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Adhesive capsulitis.
1George Washington University, Washington, DC.
The Orthopedic Clinics of North America
|July 1, 1987
Summary
Adhesive capsulitis, or frozen shoulder, is a distinct condition with four arthroscopic stages. Early-stage adhesive capsulitis can resemble shoulder impingement syndrome.
Area of Science:
- Orthopedics
- Rheumatology
- Sports Medicine
Background:
- Adhesive capsulitis, commonly known as frozen shoulder, presents with characteristic signs and symptoms.
- Distinguishing adhesive capsulitis from other shoulder pathologies is crucial for accurate diagnosis and treatment.
- The condition is characterized by progressive stiffness and pain in the shoulder joint.
Purpose of the Study:
- To review the signs and symptoms of adhesive capsulitis.
- To differentiate adhesive capsulitis from other shoulder conditions, particularly "frozen shoulder."
- To describe the distinct arthroscopic stages of adhesive capsulitis.
Main Methods:
- Review of clinical signs and symptoms associated with adhesive capsulitis.
- Arthroscopic visualization to identify and categorize disease stages.
- Comparison of findings with impingement syndrome.
Main Results:
- Adhesive capsulitis is a distinct disease entity, separate from general "frozen shoulder" cases.
- Four specific stages of adhesive capsulitis have been identified and visualized arthroscopically.
- Stage 1 adhesive capsulitis presents symptoms similar to shoulder impingement syndrome.
Conclusions:
- Adhesive capsulitis is a well-defined condition with identifiable stages.
- Arthroscopy provides a method for staging adhesive capsulitis.
- Early diagnosis is important, as Stage 1 mimics impingement syndrome, requiring specific management considerations.