Frozen Shoulder
Original Editors - Nina Lefeber
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Search Strategy[edit | edit source]
To search for information about adhesive capsulitis, medical databases, such as Pubmed and PEDro, were used. Keywords I used to find information are adhesive capsulitis, frozen shoulder, treatment AND adhesive capsulitis, exercises AND adhesive capsulitis.
Definition/Description[edit | edit source]
Adhesive capsulitis, or frozen shoulder, is a condtion in which the capsule of the glenohumeral joint is inflamed. It is characterized by a painful, gradual loss of both active and passive glenohumeral motion, resulting from progressive fibrosis and contracture of the glenohumeral joint capsule. [1] [2] Contracture is defined as shortening of connective tissue (ligaments, tendons, and cartilage) and caused by excessive arthrofibrosis, immobilization, inactivation and adhesions.[3]
Adhesive capsulitis is described as being either primary or secondary. Primary, or idiopathic, adhesive capsulitis is due to an unknown cause, whereas secondary adhesive capsulitis results from a known cause or surgical event. [4]
Clinically Relevant Anatomy[edit | edit source]
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Epidemiology /Etiology[edit | edit source]
Adhesive capsulitis occurs in 2% to 5% of the population. The majority of patients are female, and especially between the ages of 40 to 60 years. [5][6] The non-dominant hand is more frequently involved, and about 20% to 30% of those affected will develop the condition in the opposite shoulder.
The causes remain unclear. Twenty percent to 30% of patients will report a history of minor trauma to the shoulder, but there is no further evidence that this is a posttraumatic condition. Others develop this condition due to an unknown cause.
The development of adhesive capsulitis has been associated with diabetes mellitus, thyroid dysfunction, Dupuytrens contractures, autoimmune disease, and the treatment of breast cancer. Patients with cerebrovascular accident or myocardial infarction have been reported to be at increased risk. In general, it’s more common in those with sedentary vocations than in manual laborers. [7]
Characteristics/Clinical Presentation[edit | edit source]
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Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
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- ↑ Andrew S. Neviaser, MD, and Jo A. Hannafin, MD, PhD, Adhesive Capsulitis: A Review of Current Treatment, The American Journal of Sports Medicine, 2010 Nov; 38 (11): 2346-56. Epub 2010 Jan 28. Level of evidence A1.
- ↑ Walmsley S, Rivett DA, Osmotherly PG., Adhesive capsulitis: establishing consensus on clinical identifiers for stage 1 using the DELPHI technique., Phys Ther. 2009 Sep;89(9):906-17. Epub 2009 Jul 9. Level of evidence B.
- ↑ Gaspar PD, Willis FB, Adhesive capsulitis and dynamic splinting: a controlled, cohort study, BMC Musculoskelet Disorders, 2009 Sep 7;10:111. Level of evidence B.
- ↑ Sam W. Wiesel, John N. Delahay, Essentials of Orthopedic Surgery. 4th Edition, 2010, Springer Science+Business Media LLC, NY (USA).
- ↑ Andrew S. Neviaser, MD, and Jo A. Hannafin, MD, PhD, Adhesive Capsulitis: A Review of Current Treatment, The American Journal of Sports Medicine, 2010 Nov; 38 (11): 2346-56. Epub 2010 Jan 28. Level of evidence A1.
- ↑ Walmsley S, Rivett DA, Osmotherly PG., Adhesive capsulitis: establishing consensus on clinical identifiers for stage 1 using the DELPHI technique., Phys Ther. 2009 Sep;89(9):906-17. Epub 2009 Jul 9. Level of evidence B.
- ↑ Andrew S. Neviaser, MD, and Jo A. Hannafin, MD, PhD, Adhesive Capsulitis: A Review of Current Treatment, The American Journal of Sports Medicine, 2010 Nov; 38 (11): 2346-56. Epub 2010 Jan 28. Level of evidence A1.
