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Rat Model of Adhesive Capsulitis of the Shoulder
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[Adhesive capsulitis of the shoulder : Update 2017].

Pierre-Alain Buchard1, Cyrille Burrus2, François Luthi2

  • 1Service ambulatoire, Clinique romande de réadaptation Suvacare, Grand Champsec 90, 1950 Sion.

Revue Medicale Suisse
|October 6, 2017
PubMed
Summary

Adhesive capsulitis, or frozen shoulder, remains clinically defined due to limited imaging sensitivity. Treatments are conservative, as the condition typically resolves naturally within one to two years.

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Area of Science:

  • Orthopedics and Sports Medicine
  • Rheumatology

Background:

  • Adhesive capsulitis (frozen shoulder) has been known for over 150 years.
  • Its precise pathophysiology remains incompletely understood, with a primarily clinical definition.
  • Current imaging technologies lack sufficient sensitivity and specificity for definitive diagnosis.

Purpose of the Study:

  • To review the current understanding of adhesive capsulitis.
  • To discuss its clinical presentation, natural course, and management strategies.

Main Methods:

  • Literature review of adhesive capsulitis.
  • Clinical observation and analysis of the condition's progression.

Main Results:

  • Adhesive capsulitis presents with pain, stiffness, and limited range of motion.
  • The condition typically follows a three-phase course over 1-2 years: pain, stiffening, and recovery.
  • Idiopathic adhesive capsulitis is the most common form, but other conditions can mimic it.

Conclusions:

  • The natural course of adhesive capsulitis is lengthy but usually results in full recovery.
  • Conservative and prudent therapeutic approaches are recommended due to a lack of evidence for disease-modifying treatments.