Case control study of risk factors for frozen shoulder in China. (18th January 2014)

• Record Type: Journal Article
• Authors: Li, Wei; Lu, Nianzu; Xu, Hongliang; Wang, Huifang; Huang, Jun
• Is Part Of: International journal of rheumatic diseases. Volume 18:Number 5(2015)
• Page Start: 508
• Page End: 513
• Publication Date: 2014-01-18
• Subjects: Rheumatology -- Periodicals; Rheumatology -- Asia -- Periodicals; Rheumatology -- Pacific Area -- Periodicals; Rheumatic Diseases -- Periodicals; Connective Tissue Diseases -- Periodicals; Immune System Diseases -- Periodicals; 616.723
• DOI: 10.1111/1756-185X.12246
• Languages: English
• ISSNs: 1756-1841

Abstract

<abstract abstract-type="main" id="apl12246-abs-0001"> <title>Abstract</title> <sec id="apl12246-sec-0001" sec-type="section"> <title>Aim</title> <p>Frozen shoulder is a common self‐limiting regional skeletal problem of unclear pathogenesis. It usually has an insidious onset and follows a protracted course. The aim of this study was to assess the prevalence and related risk factors for frozen shoulder in Shanghai, China.</p> </sec> <sec id="apl12246-sec-0002" sec-type="section"> <title>Methods</title> <p>We performed a hospital‐based case‐control study involving 182 patients with pathologically diagnosed frozen shoulder and 196 patients hospitalized during the same time period with non‐shoulder related complaints who were recruited as controls. Information on potential risk factors was collected on both case and control groups through questionnaires and face‐to‐face interview. Univariate and multivariate logistic regression analyses were performed.</p> </sec> <sec id="apl12246-sec-0003" sec-type="section"> <title>Results</title> <p>Among the frozen shoulder patients, 24.2% had diabetes and 16.5% had history of shoulder trauma. Multivariate analysis suggested that diabetes and history of slight trauma were independent risk factors for the disease. The frozen shoulder patients also had a higher prevalence of thyroid disease, increased body mass index and cervical spondylosis than the controls. The incidence of frozen shoulder was higher in female compared to male patients. No significant difference was found in occupations, physical exercise, cholecystitis, history of surgical and ischemic heart disease between the frozen shoulder group and the control group.</p> </sec> <sec id="apl12246-sec-0004" sec-type="section"> <title>Conclusions</title> <p>The findings in the present study indicate that diabetes, history of slight shoulder trauma, thyroid disease, increased body mass index and cervical spondylosis are factors significantly associated with increased frozen shoulder risk among individuals within the area of Shanghai, China.</p> </sec> </abstract>