Arthroscopic appearance of frozen shoulder

Wiley, A. M.

doi:10.1016/0749-8063(91)90098-i

Cited by 178 publications

(81 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Several authors believe the RCI and the contracted coracohumeral ligament are the only structures requiring release. 7,86,87,124 Berghs 7 demonstrated impressive short-and long-term results (mean follow-up, 14.8 months) in 25 patients with primary frozen shoulder who had just the RCI and coracohumeral ligament released. Other authors selectively release additional portions of the CLC, such as the superior and middle glenohumeral ligament, 6,50 inferior glenohumeral ligament, 38,85,91,122 the intra-articular component of the subscapularis tendon, 29,85,91,122 and the posterior capsule.…”

Section: Level 5 J Orthop Sportsmentioning

confidence: 99%

“…19,49,75,101 18,19,64,115 Numerous investigators report the visual presence of synovitis consistent with inflammation, 43,79,83,123 yet focal vascularity and synovial angiogenesis (increased papillary growth), rather than synovitis, are described by others. 18,50,124 In addition to confirmation of angiogenesis, frequent positive staining for nerve cells was found in patients with frozen shoulder. 42 However, if the synovial pathology is angiogenesis or synovitis, there is agreement that pain accompanies the change.…”

Section: Level 5 J Orthop Sportsmentioning

confidence: 99%

“…80,115 Contracture of the rotator cuff interval (RCI) is prevalent in patients with frozen shoulder. 50,78,86,87,115,116,124 the night indicates less irritability. It also indicates that the painful synovitis/angiogenesis is resolving as consistent with stage 3.…”

Section: Level 5 J Orthop Sportsmentioning

confidence: 99%

“…80,115 Contracture of the rotator cuff interval (RCI) is prevalent in patients with frozen shoulder. 50,78,86,87,115,116,124 The RCI forms the triangular-shaped tissue between the anterior supraspinatus tendon edge and upper subscapularis border, and includes the superior glenohumeral ligament and the coracohumeral ligament. The interval acts as an anterior-superior hammock, restricting external rotation with the arm at the side and preventing inferior translation.…”

Section: Level 5 J Orthop Sportsmentioning

confidence: 99%

“…1,7,38,43,50,[85][86][87]90,93,106,123,124 Unfortunately, varied inclusion criteria, different treatment protocols, and various outcome assessments render study comparison difficult. One of the major difficulties in assessing efficacy is success criterion.…”

Section: Level 5 J Orthop Sportsmentioning

confidence: 99%

See 4 more Smart Citations

Frozen Shoulder: Evidence and a Proposed Model Guiding Rehabilitation

Kelley¹,

McClure²,

Leggin³

2009

J Orthop Sports Phys Ther

207

171

View full text Add to dashboard Cite

Frozen shoulder, or adhesive capsulitis, describes the common shoulder condition characterized by painful and limited active and passive range of motion (ROM). Frozen shoulder is reported to affect 2% to 5% of the general population, 4,13,64,88 increasing to 10% to 38% in patients with diabetes and thyroid disease. 4,5,13,64,71,88 Individuals with primary frozen shoulder are commonly between 40 and 65 years old, 79,82,83 and the incidence appears higher in females than males. 4,9,43,64,71,109 The occurrence of frozen shoulder in 1 shoulder increases the risk of contralateral shoulder involvement by 5% to history, clinical presentation, and recovery. Codman 22 described frozen shoulder as "a condition difficult to define, difficult to treat, and difficult to explain from the point of view of pathology." Nevaiser 80 introduced the term adhesive capsulitis to describe the inflamed and fibrotic condition of the capsuloligamentous tissue. The term frozen shoulder will be used, because it encompasses both primary frozen shoulder (adhesive capsulitis) and secondary frozen shoulder related to systemic disease and extrinsic or intrinsic factors, excluding cerebral vascular accident, proximal humeral fracture, and causative rotator cuff or labral pathology. This paper will present an overview of the classification, etiology, pathology, examination, and plan of care for frozen shoulder.T he absence of standardized nomenclature for frozen shoulder causes confusion in the literature. Lundberg 64 first described a classification system identifying primary frozen shoulder as idiopathic and secondary frozen shoulder as posttraumatic. Nash and Hazelman 77 expanded the classification system by including diseases such as diabetes mellitus, myocardial infarction, or various neurologic disorders under secondary frozen shoulder. Zuckerman 128 proposed a classification schema where primary 34%, and simultaneous bilateral shoulder involvement occurs as often as 14% of the time. 16,39,64,107 To date, the etiology of frozen shoulder remains unclear; however, patients typically demonstrate a characteristic Frozen shoulder or adhesive capsulitis describes the common shoulder condition characterized by painful and limited active and passive range of motion. The etiology of frozen shoulder remains unclear; however, patients typically demonstrate a characteristic history, clinical presentation, and recovery. A classification schema is described, in which primary frozen shoulder and idiopathic adhesive capsulitis are considered identical and not associated with a systemic condition or history of injury. Secondary frozen shoulder is defined by 3 subcategories: systemic, extrinsic, and intrinsic. We also propose another classification system based on the patient's irritability level (low, moderate, and high), that we believe is helpful when making clinical decisions regarding rehabilitation intervention. Nonoperative interventions include patient education, modalities, stretching exercises, joint mobilization, and corticosteroid injections. Gle...

show abstract

Section: Level 5 J Orthop Sportsmentioning

confidence: 99%

Section: Level 5 J Orthop Sportsmentioning

confidence: 99%

Section: Level 5 J Orthop Sportsmentioning

confidence: 99%

Section: Level 5 J Orthop Sportsmentioning

confidence: 99%

Section: Level 5 J Orthop Sportsmentioning

confidence: 99%

See 3 more Smart Citations

Frozen Shoulder: Evidence and a Proposed Model Guiding Rehabilitation

Kelley¹,

McClure²,

Leggin³

2009

J Orthop Sports Phys Ther

207

171

View full text Add to dashboard Cite

show abstract

Intraarticular corticosteroids, supervised physiotherapy, or a combination of the two in the treatment of adhesive capsulitis of the shoulder: A placebo‐controlled trial

Carette

Moffet

Tardif

et al. 2003

Arthritis & Rheumatism

382

284

View full text Add to dashboard Cite

Objective. To compare the efficacy of a single intraarticular corticosteroid injection, a supervised physiotherapy program, a combination of the two, and placebo in the treatment of adhesive capsulitis of the shoulder.Methods. Ninety-three subjects with adhesive capsulitis of <1 year's duration were randomized to 1 of 4 treatment groups: group 1, corticosteroid injection (triamcinolone hexacetonide 40 mg) performed under fluoroscopic guidance followed by 12 sessions of supervised physiotherapy; group 2, corticosteroid injection alone; group 3, saline injection followed by supervised physiotherapy; or group 4, saline injection alone (placebo group). All subjects were taught a simple home exercise program. Subjects were reassessed after 6 weeks, 3 months, 6 months, and 1 year. The primary outcome measure was improvement in the Shoulder Pain and Disability Index (SPADI) score.Results. At 6 weeks, the total SPADI scores had improved significantly more in groups 1 and 2 compared with groups 3 and 4 (P ‫؍‬ 0.0004). The total range of active and passive motion increased in all groups, with group 1 having significantly greater improvement than the other 3 groups. At 3 months, groups 1 and 2 still showed significantly greater improvement in SPADI scores than group 4. There was no difference between groups 3 and 4 at any of the followup assessments except for greater improvement in the range of shoulder flexion in group 3 at 3 months. At 12 months, all groups had improved to a similar degree with respect to all outcome measures.Conclusion. A single intraarticular injection of corticosteroid administered under fluoroscopy combined with a simple home exercise program is effective in improving shoulder pain and disability in patients with adhesive capsulitis. Adding supervised physiotherapy provides faster improvement in shoulder range of motion. When used alone, supervised physiotherapy is of limited efficacy in the management of adhesive capsulitis.Adhesive capsulitis is a common cause of shoulder pain and disability. It is characterized by spontaneous onset of shoulder pain accompanied by progressive limitation of both active and passive glenohumeral movement (1). The pathophysiology of idiopathic adheSupported by a grant from the Arthritis Society of Canada.

show abstract

Prevalence and impact of musculoskeletal disorders of the upper limb in the general population

Walker‐Bone

Palmer

Reading

et al. 2004

Arthritis & Rheumatism

550

336

View full text Add to dashboard Cite

Objective. To determine the prevalence, interrelation, and impact of musculoskeletal disorders of the upper limb in the general population. Methods. A total of 9,696 randomly selected adults of working age were surveyed in a 2-stage cross-sectional study involving a screening questionnaire and a standardized physical examination in symptomatic subjects. Age-and sex-specific prevalence rates were estimated for several musculoskeletal disorders and for nonspecific pain in the upper limbs. The overlap and impact on daily activities and healthcare utilization were explored. Results. Among 6,038 first-stage responders, 3,152 reported upper limb symptoms and 1,960 were subsequently examined. Of subjects with pain, 44.8% had 1 or more specific soft-tissue disorders. Site-specific prevalence rates were as follows: shoulder tendinitis 4.5% among men and 6.1% among women; adhesive capsulitis 8.2% among men and 10.1% among women; lateral epicondylitis 1.3% among men and 1.1% among women; de Quervain's disease 0.5% among men and 1.3% among women; other tenosynovitis of the hand or wrist, 1.1% among men and 2.2% among women. Specific disorders tended to cluster (P < 0.001) in individuals, with particular overlap at the shoulder. Compared with subjects with nonspecific pain, those with specific disorders more often reported inability to perform everyday tasks (P < 0.05), consultation with a doctor (P < 0.05), and use of prescribed medication (P < 0.05). Conclusion. Upper limb pain is common in the general population and is often associated with physical signs suggestive of specific upper-limb disorders. These disorders have a substantial impact on physical function and use of health care.

show abstract

Arthroscopic appearance of frozen shoulder

Cited by 178 publications

References 10 publications

Frozen Shoulder: Evidence and a Proposed Model Guiding Rehabilitation

Frozen Shoulder: Evidence and a Proposed Model Guiding Rehabilitation

Intraarticular corticosteroids, supervised physiotherapy, or a combination of the two in the treatment of adhesive capsulitis of the shoulder: A placebo‐controlled trial

Prevalence and impact of musculoskeletal disorders of the upper limb in the general population

Contact Info

Product

Resources

About