FROZEN SHOULDER

Question 1

DEFINE

Answer 1

NOW KA ADHESIVE CAPSULITIS
CHARACTERISED BY PROGRESSIVE PAINFUL RESTRICTION OF BOTH ACTIVE AND PASSIVE MOVEMENT OF SHOULDER JOINT ALONG WITH STIFFNESS OF SHOULDER JOINT WHICH USUALLY RESOLVES IN 18 MONTHS.

Question 2

CLINICAL FEATURES

Answer 2

PAIN AND STIFFNESS
RESTRICTED MOVEMENT
INITIALLY PAIN WORSE AT NIGHT AND RESTRICTION OF INTERNAL ROTATION AND ABDUCTUION PRESENT
BUT LATER ALL MOVEMENTS RESTRICTED

Question 3

TESTS FOR LIMITATION OF MOVEMENT OF INTERNAL ROTATION AND ABDUCTION

Answer 3

INTERNAL ROTATION- UNABLE TO BRING ARM BACK LIKE NORMAL SHOULDER
ABDUCTION - UNABLE TO ABDUCT ARM LIKE NORMAL SHOULDER

Question 4

TREATMENT

Answer 4

SELF LIMITING
CONSERVATIVE -
NSAIDS , PENDULUM EXERCISE , PHYSIOTHERAPY
INTRAARTICULAR STEROID INJECTION HELPFUL
SHORT WAVE DIATHERMY

SURGICAL
ADHESIOLYSIS
ARTHROSCOPIC CAPSULAR RELEASE