Shoulder 2

Question 1

Adhesive capsulitis stage 1

Answer 1

• Up to 3 months
• Sharp pain at end range
• Achy pain at rest
• Sleep disturbances
• Subacromial impingement may be suspected as primary dx
• Early loss of ER with intact RTC is hallmark sign

Question 2

Adhesive capsulitis stage II

Answer 2

• 3-9 months
• painful “freezing” stage
• gradual loss of motion in all directions
• arthroscopy reveals aggressive synovitis/angiogenesis

Question 3

Adhesive capsulitis stage III

Answer 3

• 9-15 months
• “frozen” stage
• pain and loss of ROM
• synovitis/angiogenesis lessens however has progressive CLC fibrosis

Question 4

Adhesive capsulitis stage IV

Answer 4

• 15-24 months
• “thawing” stage
• pain that begins to resolve with stiffness that remains

Question 5

CPR for full thickness RTC

Answer 5

• Drop arm
• Infraspinatus muscle testing
• Painful arc sign

Question 6

CPR for Impingement

Answer 6

• Hawkins kennedy
• Painful arc sign
• Weakness of infraspinatus