Adhesive Capsulitis Flashcards
Who is most at risk for adhesive capsulitis?
Those with diabetes
40-60 y/o
Females
What is the average duration of adhesive capsulitis?
30 months
What happens to the synovial capsule in adhesive capsulitis?
It thickens and gets decreased fluid volume
What are the histological changes present in adhesive capsulitis?
Inflammatory cytokines
Fibroblasts
Lymphocytes
What are conditions that are often similar to adhesive capsulitis?
Rotator cuff tear
Tendonitis
Osteoarthritis
Labral tear
Subacromial bursitis
What was the average duration for someone who did PT with NSAIDS non-operative to reach full shoulder ROM?
3.8 months
What was the average duration for someone who got surgery to return back to full shoulder ROM?
12.4 months
What is level A evidence in adhesive capsulitis?
Steroid injections with PT
What is level B evidence in someone with adhesive capsulitis?
Education and stretching
What is level C evidence in someone with adhesive capsulitis?
Modalities
Mobs/manipulations
What type of changes does adhesive capsulitis involve?
Histological, vascular, and neuronal
What is primary adhesive capsulitis?
There is no other known cause to development
What is secondary adhesive capsulitis?
There is another cause that led to the development of adhesive capsulitis (intrinsic, extrinsic, systemic)
What is an intrinsic cause that could lead to secondary adhesive capsulitis?
Damage to the tissue due to injury which causes the healing inflammatory process that could lead to adhesive capsulitis
What are some extrinsic factors that could lead to adhesive capsulitis?
Cardiopulmonary disease (leads to reduced blood flow to the joint)
Nerve compression
