Objective: To compare mean resting pain relief and passive external rotation improvement by Intra-articular Steroid versus intra-articular Platelet Rich Plasma injection in patients with adhesive capsulitis.
 Study Design: Prospective comparative study.
 Place Duration of Study: Armed Forces Institute Rehabilitation Medicine, Rawalpindi Pakistan, from Jan to Jun 2019.
 Methodolog...

BACKGROUND Idiopathic adhesive capsulitis is a commonly recognized but poorly understood cause of a painful and stiff shoulder. Although most orthopaedic literature supports treatment with physical therapy and stretching exercises, some studies have demonstrated late pain and functional deficits. The purpose of this study was to evaluate the outcome of patients with idiopathic adhesive capsulit...

■ QUICK DIAGNOSTIC REVIEW Consider the patient’s age, history of trauma, details of injury, and previous shoulder problems. Observe the patient’s general movements, assess range of motion, and use provocative testing to form a differential diagnosis (Figure 1). If the diagnosis is unclear, arrange for imaging studies (Table 1). A more thorough review for diagnosing shoulder pain may be found in...

OBJECTIVE To evaluate Mulligan's technique for relieving pain and improving functional capacity of the shoulder in patients with adhesive capsulitis in the stiffness phase. DESIGN Randomized controlled study. METHODS A total of 40 subjects were randomly allocated into 2 groups: (i) group 1 (n = 20) were treated with hot pack, transcutaneous electrical nerve stimulation, and passive stretchi...

Because of its inherent superior soft tissue contrast and lack of ionizing radiation, magnetic resonance imaging (MRI) is highly suited to study the complex anatomy of the shoulder joint, particularly when assessing the relatively high incidence of shoulder injuries in young, athletic patients. This review aims to serve as a primer for understanding shoulder MRI in an algorithmical approach, in...

Shoulder pain, the third most common musculoskeletal complaint in primary care physicians' offices, often occurs in older patients—it has its peak incidence in the fourth to the sixth decades of life.1 Common shoulder conditions in this age-group include rotator cuff tendinopathy, impingement, rotator cuff tear, adhesive capsulitis ("frozen shoulder"), and glenohumeral (GH) arthritis. Diagnosis...

OBJECTIVE To find the most effective procedure to treat adhesive capsulitis of the shoulder, we evaluated the clinical effects of an ultrasonographic-guided anterior approach capsular distension and a fluoroscopy-guided posterolateral approach capsular distension. We expected the anterior approach to be better than the posterolateral approach because the rotator interval, a triangular anatomic ...

OBJECTIVE This study was conducted to examine the clinical profile of patients with adhesive capsulitis (AC) and evaluate various possible etiological factors. METHODS The study was conducted in the Department of Physical Medicine and Rehabilitation, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India. One hundred patients fulfilling the criteria for the diagnosis of AC wer...

OBJECTIVE To determine if diagnostic signs of adhesive capsulitis (AC) of the shoulder at Magnetic Resonance Imaging (MRI) and arthrography (MRA) are applicable to CT arthrography (CTA). METHODS 22 shoulder CTAs with AC were retrospectively reviewed for features described in MR literature. The control group was composed of 83 shoulder CTA divided into four subgroups 1) normal (N = 20), 2) oma...

Adhesive capsulitis or frozen shoulder is a common condition characterized by shoulder pain and stiffness. In patients in whom conservative measures have failed, more invasive interventions such as arthrographic or arthroscopic distension can be very effective in relieving symptoms and improving range of movement. However, absolute contraindications to these procedures include the presence of n...