adhesive Capsulitis Flashcards
adhesive capsulitis
Condition with pain and stiffness or motion loss in the shoulder
Associated with sleep, deprivation, anxiety, and disability
Average duration is 30.1 months
pathogenesis and results of adhesive capsulitis
unknown cause but Results in
Hardening of redundant axillary folds
Synovial capsule thickening
Contracture of GH joint
Dense adhesions on the synovial capsule
Significant loss of range of motion, passive and active
secondary cause of frozen shoulder extrinsic
Cardiopulmonary disease
Cervical disc
CVA
Humerus fractures
Parkinson’s
Secondary cause of frozen shoulder intrinsic
rotator cuff tendinitis
rotator cuff tears
Biceps tendinitis
Calcific tendinitis
AC arthritis
secondary causes of frozen shoulder systemic
Diabetes mellitus
Hypothyroidism
Hyperthyroidism
Hypoadrenalism
Three categories for primary idiopathic causes of frozen shoulder
histological
Neuronal
Vascular
histological changes for frozen shoulder
inflammatory cytokines
Fibroblast myofibroblasts
Lymphocytes
MRI changes
Thickening of the CH ligament
Thickening of the joint capsule and synovial membrane
fluid distention of the bursa and the subscapularis recess
Synovial abnormalities around the long head biceps tendon
Normal volume of fluid in the joint capsule is
28 to 35 mL
Can be as low as 5 to 10 mL and advanced stages of adhesive capsulitis
Neural and vascular abnormalities for frozen shoulder
Increased immuno reactive proteins and increased vascularity in the Anterosuperior joint capsule, but not in the inferior or posterior capsule
stage one adhesive capsulitis
0 to 3 months
Non-capsular limitations
Pain with active range of motion and passive range of motion
(early on- More generalized restrictions and may only have pain in end range)
stage two adhesive capsulitis
freezing
3-9 months
capsular pattern limitation
Stage three adhesive capsulitis
frozen
9-15 months
High irritability
Rigid end feel
Stage four adhesive capsulitis
thawing
15-24 months
low irritability
gradual return ROM
patient presentation of adhesive capsulitis
Gradual and progressive onset of pain
Pain at end ranges
painful and restricted active and passive range of motion in both elevation and rotation that occurs for at least one month
Functional activities like reaching overhead, behind the back, or out to the side, becoming increasingly difficult due to pain or stiffness
