adhesive capsulitis (frozen shoulder)

From Aaushi
Jump to navigation Jump to search

Introduction

Pain & restricted movement of the shoulder, generally in the absence of intrinsic joint disease.

Etiology

Epidemiology

Pathology

Clinical manifestations

  • pain & decreased range of motion in all directions
  • both active & passive movement are restricted*, especially external rotation & abduction
  • pain & stiffness generally develop gradually over a period of months to 1 year, but may progress more rapidly
  • pain is located diffusely about anterior & posterior regions of the shoulder joint
  • may be early painful (freezing phase) lasting weeks to months followed by adhesive stiffening phase lasting 4-12 months[6]
  • patients may be unable to recall trauma or injury
  • pain may interfere with sleep, especially when patient rolls onto shoulder
  • strength may be normal
  • impingement sign may be mildly positive
  • the shoulder is tender to palpation at the insertion of the deltoid tendon[2]

* contrast to rotator cuff tendonitis where mostly active range of motion is impaired

Radiology

Differential diagnosis

Management

More general terms

Additional terms

References

  1. 1.0 1.1 Harrison's Principles of Internal Medicine, 13th ed. Isselbacher et al (eds), McGraw-Hill Inc. NY, 1994, pg 1709
  2. 2.0 2.1 2.2 Medical Knowledge Self Assessment Program (MKSAP) 11, 16, 17, 18, 19. American College of Physicians, Philadelphia 1998, 2012, 2015, 2018, 2021.
  3. 3.0 3.1 Clyman B, in: UCLA Intensive Course in Geriatric Medicine & Board Review, Marina Del Ray, CA, Sept 12-15, 2001
  4. 4.0 4.1 Harrison's Principles of Internal Medicine, 14th ed. Fauci et al (eds), McGraw-Hill Inc. NY, 1998, pg 1961
  5. 5.0 5.1 Geriatrics Review Syllabus, American Geriatrics Society, 5th edition, 2002-2004; 7th edition 2010
  6. 6.0 6.1 Geriatrics at your Fingertips, 13th edition, 2011 Reuben DB et al (eds) American Geriatric Society
  7. 7.0 7.1 7.2 Rangan A, Brealey SD, Keding A et al. Management of adults with primary frozen shoulder in secondary care (UK FROST): A multicentre, pragmatic, three-arm, superiority randomised clinical trial. Lancet 2020 Oct 3; 396:977 PMID: https://www.ncbi.nlm.nih.gov/pubmed/33010843 https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)31965-6/fulltext
  8. 8.0 8.1 8.2 Challoumas D, Biddle M, McLean M et al Comparison of Treatments for Frozen Shoulder. A Systematic Review and Meta-analysis. JAMA Netw Open. 2020;3(12):e2029581. Dec 16 PMID: https://www.ncbi.nlm.nih.gov/pubmed/33326025 PMCID: PMC7745103 Free PMC articl https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2774247
  9. Ramirez J Adhesive Capsulitis: Diagnosis and Management Am Fam Physician. 2019 Mar 1;99(5):297-300. PMID: https://www.ncbi.nlm.nih.gov/pubmed/30811157 Free article
  10. Le HV, Lee SJ, Nazarian A, Rodriguez EK. Adhesive capsulitis of the shoulder: review of pathophysiology and current clinical treatments. Shoulder Elbow. 2017 Apr;9(2):75-84. PMID: https://www.ncbi.nlm.nih.gov/pubmed/28405218 PMCID: PMC5384535 Free PMC article
  11. 11.0 11.1 11.2 11.3 Redler LH, Dennis ER. Treatment of adhesive capsulitis of the shoulder. J Am Acad Orthop Surg. 2019;27:e544-e554. PMID: https://www.ncbi.nlm.nih.gov/pubmed/30632986