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Related Experiment Videos

Shoulder stiffness: diagnosis.

Divya Bhargav1, George A Murrell

  • 1Sports Medicine and Shoulder Service, Orthopaedic Research Institute, University of New South Wales, St George Hospital Campus, Sydney, New South Wales.

Australian Family Physician
|April 2, 2004
PubMed
Summary

Idiopathic capsulitis, or frozen shoulder, is a common cause of shoulder stiffness in adults. Clinical evaluation effectively differentiates it from rotator cuff tears and impingement.

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Anatomy

Background:

  • Shoulder pain and stiffness are prevalent, especially in individuals aged 40-80.
  • Idiopathic capsulitis, commonly known as frozen shoulder, is the leading cause of shoulder stiffness in the fifth decade of life.

Purpose of the Study:

  • To review the functional anatomy of the shoulder.
  • To outline the pathology of shoulder stiffness conditions.
  • To present methods for differentiating these conditions.

Main Methods:

  • Clinical history and physical examination.
  • Radiographic assessment (X-rays).
  • Diagnostic ultrasound.

Main Results:

  • Clinical assessment accurately distinguishes rotator cuff tears, impingement, and frozen shoulder.
  • Restricted glenohumeral motion, especially external rotation, without X-ray abnormalities suggests frozen shoulder.
  • X-rays are crucial for detecting glenohumeral arthritis.

Conclusions:

  • Clinical evaluation is sufficient for diagnosing common shoulder stiffness causes.
  • Imaging modalities like ultrasound aid in complex cases or when clinical diagnosis is uncertain.

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