capsule pathologies

Question 1

Capsule

Answer 1

Dense fibrous connective tissue, lined with synovium

Bundles of collagen fibres firmly adhered to bone

Thickness and fibre orientation depend on stresses endured

Question 2

Shouler Adhesive Capsulitis

“frozen shoudler”

Answer 2

Spontaneous onset of shoulder pain accompanied by progressive limitation of both active and passive glenohumeral joint movements

Question 3

Shouler Adhesive Capsulitis causes

Answer 3

Shoudler Adhesive Capsulitis causes
post trauma
post surgery
secondary to endocrine disease
idiopathic

Question 4

Shouler Adhesive Capsulitis pathophysiology

Answer 4

pre-adhesive stage-
painful with minimal loss of movement
synoival inflammtion

freezing stage-
limitation of passive and active ROM
synovial imflammation with early capsule adhesion

Frozen stage-
significant limitation of ROM
Minimal pain
dense adhesive and capsular fibrosis

Thawing stage-minimal pain with progressive improvement in ROM

Question 5

Treatment of Shouler Adhesive Capsulitis

Answer 5

natural course self limiting condition lasting 18-30 months
physiotherapy-manipulation
corticosteriod injection
arthroscopic release