://doi.org/10.1016/j.math.2014.07.006
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