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Sunday, 13 May 2012

Adhesive Capsulitis

Adhesive capsulitis is a benign, self-limiting condition of unknown etiology characterized by painful and limited active and passive glenohumeral range of motion of ≥ 25% in at least two directions[1][2][3][4][5][6] most notably shoulder abduction and external rotation.
Adhesive capsulitis, commonly referred to as frozen shoulder, is associated with synovitis and capsular contracture of the shoulder joint and can be classified as either primary or secondary. [1][2][3][4][5][7] In clinical practice it can be hard to differentiate adhesive capsulitis from other shoulder pathologies.[1] Since the physical therapy management of adhesive capsulitis is much different than that of other shoulder pathologies it can be detrimental to the patient if they are misdiagnosed. Therefore, it is important for the clinician to be aware of the ‘hallmarks’ of frozen shoulder and recognize the clinical phases that are specific to this condition.....

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