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Related Experiment Videos

[The frozen shoulder].

R Hertel1

  • 1Universitätsklinik für Orthopädische Chirurgie, Inselspital, CH-3010 Bern. ralph.hertel@insel.ch

Der Orthopade
|January 6, 2001
PubMed
Summary

Frozen shoulder, also known as adhesive capsulitis, causes painful shoulder stiffness. Treatment involves exercises and medical interventions, with timing and approach being crucial for recovery.

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Area of Science:

  • Orthopedics
  • Rheumatology
  • Sports Medicine

Context:

  • Shoulder stiffness is a complex condition with varied terminology, including frozen shoulder and adhesive capsulitis.
  • It can arise idiopathically or secondary to trauma, infection, or metabolic issues.
  • Pathoanatomically, it involves inflammation and thickening of the joint capsule.

Purpose:

  • To clarify the clinical presentation and pathoanatomy of shoulder stiffness.
  • To outline current diagnostic approaches and treatment modalities.
  • To emphasize the importance of treatment timing and potential complications.

Summary:

  • Shoulder stiffness presents with pain preceding reduced range of motion, often worse at night in early stages.
  • Diagnosis relies on clinical history and physical examination.
  • Treatment options include mobilization, intra-articular steroids, hydraulic distension, manipulation under anesthesia, and arthrolysis.

Impact:

  • Highlights the need for careful patient assessment and tailored treatment strategies.
  • Suggests that aggressive treatments may be contraindicated in the inflammatory phase.
  • Explores potential benefits of novel anti-angiogenic agents for improved outcomes and rehabilitation.

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