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Adhesive capsulitis of the hip
1Nashville Sports Medicine & Orthopaedic Center, Department of Orthopaedics and Rehabilitation, Vanderbilt University School of Medicine, Nashville, Tennessee, USA. info@nsmoc.com
Summary
Adhesive capsulitis of the hip, though rarely reported, presents similarly to shoulder cases, primarily affecting middle-aged women with painful restricted motion. Arthroscopy can aid treatment in difficult cases.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Musculoskeletal Disorders
Background:
- Adhesive capsulitis of the hip is infrequently documented.
- This condition shares clinical similarities with adhesive capsulitis of the shoulder.
- Previous literature has described only isolated cases.
Purpose of the Study:
- To investigate and report findings on hip adhesive capsulitis.
- To present the first clinical case series on this condition.
- To compare hip adhesive capsulitis characteristics to the shoulder.
Main Methods:
- Retrospective review of prospectively collected data (clinical case series).
- Analysis of 9 patients diagnosed with hip adhesive capsulitis since 1999.
- Minimum 1-year follow-up for all patients.
Main Results:
- Average patient age was 43.7 years, with 8 women and 1 man.
- Examination under anesthesia revealed significant loss of rotational motion.
- Arthroscopy confirmed adhesive capsulitis in all cases and identified coexistent intra-articular pathology in 6 patients.
- Patients with normal radiographs showed significant improvement after manipulation and arthroscopy.
Conclusions:
- Adhesive capsulitis of the hip is likely underdiagnosed.
- Clinical presentation includes painful restricted motion, predominantly in middle-aged women.
- Arthroscopy may benefit recalcitrant cases, but improved diagnostic skills are crucial for management.