Adhesive Capsulitis (Frozen Shoulder)

Question 1

What and where is the lesion a/w adhesive capsulitis?

Answer 1

Occurs btw rotator interval and coracoacromial ligament

Is a fibroblastic proliferation of capsular tissue

Question 2

What other conditions are a/w adhesive capsulitis?

Answer 2

1) Diabetes
2) thyroid disorder of autoimmune etiology
3) Prolonged immobilization or hospitalization
4)

Question 3

What are the clinical stages of adhesive capsulitis?

Answer 3

1) Painful- Gradual onset of diffuse pain (6 wks to 9 mos)
2) Stiff- Decreased ROM affecting activities of daily living (4 to 9 mos or more)
3) Thawing- Gradual return of motion (5 to 26 mos)

Question 4

What is the treatment of adhesive capsulitis?

Answer 4

1) NSAIDs, PT, steroid injections; heat and gentle PROM for at least 3-6 months (results in