Specialized Shoulder Care in Colorado Springs

Post-traumatic Stiffness of the Shoulder

Colorado Springs Orthopaedic Group

Your shoulder is one of the body's most mobile joints, allowing you to reach, lift, rotate, and perform countless everyday movements. Because of this mobility, the shoulder can also be susceptible to injuries, overuse, arthritis, and other conditions that cause pain and limit movement.

CSOG provides comprehensive evaluation and treatment for a wide range of shoulder conditions, from sports injuries and tendon problems to arthritis, instability, and fractures. Depending on your condition, treatment may include physical therapy, activity modification, medications, injections, minimally invasive procedures, or surgery.

Our shoulder specialists take the time to understand your symptoms, activity level, and goals so you can receive treatment designed to reduce pain, improve function, and help you get back to the activities that are important to you.

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What is Post-Traumatic Stiffness of the Shoulder?

Post-traumatic stiffness of the shoulder is the inability of the shoulder joint to move freely due to the damage sustained to the normal gliding surfaces of the shoulder as a result of trauma (injury) or surgery. The trauma affects the muscles and capsule surrounding the shoulder joint resulting in reduced or loss of motion and functional impairment. Post-traumatic stiffness is a disabling complication that affects your ability to perform normal day-to-day activities.

What is Anatomy of the Shoulder?

The shoulder is a ball and socket joint. The head of the humerus (upper arm bone) fits into the glenoid cavity of the scapula (shoulder blade). Connective tissue called the shoulder capsule surrounds the shoulder joint, holding the bones in place. This is lubricated by synovial fluid. Tendons and ligaments around the shoulder joint provide strength and stability to the joint.

What are the Causes of Post-Traumatic Stiffness of the Shoulder?

Causes of post-traumatic stiffness of the shoulder include:

• Bone fracture
• Injury/trauma
• Previous surgery
• Joint dislocation
• Malunion (improper healing of a fractured bone)

What are the Signs and Symptoms of Post-Traumatic Stiffness of the Shoulder?

Signs and symptoms of post-traumatic stiffness of the shoulder include:

• Dull or achy pain
• Muscle tightness
• Restricted range of motion
• Inability to move shoulder
• A sensation of grinding on shoulder movement

How is Post-Traumatic Stiffness of the Shoulder Diagnosed?

Evaluation of your medical history coupled with a physical examination of the affected shoulder is the first step in the diagnosis of post-traumatic stiffness. Subsequently, the doctor will look for flexion range of motion and inflammation. An X-ray, a CT scan, or an MRI may also be ordered to confirm the initial diagnosis.

What is the Treatment for Post-Traumatic Stiffness of the Shoulder?

Conservative Treatment

Conservative treatment options include:

• Non-steroidal anti-inflammatory drugs and steroid injections to relieve pain
• Physical therapy to improve your range of motion
• Heat application to reduce pain
• Manipulation under anesthesia

Surgery

Your surgeon may recommend shoulder arthroscopy if the conservative treatment does not work. During surgery, the scar tissue will be removed and tight ligaments, if any, will be dissected. Following surgery, physical therapy will be advised to bring a full range of motion and strengthen the muscles.

How Can Post-Traumatic Stiffness of the Shoulder Be Prevented?

Shoulder stiffness can be prevented in many cases with proper care and timely treatment. Early mobilization and proper therapy can help avoid stiffness in cases of shoulder injuries and fractures. Also, in cases where diseases can damage the articular cartilage, timely and proper treatment can help in minimizing cartilage damage and avoiding long term shoulder stiffness.