Treatment of Adhesive Capsulitis of the Shoulder.

@article{Redler2019TreatmentOA,
  title={Treatment of Adhesive Capsulitis of the Shoulder.},
  author={Lauren H. Redler and Elizabeth R. Dennis},
  journal={The Journal of the American Academy of Orthopaedic Surgeons},
  year={2019},
  volume={27 12},
  pages={
          e544-e554
        }
}
Adhesive capsulitis presents clinically as limited, active and passive range of motion caused by the formation of adhesions of the glenohumeral joint capsule. Radiographically, it is thickening of the capsule and rotator interval. The pathology of the disease, and its classification, relates to inflammation and formation of extensive scar tissue. Risk factors include diabetes, hyperthyroidism, and previous cervical spine surgery. Nonsurgical management includes physical therapy, corticosteroid… 
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45 Citations
Background Citations
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Methods Citations
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Results Citations
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45 Citations

Current Concepts in the Treatment of adhesive capsulitis of the Shoulder

Postoperative rehabilitation, arthroscopic release should be followed by early, diligent, and directed therapy to prevent recurrent stiffness, and there is a lack of high level studies comparing different techniques for capsular release.

Updates on Intra-articular Corticosteroid Injection for the Treatment of Adhesive Capsulitis

An overview of current corticosteroid injection methods for adhesive capsulitis is provided and there is no consensus as to the best injection site.

Adhesive Capsulitis of Hip–A Systematic Review of Literature

The disease has a favorable prognosis with the possibility of spontaneous recovery and the method of diagnosis, treatment to be given, functional outcomes, and complications was extracted from each study.

Treatment Strategy for Frozen Shoulder

An overview of current treatment methods for frozen shoulder is provided and there is no consensus as to the most efficacious treatments for this condition.

Manipulation under anaesthesia with local intracapsular steroid injection in treatment of frozen shoulder

VAS score as well as PROM were significantly improved 3 months after the treatment of frozen shoulder with manipulation under anaesthesia along with intracapsular steroid injection, indicating that this treatment modality can be used as a safe and effective method to reduce pain and stiffness in frozen shoulder.

Predictive Factors for Failure of Intraarticular Injection in Management of Adhesive Capsulitis of the Shoulder

IA corticosteroid injections are associated with increased rates of failure and progression to surgical management when patients present with increased pain levels as well as with less improvement in pain levels and ROM following injection.

A Case Report on the Use of a Conjugated System of Myofascial Release for Shoulder Capsulitis

This study evaluated the combined therapy of myofascial release and photobiostimulation, associating the action of mechanical traction with the fibres of the muscle fascia as well as the photobiomodulatory action of the therapeutic laser, showing a new and promising possibility of treatment for adhesive capsulitis.

Assessment of isolated glenohumeral range of motion in patients with adhesive capsulitis can help predict failure of conservative treatment: a pilot study

Patients who did not experience early improvements in isolated glenohumeral ROM often required surgery and failure of conservative treatment was defined as the need for surgery and persistent pain or CMS below 70 points at the 1-year follow-up.

A Review on Current Notion in Frozen Shoulder: A Mystery Shoulder

In conclusion, steroid injection along with physical therapy shows significant improvement in the range of motion and reduction in pain in the shoulder.

Glenohumeral Hydrodistension for Postoperative Stiffness After Arthroscopic Primary Rotator Cuff Repair

Glenohumeral hydrodistension can increase ROM and is a useful adjunct for patients with stiffness to limit secondary surgery.

References

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