What is adhesive capsulitis of the shoulder?
Treatment of Adhesive Capsulitis of the Shoulder 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.
Are corticosteroid injections effective in the treatment of adhesive capsulitis?
However, symptoms may take 2 to 3 years to resolve fully. A small, but significant, portion of patients require surgical intervention. The purpose of this systematic review is to evaluate the efficacy of corticosteroid injections for the treatment of adhesive capsulitis (AC).
What is the Mr criterion for the diagnosis of adhesive capsulitis?
Joint capsule and synovium thickness greater than 4 mm is a useful MR criterion for the diagnosis of adhesive capsulitis.
How long does adhesive capsulitis last?
Abstract Objective: Adhesive capsulitis is a self-limiting condition in a majority of patients and is often treated nonoperatively. However, symptoms may take 2 to 3 years to resolve fully. A small, but significant, portion of patients require surgical intervention.
How is adhesive capsulitis (AC) evaluated?
The evaluation of adhesive capsulitis starts with a thorough shoulder history. Inciting events such as mild trauma are often given in relation to the shoulder pain. This may be something very trivial, and in fact may not be related to the process, but the patient may recall something that is attributed to starting the process.
What are the possible complications of adhesive capsulitis (AC)?
Pain associated with adhesive capsulitis can cause a limitation or selective immobilization of the painful shoulder.
What is the best treatment for adhesive capsulitis?
Some surgeons would argue that the best treatment for adhesive capsulitis is prevention by providing adequate postoperative pain management to allow patients to comfortably engage in physical therapy. Yamaguchi et al.94placed intra-articular bupivacaine pain catheter following their arthroscopic capsular release.