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Table 2 Association studies; studies investigating the association between frozen shoulder and a co-morbidity, focussed on the pathophysiologic mechanism

From: The puzzling pathophysiology of frozen shoulders – a scoping review

Author

Year

Study Design

n FS

n controls

analysis method

Most relevant findings

Bunker [35]

1995

case series

43

43

peripheral blood samples

Fasting serum triglyceride and cholesterol levels were significantly elevated in frozen shoulder patients

Mullet [36]

2007

case control

15

15

glenohumeral joint aspirate, in vitro cell culture

Proliferation of cultured human fibroblast cells was significantly increased by stimulation of growth factors from joint aspirate of frozen shoulder patients

Lubis [37]

2013

case control

50

50

peripheral blood samples

MMP1 and MMP2 levels were significantly lower, while TIMP1, TIMP2 and TGF-β1 were higher in frozen shoulder patients compared to controls

Austin [38]

2014

case control

150

NHANES nationwide study

patient chart review

A relationship is suggested between systemic inflammation with hyperglycaemia and hypertension and frozen shoulder

Huang [39]

2014

cohort

162

Longitudinal health insurance database

ICD-9-CM codes

Hyperthyroid patients have a 1.22 fold higher risk to develop frozen shoulder compared to the general population in Taiwan

Sung [40]

2014

case control

300

900

peripheral blood samples

Hypercholesterolemia, and inflammatory lipoproteins have a significant association with frozen shoulder

Booker [41]

2017

case control

20

26

capsular biopsies for microbiological culture

No correlation was found between the incidence of P. Acnes and frozen shoulder

Chan [42]

2017

retrospective cohort

197

24,220

peripheral blood samples

Cumulative HbA1c was (dose dependent) associated with an increased incidence adhesive capsulitis

Chen [43]

2017

case control

42

50

peripheral blood samples - ELISA

IL-1β was expressed at higher levels in frozen shoulder patients and is associated with susceptibility of frozen shoulder

Holte [44]

2017

case control

100

73

skin biopsies - liquid chromatography mass spectometry

Joint stiffness was associated with long term HbA1c and AGEs

Schiefer [45]

2017

case control

93

151

peripheral blood samples

Hypothyroidism was significantly more prevalent in frozen shoulder patients than in controls. A correlation between TSH levels with the severity of frozen shoulders was suggested

Gumina [46]

2018

prospective observational

27

genome database

peripheral blood samples - PCR

APO-A1-G75A lipoprotein polymorfism was found as a risk factor for the severity of frozen shoulder

Kalson [47]

2018

cohort

549

5989 (Twins UK registry)

qPCR

Frozen shoulder patients had a significant relation with telomere length. It is suggested that telomere repair defects contribute to joint fibrosis

Park [48]

2018

case control

37

222

peripheral blood samples

Inflammatory lipoproteins are associated with adhesive capsulitis accompanied by diabetes

Cohen [49]

2019

case control

186

600

peripheral blood samples - genotyping

Certain genetic variants, SNPs of MMP13, MMP 9 and TGFβ1 were identified as independent risk factors for frozen shoulder

  1. PCR polymerase chain reaction, ELISA enzyme linked immune sorbent assay, TGF-β transforming growth factor beta, AGE advanced glycation end product, MMP matrix metalloproteinase, TIMP tissue Inhibitor of Metallo Proteinases, TSH thyroid stimulating hormone, SNP single nucleotide polymorphism, IL-1β Interleukin-1β