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Adhesive capsulitis of the hip: three case reports
R Joassin1, M Vandemeulebroucke, J-F Nisolle
1Service de médecine physique et réadaptation, CHR de Namur, avenue Albert-1 er, 185, Namur, Belgium. joassinroxane@yahoo.fr
Summary
Adhesive capsulitis of the hip (ACH) is an underestimated condition affecting middle-aged women, characterized by painful hip mobility limitation. Diagnosis involves arthrography, with treatment tailored to etiology, including injections, physical therapy, and potentially surgery.
Area of Science:
- Orthopedics
- Rheumatology
- Sports Medicine
Background:
- Adhesive capsulitis of the hip (ACH) is a condition characterized by painful limitation of joint mobility.
- It predominantly affects middle-aged women and can be idiopathic or secondary to other joint pathologies.
Observation:
- Clinical assessment reveals painful limitation of hip joint mobility.
- Arthrography is crucial for diagnosis, with a joint capacity below 12ml being a key indicator.
- Differential diagnoses include osteoarthritis and complex regional pain syndrome type 1.
Findings:
- ACH may be more prevalent than current literature suggests.
- First-line treatment involves intra-articular corticosteroid injections and physical therapy.
- Arthroscopy and manipulation under anesthesia are options for refractory cases.
Implications:
- Accurate diagnosis and timely, tailored treatment are essential for managing ACH.
- Physical therapy plays a critical role in minimizing residual deficits and functional impairments.
- Further research may clarify the true incidence and optimal management strategies for ACH.
