Frozen Shoulder: Difference between revisions
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== Clinical Presentation == | == Clinical Presentation == | ||
Patients may reports progressive difficulty with dressing, grooming, and performing overhead activities. It is thought that adhesive capsulitis occurs in three overlapping phases. The first phase, the painful stage involves painful shoulder motion and sleep being interrupted. The second state, the frozen or adhesive stage, is characterized by reduced pain and loss of joint motion. During the third stage, the resolution or thawing stage, pain is resolved and motion is gradually returned. <ref name="Jewell" /><ref name="Walmsley" /> Adhesive capsulitis is thought to be self-limiting with the average recovery taking 3 years, though some authors report 50% of patients have pain or stiffness at 7 years. <ref name="Brue" /><br> | |||
== Diagnostic Procedures == | == Diagnostic Procedures == | ||
Revision as of 22:48, 21 November 2009
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Clinically Relevant Anatomy
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Adhesive capsulitis is also known as frozen shoulder. It involves progressive stiffness of the glenohumeral joint.[1] Adhesive capsulitis can be primary when it is idiopathic or secondary when it results from a known cause or surgical event. [2]
Mechanism of Injury / Pathological Process
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Adhesive capsulitis has been reported to affect 2-3% of the general population and up to 30% of people with type II diabetes. It is more common in women aged 40-60. [2] While recurrence in the same shoulder is rare, contra-lateral shoulder involvement has been estimated between 20-30%.[1] Other identified risk factors include cervical disk disease, iimmobilization of the shoulder, cardiovascular disease, pulmonary disease, hyperthyroidism, and autoimmune diseases. [3]
Clinical Presentation[edit | edit source]
Patients may reports progressive difficulty with dressing, grooming, and performing overhead activities. It is thought that adhesive capsulitis occurs in three overlapping phases. The first phase, the painful stage involves painful shoulder motion and sleep being interrupted. The second state, the frozen or adhesive stage, is characterized by reduced pain and loss of joint motion. During the third stage, the resolution or thawing stage, pain is resolved and motion is gradually returned. [3][2] Adhesive capsulitis is thought to be self-limiting with the average recovery taking 3 years, though some authors report 50% of patients have pain or stiffness at 7 years. [1]
Diagnostic Procedures[edit | edit source]
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Outcome Measures[edit | edit source]
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Management / Interventions
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Differential Diagnosis
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Key Evidence[edit | edit source]
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Resources
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Case Studies[edit | edit source]
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References[edit | edit source]
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- ↑ 1.0 1.1 1.2 Brue S et al. Idiopathic adhesive capsulitis of the shoulder: a review. Knee Surg Sports Traumatol Arthrosc. 2007. 15:1048-1054.
- ↑ 2.0 2.1 2.2 Walmsley S et al. Adhesive Capsulitis: Establishing Consensus on Clinical Identifiers for Stage 1 Using the Delphi Technique. Physical Therapy. September, 2009. 89(9): 906-917.
- ↑ 3.0 3.1 Jewell DV et al. Interventions Associated With an Increased or Decreased Likelihood of Pain Reduction and Improved Function in Patients With Adhesive Capsulitis: A Retrospective Cohort Study. Physical Therapy. May, 2009. 89(5): 419-428.
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