frozen shoulder

Question 1

aka

Answer 1

adhesive capsulitis

Question 2

key risk factor

Answer 2

diabetes

Question 3

primary

Answer 3

occurs spontaneously

Question 4

secondary

Answer 4

occurs in response to trauma, surgery, immobilisation

Question 5

pathophysiology

Answer 5

inflammation + fibrosis in joint capsule leads to adhesions

adhesions bind the capsule and cause it to tighten around the joint, restricting movement

Question 6

course of symptoms

Answer 6

1. painful phase
2. stiff phase
3. thawing phase

Question 7

differentials - no Hx trauma

Answer 7

supraspinatous tendinopathy
AC joint arthritis
Gleno-humeral joint arthritis

Question 8

supraspinatous tendinopathy

Answer 8

inflammation and irritation of supraspinatous teninopathy, esp due to impingement

‘empty can’ test to assess for this

Question 9

Dx

Answer 9

clinical diagnosis

USS, MRI or CT can show thickened joint capsule

Question 10

Mx

Answer 10

analgesia
physio
IA steroids
hydrodilation

surgery if severe

• manipulation under anaesthesia
• arthroscopy