adhesive capsulitis Flashcards
frozen shoulder (also known as adhesive capsulitis), adhesive fibrosis happens when the tissue around the shoulder joint (called the joint capsule) gets thick, tight, and inflamed. Normally, the capsule is soft and stretchy, allowing smooth movement. But with adhesive fibrosis, the capsule develops scar tissue that “sticks” things together, restricting movement and causing pain.
Scar tissue is the body’s natural way of healing after an injury.
Adhesive fibrosis This happens when scar tissue forms too much or in the wrong places, causing structures to stick together (adhesion).
What is adhesive capsulitis?
Adhesive capsulitis results in a loss of range of motion in active and passive shoulder motion due to soft tissue contracture.
What causes adhesive capsulitis?
It is caused by adhesive fibrosis and scarring between the capsule, rotator cuff, subacromial bursa, and deltoid.
What is the etiology of adhesive capsulitis?
The onset may be related to a direct injury to the shoulder or may begin insidiously.
What is the peak incidence age for adhesive capsulitis?
Peak incidence occurs in individuals between 40 and 60 years of age, with females being affected more than males.
How does diabetes relate to adhesive capsulitis?
Patients with diabetes have an increased incidence of adhesive capsulitis.
What is the typical duration of adhesive capsulitis?
The condition is self-limiting and typically resolves in one to two years, although some individuals have residual loss of motion.
A self-limiting disease is a condition that resolves on its own without requiring significant medical intervention
What are the signs and symptoms of adhesive capsulitis?
Signs include insidious onset of localized pain often extending down the arm, (((subjective))) reports of stiffness, night pain, and restricted range of motion in a capsular pattern(ext rot –>abd–>int rot)
What is the focus of treatment for adhesive capsulitis?
The focus is on increasing range of motion with glenohumeral mobilization, range of motion exercises, and palliative modalities.
What should therapists and patients avoid during treatment?
They should avoid overstretching and elevating pain since this can result in further loss of motion.
What are some surgical options for adhesive capsulitis?
Surgical options include suprascapular nerve block and closed manipulation under anesthesia.
