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Aims <p>There is no current gold standard in treating post-traumatic stiff (PTS) shoulder complicating conservatively managed proximal humeral fractures (PHFs). This scoping review seeks to present available outcome evidence in this cohort of patients.</p> Methods <p>Pubmed, Google Scholar and Cochrane review databases were searched for any studies that included PTS due to conservatively managed PHFs. Data extracted included a breakdown of the number of stiff shoulders, type of intervention, outcomes of intervention.</p> Results <p>Of the 886 stiff shoulders included, 236 were classified as PTS and 57 were specified to be conservatively managed PHFs. Of the 14 studies, 10 were on arthroscopic capsular release, 2 were on manipulation under anaesthesia (MUA) and the remaining 2 were on hydrodilatation. Majority of the studies showed significant improvement in range of motion and objective scoring. However, the clinical implications are limited since outcome data specific to conservatively managed PHFs are scarce.</p> Conclusion <p>This review presents a gap of knowledge in managing PTS secondary to conservatively managed PHFs. Although positive, no specific outcome data could be drawn for the 57 PHFs as they were all presented as part of the data in all papers. More studies, especially those of a comparative nature, need to be carried out to elicit the gold standard of treatment for this cohort of patients.</p>

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Outcomes of secondary interventions in treatment of post-traumatic stiff shoulder in conservatively managed proximal humeral fractures: a scoping review

  • 期刊论文

  • 发表日期：

    2026年6月17日

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  • Yi Zhang,
  • Niloufar Sadeh,
  • Owen Mitchell,
  • Michael Wilson,
  • Robert Moverley

摘要

Aims

There is no current gold standard in treating post-traumatic stiff (PTS) shoulder complicating conservatively managed proximal humeral fractures (PHFs). This scoping review seeks to present available outcome evidence in this cohort of patients.

Methods

Pubmed, Google Scholar and Cochrane review databases were searched for any studies that included PTS due to conservatively managed PHFs. Data extracted included a breakdown of the number of stiff shoulders, type of intervention, outcomes of intervention.

Results

Of the 886 stiff shoulders included, 236 were classified as PTS and 57 were specified to be conservatively managed PHFs. Of the 14 studies, 10 were on arthroscopic capsular release, 2 were on manipulation under anaesthesia (MUA) and the remaining 2 were on hydrodilatation. Majority of the studies showed significant improvement in range of motion and objective scoring. However, the clinical implications are limited since outcome data specific to conservatively managed PHFs are scarce.

Conclusion

This review presents a gap of knowledge in managing PTS secondary to conservatively managed PHFs. Although positive, no specific outcome data could be drawn for the 57 PHFs as they were all presented as part of the data in all papers. More studies, especially those of a comparative nature, need to be carried out to elicit the gold standard of treatment for this cohort of patients.