Adhesive capsulitis of the hip joint in a young female. A case-report

Alborno, Yahya; Salameh, Motasem; Aboulebda, Mohanad; Alam, Syed Intakhab; Ahmed, Ghalib

doi:10.1016/j.ijscr.2020.08.008

Cited by 3 publications

(4 citation statements)

References 12 publications

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“…Therefore, in the normal state, the extension ROM has a smaller angle compared to that of flexion, so there would be no significant difference from the healthy group. The presumed cause of flexion ROM limitation is that the posterior-inferior of the hip joint capsule is thin, while the anterior-superior is thick, fibrosis of the capsule occurs, and the tissue changes to a rigid state [ 6 , 15 ]. Since the ligaments constituting the joint capsule are formed longitudinally from the acetabulum to the femoral head, it is normal for the ligament length to increase slightly during rotation.…”

Section: Discussionmentioning

confidence: 99%

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Biomechanical Asymmetry of Strength and Dynamic Balance Kinetics in Middle-Ages with Adhesive Capsulitis of the Hip

Choi

Kim

2022

IJERPH

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The representative clinical features of adhesive capsulitis of the hip (ACH) are restricted range of motion (ROM) and pain. However, reports on kinetics such as strength and dynamic balance that explain physical functions are rare. This study compared subjective hip scores using Copenhagen Hip and Groin Outcome Score (HAGOS) and ROM using a manual goniometer as well as strength using isokinetic equipment, and dynamic balance through the Y-balance test, between patients with ACH and healthy individuals. Data of 193 middle-aged participants (men: 99 and women: 94) were analyzed. The ACH group scored significantly lower in all six HAGOS sub-sections. Hip joint flexion, abduction, internal and external rotation ROM were significantly lower in ACH compared to healthy group. These results were the same for men and women. In the strength of men and women, flexion, adduction, and abduction, and dynamic balance in all three directions were significantly decreased in ACH. Meanwhile, there were no significant between-group differences in the functional decrease in extension and adduction of ROM, and extension strength. In conclusion, subjective evaluation and dynamic balance of patients with ACH were decreased in the all parts. In ROM, flexion, abduction, internal rotation, and external rotation were restricted except for extension and adduction. Men and women with ACH maintained extensor strength, but had weakened strength in flexion, adduction and abduction. This information will be useful for therapists to understand the biomechanical properties of ACH and to design effective rehabilitation programs.

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Section: Discussionmentioning

confidence: 99%

“…The main symptoms of ACH include severe pain, restricted range of motion (ROM), and discomfort during physical activity ( Figure 1 b). Secondary ACH is presumably caused by prolonged stabilization and immobilization after trauma and surgery at other sites [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Biomechanical Asymmetry of Strength and Dynamic Balance Kinetics in Middle-Ages with Adhesive Capsulitis of the Hip

Choi

Kim

2022

IJERPH

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“…Notably, since the aforementioned publication, the presence of ACH in the literature has gradually increased. 8,13,20,21 From 2008-2012, four case reports were published featuring patients who were clinically diagnosed with ACH and managed with conservative therapy, which included anti-inflammatory medications, corticosteroid injection(s), and physical therapy. 5,[22][23][24] Patients who failed a 12-month course of conservative treatment were then treated with manipulation under anesthesia, possible pressure dilation (infusion of isotonic sodium chloride and contrast medium under fluoroscopy), and an additional course of physical therapy.…”

Section: Prevalence and Review Of The Literaturementioning

confidence: 99%

“…Given the limited available literature addressing ACH, healthcare providers may be forced to rely on a small number of published case reports, outdated review articles, and/ or principles to treating ACS to guide the diagnosis and management of ACH. 2,4,5,[12][13][14][15] Thus, we describe a case presentation of ACH and review the literature to provide an updated approach to the management of ACH.…”

Section: Introductionmentioning

confidence: 99%

Adhesive Capsulitis of the Hip: A Case Presentation and Review

et al. 2022

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There remains a paucity of literature addressing adhesive capsulitis of the hip (ACH), making the diagnosis and treatment a continued challenge for healthcare providers. ACH encompasses restricted hip range-of-motion and pain that progresses through analogous Stages (1-4) to adhesive capsulitis of the shoulder. We report a case presentation of a middle-aged man that illustrates the significance of certain patient factors and provide a review of current literature to aid in the diagnostic evaluation and treatment for addressing ACH. Initial conservative treatment of ACH includes the appropriate management of associated comorbidities, oral and/or injectable pharmacologics, and physical therapy. While frequently resolving with time, refractory cases of ACH may require more aggressive approaches including pressure dilation, manipulation under anesthesia, synovectomy, capsular release and, for select patients, total hip arthroplasty. Given the limited available literature addressing ACH, healthcare providers may be forced to rely on a small number of published case reports and outdated review articles to guide their diagnostic evaluation and treatment approaches. Thus, this case presentation and review provides an updated approach to better diagnose and manage patients with ACH.

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