Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

MSK Exam 3 > Frozen Shoulder Contracture Syndrome (FSCS) > Flashcards

Frozen Shoulder Contracture Syndrome (FSCS) Flashcards

1
Q

There are 3 functional questionnaires that are used for frozen shoulders, what are they and what do they stand for?

A
  • DASH: Disabilities of the Arm, Shoulder and Hand
  • ASES: American Shoulder and Elbow Surgeons shoulder scale
  • SPADI: Shoulder Pain and Disability Index
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is frozen shoulder also known as?

A

Adhesive Capsulitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

About what percentage of the population experiences a frozen shoulder?

A
  • 2 to 5.3%
  • Frequently misdiagnosed with any multi-directional limitation in ROM
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the risk factors for frozen shoulder?

A
  • Associated with systemic low-grade inflammation (hyperthyroidism and diabetes)
  • 40-65 years of age
  • Biological female
  • Previous adhesive capsulitis
  • Family history
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the primary cause of a frozen shoulder?

A

Due to pathology, particularly autoimmune conditions (I.e. diabetes, hyperthyroidism, etc.)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the secondary cause of a frozen shoulder?

A

Concomitant (happens at the same time as something else - or concurrent) injury and period of immobilization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Where is the inflammation typically located?

A

More often in the GH capsule and ligaments and it is persistent and can cause a fibrous contracture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

T/F: Frozen shoulders can lead to reduced joint volume.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What type of impingement will most likely occur?

A

Hypomobile

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What structures are involved in a frozen shoulder?

A
  • GH capsule and ligaments
  • Joint space
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What kind of symptoms might you see?

A
  • Gradual and progressive pain and loss of motion
  • Functional limitations with reaching, sleeping, and other basic ADLs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

When looking at ROM what motions will lose their range the most?

A
  • worst ER
  • then ABD
  • then FLEX
  • last IR
  • This is a capsular pattern of restriction
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What kind of finding will you have with combined motions?

A

Consistent block

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What will you find with resisted/ MMT?

A

Possibly weak and/or painful depending on the stage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Stress test will show what?

A

Distraction may be positive depending on the stage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Will accessory motion be hypomobile or hypermobile?

A

Hypomobile

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Will you special tests be positive?

A

Yes, for impingement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

How many stages of a frozen shoulder are there?

19
Q

What is stage 1?

A
  • Initial
  • Gradual onset
  • Achy at rest
  • Sharp with use
  • Night pain is common
  • Unable to lie on the involved side
  • Highly irritable
  • AROM is significantly less than PROM
  • Empty and painful end feel
20
Q

What is stage 2?

A
  • Freezing
  • Constant pain, particularly at night
  • Highly irritable
  • Moderate to severe limitations in AROM compared to PROM
  • Empty and painful end feel
21
Q

What is stage 3?

A
  • Frozen
  • Stiffness is greater than the pain
  • Intermittent pain
  • Moderate irritability
  • Moderate to severe limitations with pain at end range
  • AROM is equal to PROM
  • Firm end feel
22
Q

What is stage 4?

A
  • Thawing
  • Minimal to no pain
  • Low irritability
  • ROM gradually improves
  • Firm end feel
23
Q

Is there a gold standard test and measure for frozen shoulder?

24
Q

What will images look like for frozen shoulders?

A

Normal radiographs

25
Are you able to diagnose frozen shoulders early?
Early diagnosis is very difficult due to irritability
26
What is the most common "test and measure" for a frozen shoulder
The clinical presentation of the patient
27
What kind of patient education should you do for a frozen shoulder?
- POLICED - Describe natural course of the 4 stages - Promote pain free functional activity - Match intensity of stretching and joint mobilizations with signs and symptoms always
28
What kind of benefit does cryotherapy have for frozen shoulder?
Additional benefit to joint mobilization and modalities for pain, ROM, and function
29
What kind of benefit does laser have for frozen shoulder?
Evidence for short term and long term functional changes
30
What kind of benefit does diatherapy, US, and e-stem have for frozen shoulder?
Weak, if any evidence
31
What kind of benefits do joint mobilizations have for frozen shoulder?
- Mixed benefits for pain and ROM - Grade 3-4 have moderate evidence for short and long term benefits - Inconsistent benefit for ROM added to exercise in shoulders with gradual onset - Weak evidence
32
What kind of benefits does STM for ROM and flexibility have for frozen shoulder?
Moderate evidence
33
What is the goal for METs?
Focus primarily for elasticity and mobility increases but to also offset disuse, particularly with inhibited muscles as you need to control improving mobility
34
T/F: Multimodal approach is effective for most patients with frozen shoulders.
True
35
What kind of evidence do oral steroids have for frozen shoulders?
Moderate evidence for short term benefit
36
What kind of evidence do cortisone injections have for frozen shoulders?
- Short and mid-term benefit - Short term benefit when added to therapeutic exercise and joint mobilizations
37
How effective are manipulations under anesthesia?
- They have questionable effectiveness - No difference to exercise alone - Recalcitrant (stubborn) conditions respond well
38
T/F: Capsular release is supported for frozen shoulders.
False
39
How long does stage 1 last?
About 1 to 2 months
40
How long does the pain and mobility deficits last?
May last 12 to 18 months
41
T/F: Most achieve minimal symptoms and deficits in recovery.
True
42
If a frozen shoulder is untreated how long may it take to resolve?
12 to 42 months
43
About 50% of people who go untreated will have pain for how many years?
4.5 to 7 years

MSK Exam 3 (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions