Flashcards in Adhesive Capsulitis Deck (24)
What can be defined as “A condition of varying severity characterized by the gradual development of global limitation of active and passive shoulder motion where radiographic findings other than osteopenia are absent."
Adhesive capsulitis (“Frozen Shoulder”)
Adhesive capsulitis is seen most commonly in patients __-__ years old
Is adhesive capsulitis more common in men or women?
Women, especially perimenopausal
Adhesive capsulitis is a self-_____ disease
What is adhesive capsulitis caused by?
acute inflammation of the capsule followed by scarring and remodeling
Frozen shoulder is often associated with what other diseases and conditions?
Endocrine disorders such as diabetes mellitus and thyroid disease
Frozen shoulder is also common following what 5 things?
- prolonged immobilization
- autoimmune disease
- Parkinson disease (rare)
- antiretroviral therapy for HIV infection (rare)
Frozen shoulder is also considered a secondary problem that develops after shoulder injuries such as what?
- rotator cuff tears
- proximal humerus fractures
- shoulder surgery
- cardiac surgery
What are the signs and symptoms associated with adhesive capsulitis?
- Very painful shoulder triggered by minimal or no trauma
- Pain out of proportion to clinical findings during the inflammatory phase
- Painful shoulder with limited ROM with both passive and active movements
- Limitation of external rotation
What are the 3 phases of adhesive capsulitis?
- inflammatory phase
- freezing phase
- thawing phase
The inflammatory phase usually last how long?
What does the patient complain of during the inflammatory phase?
A very painful shoulder without obvious clinical findings to trauma, fracture, or RC tear.
The freezing phase usually last how long?
4-6 months (from month 8 to month 12)
What does the patient complain of during the freezing phase?
The shoulder becomes stiffer and stiffer even though the pain is improving
The thawing phase usually last how long?
up to 1 year
What does the patient complain of during the thawing phase?
The shoulder begins to regain ROM
The total duration of an idiopathic frozen shoulder is usually about how long?
Why is imaging necessary?
To rule out GH arthritis
What do MRI findings typically show?
a thickening of the joint capsule and the coracohumeral ligament
Typically, how is adhesive capsulitis diagnosed?
What treatment regimen is recommended during the freezing phase of adhesive capsulitis?
- Physical therapy
- Intra-articular corticosteroid injection or oral prednisone
Are anti-inflammatory medications helpful during the thawing phase?
No, symptoms resolve with time
What are 2 surgical treatment options for those with adhesive capsulitis?
- Manipulation under anesthesia
- Arthroscopic release