![]() ![]() ![]() For example, post surgery, post-stroke and post-injury. A secondary frozen shoulder can be the result of several predisposing factors. Secondary - Results from a known cause, predisposing factor or surgical event.Primary - Onset is generally idiopathic (it comes on for no attributable reason).This is followed by stiffness and adhesions, which results in fibrosis of the synovial lining, which is associated with the inflammation. ![]() Long held hypothesis based on arthroscopic and pathologic observations, that there is an inflammatory component within the axillary fold.The patho-aetiology of frozen shoulder is, however, complex and multifactorial with both genetic and environmental factors playing an important role.The brief video below gives a good summary of the condition. In clinical practice it can be very challenging to differentiate early stages of Frozen Shoulder from other shoulder pathologies. This inflammatory condition causes fibrosis of the GH joint capsule, is accompanied by gradually progressive stiffness and significant restriction of range of motion (typically external rotation). or an Idiopathic restriction of shoulder movement.MRI Thickened joint capsule, especially at the inferior recess could be a sign of ACĪs this is a hotly debated topic within the scientific literature, with many names in common use, we will be referring to this condition as Frozen Shoulder.įrozen Shoulder, often referred to as Adhesive capsulitis (AC), is characterized by initially painful and later progressively restricted active and passive glenohumeral (GH) joint range of motion with spontaneous complete or nearly-complete recovery over a varied period of time.Ĭommon names for Frozen Shoulder include: 9.4 Arthroscopic Capsular Release (Arthroscopic arthrolysis)ĭefinition/Description.9.3 Translation Mobilisation under Anesthesia.9.2 Manipulation Under Anesthesia (MUA).6.11 Conservative Rehabilitation - What works?.6.10 The importance of considering the shoulder complex as a member of a kinetic chain.6.9 Additional considerations for clinical practice.6.8 Rational for Motor Control Exercises.6.3 Second Phase: Decreased Range of Movement.5.8.2 Understanding the capsule - Proprioceptive Role.5.8.1 Why accessory movements with Frozen Shoulder?.5.6 Assessment of the Inferior GH Ligament.5.5 Assessment of the Middle GH ligament.5.4 Assessment of the Superior GH ligament and the Coracohumeral ligament. ![]()
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March 2023
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