Adhesive Capsulitis and the Stiff and Painful Shoulder

Neviaser, Jules S.

doi:10.1016/s0030-5898(20)31482-6

Cited by 77 publications

(5 citation statements)

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“…However, capsular enhancement in the axillary recess was well correlated with the initial clinical symptoms of frozen shoulder, although the assessment of symptom severity primarily remains clinical. Many authors have previously reported abnormalities of the joint capsule and synovium in frozen shoulder [22, 32]. This hyperaemic change in the synovium and vascularized structures may enhance the joint capsule and the surrounding soft tissues [29, 31].…”

Section: Discussionmentioning

confidence: 99%

Correlations of magnetic resonance imaging findings with clinical symptom severity and prognosis of frozen shoulder

Yoon

Chung

Lee

et al. 2015

Knee Surg Sports Traumatol Arthrosc

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Section: Discussionmentioning

confidence: 99%

Correlations of magnetic resonance imaging findings with clinical symptom severity and prognosis of frozen shoulder

Yoon

Chung

Lee

et al. 2015

Knee Surg Sports Traumatol Arthrosc

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“…The diagnosis of adhesive capsulitis was made based on history and clinical exam and confirmed by a non-image guided intra-articular injection (see below). This diagnosis was made when there was pain with loss of motion compared to the contralateral shoulder (including loss of ER in all cases) and only when other causes of pain and motion loss were eliminated [23–25, 32] Rotator cuff tendinopathy was eliminated based on physical findings, including normal strength and lack of impingement signs. Glenohumeral osteoarthritis and neoplasm were excluded by radiographs.…”

Section: Methodsmentioning

confidence: 99%

Intra-articular Corticosteroid Injection for the Treatment of Idiopathic Adhesive Capsulitis of the Shoulder

Marx

Malizia

Kenter

et al. 2007

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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Treatment for idiopathic adhesive capsulitis or frozen shoulder of the shoulder is controversial. The hypothesis of the study is that intra-articular corticosteroid injection in the early stages of idiopathic adhesive capsulitis will lead to a rapid resolution of stiffness and symptoms. This is a retrospective cohort study of only patients with stage 1 or stage 2 adhesive capsulitis. The diagnosis was made by history and physical examination and only when other causes of pain and motion loss were eliminated. Stage 1 adhesive capsulitis was defined as significant improvement in pain and normalization of motion following intra-articular injection. Stage 2 included patients who had significant improvement in pain and partial improvement in motion following injection. Seven patients with stage 1 and 53 patients with stage 2 comprised the baseline cohort. The mean age was 52 years (range: 30 to 78); 46 patients were female and nine patients had diabetes mellitus. Patients completed a physical examination as well as a shoulder rating questionnaire for symptoms and disability. Criteria for resolution were defined as forward flexion and external rotation to within 15 degrees of the contralateral side and internal rotation to within three spinal levels of the contralateral side. Forty-four of the patients out of 60 met the criteria for recovery at a mean of 6.7 months. The mode and median time to recovery was 3 months. The mean score at final follow-up for 41 patients using the shoulder-rating questionnaire of L'Insalata was 90 (range 52-100). The mean time to recovery for the stage 1 patients was 6 weeks (range: 2 weeks to 3 months), and it was 7 months for stage 2 patients (range: 2 weeks to 2 years). Glenohumeral corticosteroid injection for early adhesive capsulitis may have allowed patients to recover motion at a median time of 3 months. In many cases, the patients had improvement prior to the 3-month mark; however, that was the routine time for follow-up. Patients with stage 1 disease tended to resolve more rapidly than stage 2 patients. Prompt recognition of stage 1 and stage 2 idiopathic adhesive capsulitis and early injection of corticosteroid with local anesthesia may be both diagnostic and therapeutic.

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“…The prevalence is between 2% and 5% that increasing to 10-38% in patients with diabetes and thyroid disease. The age of patients is commonly between 40 and 65 years old, and the incidence appears higher in females than males [1][2][3]. It may also occur after trauma or in association with other joint diseases, as acromioclavicular osteoarthritis, which is referred to as a secondary frozen shoulder [4].…”

Section: Introductionmentioning

confidence: 99%

Frozen Shoulder: Symptoms, Causes, Diagnosis, and Treatment

Carmignano¹

2022

Shoulder Surgery for RC Pathology, Arthropathy and Tumors

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Frozen shoulder, or adhesive capsulitis, is a condition caused by impaired soft tissues and the articular capsule of the shoulder. Although the precise etiology remains unclear, recent evidence identifies elevated serum cytokine levels as part of the process. It is characterized by an insidious and progressive loss of active and passive mobility in the glenohumeral joint presumably due to capsular contracture. Several treatments are recognized and utilized to reduce pain and improve range-of-motion faster than the disease’s natural history course. The chapter aims to spread knowledge about this often-misunderstood pathology and to highlight the role of the rehabilitative therapeutic approach.

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Adhesive Capsulitis and the Stiff and Painful Shoulder

Cited by 77 publications

References 0 publications

Correlations of magnetic resonance imaging findings with clinical symptom severity and prognosis of frozen shoulder

Correlations of magnetic resonance imaging findings with clinical symptom severity and prognosis of frozen shoulder

Intra-articular Corticosteroid Injection for the Treatment of Idiopathic Adhesive Capsulitis of the Shoulder

Frozen Shoulder: Symptoms, Causes, Diagnosis, and Treatment

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