23 - Shoulder Dislocation - D3

23 Shoulder - Adhesive Capsulitis(Frozen Shoulder Definition A disorder in which the shoulder capsule becomes inflamed and stiff greatly

Info iconThis preview shows pages 1–8. Sign up to view the full content.

View Full Document Right Arrow Icon
Adhesive Capsulitis (Frozen Shoulder)
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Definition A disorder in which the shoulder capsule becomes inflamed and stiff, greatly restricting motion and causing pain. The etiology is unknown (injury or trauma, autoimmune). Characterized by progressive pain and stiffness which usually resolves spontaneously after 18 months. Movement of the shoulder is severely restricted, pain is worse at night.
Background image of page 2
Clinical Features Age 40-60, more in females Slight wasting, some tenderness. Pain (gradual onset) Stiffness or decrease in motion. External rotation (most severely inhibited) Internal rotation. Abduction.
Background image of page 3

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Radiology X-ray: Osteoporosis of the proximal humerus (decreased bone density) Arthrography: Shows a contracted joint Dramatic decrease in the injected contrast material. Loss of normally loose dependent folds of the capsule.
Background image of page 4
Differential Diagnosis Post-traumatic stiffness (maximal at the start, gradually lessens) Disuse stiffness Regional pain syndrome (associated with MI, stroke) www.icareunit.com
Background image of page 5

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Treatment self-limiting: it usually resolves over time without surgery. Movement is regained gradually but may not return to normal Conservative: Analgesics Heat therapy and exercise(physiotherapy) Corticosteroid injection. Manipulation under anesthesia hastens recovery. Operative Treatment Arthroscopic division of the interval between supraspinatous and infraspinatous (improve the range of movement).
Background image of page 6
Shoulder Instability Shoulder Instability (Dislocation) (Dislocation)
Background image of page 7

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Image of page 8
This is the end of the preview. Sign up to access the rest of the document.

This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

Page1 / 26

23 Shoulder - Adhesive Capsulitis(Frozen Shoulder Definition A disorder in which the shoulder capsule becomes inflamed and stiff greatly

This preview shows document pages 1 - 8. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online