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2625 pages added, reviewed or updated during the last month (last updated: 15/4/2021)


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adhesive capsulitis (shoulder)

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First introduced by Codman in 1934, the term frozen shoulder describes a glenohumeral disorder characterised by shoulder pain or limitations, or both on active and passive elevation and external rotation (1).

  • the condition is also known as adhesive capsulitis
  • commonly seen in people who are in their 50s

The pathophysiology of the condition is unknown.

  • thought to result from fibrosis and thickening of the joint capsule and adherence to the humeral head
  • can occur in one shoulder or both shoulders simultaneously. 
    • non-dominant shoulder is slightly more likely to be affected (2)

Frozen shoulder is a self limiting condition

  • time from onset to recovery is between 12 - 42 months (3)
  • nearly all patients recover, but normal range of movement may never return (2)
  • long term disability is seen in 15% of the patients (3)

Frozen shoulder can be

  • primary or idiopathic
  • secondary to another cause
    • most common association is diabetes
      •  a patient with diabetes has a lifetime risk of 10%-20% of developing  frozen shoulder (1)

Reference:

Last reviewed 01/2018

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