Adhesive Capsulitis (Frozen Shoulder)
- PMID: 30422550
- Bookshelf ID: NBK532955
Adhesive Capsulitis (Frozen Shoulder)
Excerpt
Adhesive capsulitis, commonly known as frozen shoulder, is characterized by painful and progressive shoulder motion loss due to fibrotic joint capsule changes. This condition predominantly affects middle-aged adults, especially those with endocrine disorders such as diabetes or thyroid dysfunction, which can predispose individuals to more severe forms of the disease. Despite its commonality, the pathophysiology remains only partially understood, and the condition is often under-recognized, leading to delays in treatment and prolonged disability. The persistent nature of adhesive capsulitis and its significant effect on a patient's daily functioning emphasizes the critical need for expedient diagnosis, treatment, and a comprehensive care strategy involving multiple medical specialties.
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Conflict of interest statement
Sections
- Continuing Education Activity
- Introduction
- Etiology
- Epidemiology
- Pathophysiology
- Histopathology
- History and Physical
- Evaluation
- Differential Diagnosis
- Staging
- Prognosis
- Complications
- Deterrence and Patient Education
- Pearls and Other Issues
- Enhancing Healthcare Team Outcomes
- Review Questions
- References
References
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- McKean D, Yoong P, Brooks R, Papanikitas J, Hughes R, Pendse A, McElroy BJ. Shoulder manipulation under targeted ultrasound-guided rotator interval block for adhesive capsulitis. Skeletal Radiol. 2019 Aug;48(8):1269-1274. - PubMed
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- Gumina S, Candela V, Castagna A, Carnovale M, Passaretti D, Venditto T, Giannicola G, Villani C. Shoulder adhesive capsulitis and hypercholesterolemia: role of APO A1 lipoprotein polymorphism on etiology and severity. Musculoskelet Surg. 2018 Oct;102(Suppl 1):35-40. - PubMed
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- Redler LH, Dennis ER. Treatment of Adhesive Capsulitis of the Shoulder. J Am Acad Orthop Surg. 2019 Jun 15;27(12):e544-e554. - PubMed
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- Expert Panel on Musculoskeletal Imaging: Small KM, Adler RS, Shah SH, Roberts CC, Bencardino JT, Appel M, Gyftopoulos S, Metter DF, Mintz DN, Morrison WB, Subhas N, Thiele R, Towers JD, Tynus KM, Weissman BN, Yu JS, Kransdorf MJ. ACR Appropriateness Criteria® Shoulder Pain-Atraumatic. J Am Coll Radiol. 2018 Nov;15(11S):S388-S402. - PubMed
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