SHOULDER ADHESIVE CAPSULITIS
DEFINITION:
- Also known as “Frozen shoulder”.
- Occurs when the joint capsule becomes inflamed, thickened, and contracted resulting in scar tissue formation and decreasing range of motion.
MECHANISM OF INJURY / HOW IT OCCURS:
- Commonly a result of immobilizing the shoulder after injury or self limiting motion secondary to discomfort from an inflammatory process such as tendonitis or bursitis.
SYMPTOMS:
- Individuals will complain of discomfort and limited motion.
DIAGNOSIS:
- Physical examination reveals limited motion, both actively and passively.
- Discomfort is elicited with attempts at movement past the frozen point.
- Radiographic studies are of benefit if concerned with underlying problem such as fracture.
- Magnetic resonance imaging (MRI) to evaluate for a possible rotator cuff injury which may be the causative factor in the development of the adhesive capsulitis (frozen shoulder).
TREATMENT/REHABILITATION:
- Ice and anti-inflammatory medications (NSAIDs) are of benefit to decrease the inflammation present.
- Therapy is the mainstay of treatment and should be started as soon as signs of adhesive capsulitis are detected. (See exercises for adhesive capsulitis).
- Surgery may be indicated for persistent symptoms. Manipulation of the shoulder under anaesthesia is utilized to break up scar tissue and loosen the joint capsule. Arthroscopy is also a consideration.
- Recovery may take over one year.