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Topic: Adhesive capsulitis

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	Adhesive Capsulitis: A Case Study
		Adhesive capsulitis refers to a mysterious fibrosis of the glenohumeral joint capsule, manifested by diffuse, dull, aching pain in the shoulder and progressive restriction of motion, but usually no localized tenderness.
		Adhesive capsulitis is the physiologic process whereby adhesions or inflammatory bands connect the otherwise freely moving opposing surfaces of the shoulder capsule and the head of the humerus.
		Primary adhesive capsulitis, also known as frozen shoulder, is characterized by an initial course of generalized shoulder pain, followed by a gradual nonpainful loss in shoulder range of motion.
	www.chiroweb.com /archives/23/02/01.html (1059 words)

	Frozen Shoulder (Adhesive Capsulitis)
		Adhesive capsulitis is a painful condition in which the shoulder gradually loses its range of motion over time.
		Adhesive capsulitis causes scar tissue to form in the shoulder region.
		The second stage is referred to as the adhesive stage, during which the movements of the shoulder become noticeably stiffer, the arm begins to ache, and sleep is disturbed when the patient rolls onto the affected side.
	home.btconnect.com /back-in-action/Pages/Frozen.htm (327 words)

	eMedicine - Adhesive Capsulitis : Article by Albert W Pearsall IV, MD (Site not responding. Last check: 2007-10-31)
		Since adhesive capsulitis is associated with diabetes, it is imperative to screen any new patient presenting with suggested FSS for diabetes.
		The capsule normally is a loose structure with a surface area nearly twice as large as that of the humeral head.
		The predominant complication arising from adhesive capsulitis is residual shoulder stiffness or pain.
	www.emedicine.com /orthoped/topic372.htm (3478 words)

	MassageToday.com
		Adhesive capsulitis is the currently accepted term for one of several disorders grouped under the umbrella heading "frozen shoulder." This group includes any combination of shoulder conditions that contribute to reduced range of motion (ROM) at the glenohumeral joint, including arthritis; bone spurs; bursitis; rotator-cuff tears; and impingement syndrome.
		Adhesive capsulitis is an idiopathic (of unknown cause or origin) problem with a peculiar and unique presentation.
		Adhesive capsulitis has been investigated as an autoimmune disorder; however, while some immune cell abnormalities occasionally have been observed, this does not seem to be a universal situation.
	www.massagetoday.com /archives/2003/05/09.html (1799 words)

	tulsaworld.com Health
		Adhesive capsulitis affects more women than men and it usually begins between the ages of 45 and 65.
		With adhesive capsulitis, the shoulder does not actually freeze, but a person cannot move it like he or she used to.
		A person can test themselves for adhesive capsulitis with a few simple exercises: reach for the sky with both arms, reach both arms out in front of the body, raise arms out to the side of the body, or pretend to reach into a back pocket for a wallet or to zip up a dress.
	www.tulsaworld.com /health/CpAdhesive.asp (458 words)

	AccessMedicine - Harrison's Internal Medicine: Adhesive Capsulitis
		"Often referred to as "frozen shoulder," adhesive capsulitis is characterized by pain and restricted movement of the shoulder, usually in the absence of intrinsic shoulder disease.
		Adhesive capsulitis, however, may follow bursitis or tendinitis of the shoulder or be associated with systemic disorders such as chronic pulmonary disease, myocardial infarction, and diabetes mellitus.
		Prolonged immobility of the arm contributes to the development of adhesive capsulitis, and reflex sympathetic dystrophy is thought to be a pathogenic factor.
	www.accessmedicine.com /content.aspx?aID=96586 (228 words)

	The Steadman-Hawkins Clinic
		Frozen shoulder, or adhesive capsulitis, is a condition that begins with a gradual onset of pain and a limitation of shoulder motion.
		Frozen shoulder, also called adhesive capsulitis, is a thickening and tightening of the soft tissue capsule that surrounds the glenohumeral joint, the ball and socket joint of the shoulder.
		Primary adhesive capsulitis may affect both shoulders (although this may not happen at the same time) and may be resistant to most forms of treatment.
	www.steadman-hawkins.com /shoulder/overview.asp (455 words)

	Page Title
		A frozen shoulder, or adhesive capsulitis, is classified by significantly limited range of motion in all directions with both passive and active movements.
		For primary adhesive capsulitis, the etiology is unknown "characterized by gradually progressive, painful restriction of all joint motion...with spontaneous restoration of partial or complete motion over months to years." In secondary adhesive capsulitis, some type of mechanism of injury is thought to be the cause.
		The differential diagnosis is secondary adhesive capsulitis, bicipital tendonitis, fracture, or degenerative joint disease.
	www.umary.edu /faculty/rschulte/page15.htm (1425 words)

	The Physician and Sportsmedicine: Adhesive Capsulitis
		The condition was first recognized as being distinct from glenohumeral arthritis at least as early as 1872, and it is defined as a "condition of unknown etiology distinguished by painful restriction of all shoulder movements, both active and passive, characterized by prominent reduction in the glenohumeral range of movement" (1).
		Thus, the initiating event in adhesive capsulitis remains unknown, but the end result appears to be fibrotic thickening of the anterior capsule at the rotator interval (1,4).
		Adhesive capsulitis has a rather long differential diagnosis (table 2: not shown) (1), but a thorough history and physical examination should yield the correct diagnosis.
	www.physsportsmed.com /issues/2000/09_00/sandor.htm (2796 words)

	tulsaworld.com: Health Scene
		Adhesive capsulitis causes a person to lose the movement in their shoulder.
		Because of this loss, doctors refer to adhesive capsulitis as frozen shoulder.
		Adhesive capsulitis may be caused by an underlying problem, such as a rotator cuff or bursitis.
	www.tulsaworld.com /healthresource.asp?id=040115_He_CpAdhesiveRS (458 words)

	Combination treatment for adhesive capsulitis of the shoulder - Wheeless' Textbook of Orthopaedics
		Twenty-two patients (23 shoulders) with arthrographically verified adhesive capsulitis of the glenohumeral joint were treated by a combination of distention-arthrography, local anesthetics and steroids intraarticularly, and manipulation.
		The mean duration of the disease at the time of treatment was 14 months, and all patients suffered from disabling pain and stiffness.
		The combination treatment for adhesive capsulitis of the shoulder is safe, yields immediate results, and is cost effective.
	www.wheelessonline.com /ortho/combination_treatment_for_adhesive_capsulitis_of_the_shoulder (147 words)

	Indinavir implicated in adhesive capsulitis ("frozen shoulder") (Site not responding. Last check: 2007-10-31)
		WESTPORT, CT (Reuters Health) - Adhesive capsulitis of the shoulder ("frozen shoulder") appears to be an adverse effect of HIV protease inhibitor therapy, according to a report appearing in The Journal of Rheumatology for November.
		All patients were treated for adhesive capsulitis of the shoulder, which resolved completely within a mean of 7.4 months.
		The condition had not recurred at a mean of 11.7 months after adhesive capsulitis treatment, even though all patients remained on indinavir.
	www.aidsmeds.com /news/20001212clin007.html (388 words)

	Frozen Shoulder (Adhesive Capsulitis) \| Shoulder \| Injury A to Z \| PhysioRoom.com: Sports Injury Shop, News & Advice
		In 1945, Nevasier used the term 'Adhesive capsulitis' and described the pathology as being characterised by adhesions and contractures of the fibrous capsule that surrounds the shoulder joint.
		As it is the soft tissues, specifically the capsule, that is affected by frozen shoulder, X-Rays are clear.
		The main diagnostic characteristic of frozen shoulder is decreased joint capsule volume (the fluid in the shoulder joint is decreased) when an arthrography is performed (an investigation whereby a liquid medium or dye is injected into the joint space).
	www.physioroom.com /injuries/shoulder/frozen_shoulder_full.php (731 words)

	Adhesive Capsulitis (Frozen Shoulder) (Site not responding. Last check: 2007-10-31)
		Adhesive capsulitis, also referred to as frozen shoulder, is a painful condition of the shoulder that causes decreased range of motion of the glenohumeral joint.
		The capsule that normally surrounds the head of the humerus (arm bone) becomes inflamed and stiff causing a decrease in range of motion.
		Adhesive capsulitis is most common in middle-aged women and is often related to a minor injury or some form of stress.
	www.pamf.org /sports/king/adhesive_caps.html (377 words)

	Frozen Shoulder, Adhesive Capsulitis, Signs, Diagnosis, Treatment
		As the name implies, movement of the shoulder is severely restricted in people with a "frozen shoulder." This condition, which doctors call adhesive capsulitis, is frequently caused by injury that leads to lack of use due to pain.
		There is also a lack of synovial fluid, which normally lubricates the gap between the arm bone and socket to help the shoulder joint move.
		It is this restricted space between the capsule and ball of the humerus that distinguishes adhesive capsulitis from a less complicated painful, stiff shoulder.
	www.habibintl.com /frozen_shoulder.htm (378 words)

	Adhesive capsulitis definition - Medical Dictionary definitions of popular medical terms
		Adhesive capsulitis: Constant severe limitation of the range of motion of the shoulder due to scarring around the shoulder joint.
		Adhesive capsulitis is an unwanted consequence of rotator cuff disease -- damage to the rotator cuff, the set of four tendons that stabilize the shoulder joint and help move the shoulder in diverse directions.
		Frozen Shoulder - A frozen shoulder (adhesive capsulitis) is when the shoulder joint experiences a significant loss in its range of motion due to inflammation, scarring, or injury.
	www.medterms.com /script/main/art.asp?articlekey=11931 (226 words)

	Shoulder Pain and Frozen Shoulder (Adhesive Capsulitis) Treatment
		Frozen shoulder, also known as Adhesive Capsulitis, is a condition that affects the shoulder joint capsule and results in stiffness and loss of movement in the shoulder joint.
		It is different to rotator cuff injury or shoulder tendonitis in that frozen shoulder affects the joint capsule, where as the other two conditions affect the muscles and tendons of the shoulder joint.
		The exact cause of frozen shoulder is unknown, however in a number of cases, frozen shoulder occurs after another shoulder injury like rotator cuff tear, arthritis or shoulder surgery.
	www.thestretchinghandbook.com /archives/shoulder-pain-frozen-shoulder.htm (1175 words)

	Frozen Shoulder (Adhesive Capsulitis) - DynoMed.com (Site not responding. Last check: 2007-10-31)
		Adhesive capsulitis is a painful condition in which the shoulder loses its range of motion. This condition is also referred to as “frozen shoulder” because of how difficult it is for a person to move his or her shoulder. The shoulder is not actually frozen, just stiff.
		An injury to the shoulder joint such as rotator cuff injury can cause adhesive capsulitis to form. Other conditions that can lead to adhesive capsulitis include tendinitis and bursitis. However, the condition can form without any warning and, in general, the cause is unknown.
		Anti-inflammatory drugs and cortisone injections reduce the inflammation of the shoulder allowing the shoulder to be more easily stretched. Physical therapy is essential because it helps regain the range of motion in the shoulder.
	www.dynomed.com /encyclopedia/encyclopedia/shoulder/Frozen_Shoulder_(Adhesive_Capsulitis).html (297 words)

	FROZEN SHOULDER (ADHESIVE CAPSULITIS)
		Many patients suffer from "frozen shoulder" which physicians refer to as adhesive capsulitis, or on occasion, bursitis or tendonitis.
		This is a rather unusual problem that occurs in the shoulder and results in stiffness, loss of motion and often substantial pain.
		These treatments aid in treating the frozen shoulder since they may allow for an earlier recovery by stretching out the capsule which has tightened in the shoulder and consequently results in diminished motion in the shoulder.
	www.arthroscopy.com /sp04002.htm (724 words)

	Frozen Shoulder or Adhesive Capsulitis
		Adhesive capsulitis, often referred to as frozen shoulder refers to a pathological condition of the shoulder joint which causes a gradual loss of motion usually in just one shoulder.
		Adhesive capsulitis (AC) has a prevalence of 2% in the general population, but is reported to occur in 10 to 29% of those with diabetes.
		Studies have shown it is caused by glycosylation of the collagen within the shoulder joint triggered by the presence of high blood sugars.
	www.diabetesnet.com /diabetes_complications/frozen_shoulder.php (564 words)

	Frozen Shoulder--Adhesive Capsulitis Homepage
		A frozen shoulder is defined as a loss of both active (movement without assistance) and passive (movement with assistance) motion.
		A frozen shoulder is medically known as adhesive capsulitis.
		Despite not having a known cause, primary adhsive capsulitis can be associated with systemic disorders such as diabetes and cardiovasular disease.
	www.emedx.com /emedx/diagnosis_information/shoulder_disorders/frozen_shoulder_outline.htm (418 words)

	Adhesive Capsulitis of the Shoulder - Wheeless' Textbook of Orthopaedics
		Adhesive Capsulitis of the Shoulder - Wheeless' Textbook of Orthopaedics
		- be aware that the axillary nerve crosses underneath the inferior portion of the glenoid capsule;
		Combination treatment for adhesive capsulitis of the shoulder.
	www.wheelessonline.com /ortho/adhesive_capsulitis_of_the_shoulder (1076 words)

	Adhesive Capsulitis/Frozen Shoulder (Site not responding. Last check: 2007-10-31)
		There is a gradual tightening of the capsule of the shoulder resulting in a significant limitation in movement.
		Frozen (Adhesive) — this is the adhesive stage, involves increasing stiffness with diminishing pain.
		Hydrodilatation — injecting a volume of saline into the shoulder joint capsule — primarily to physically stretch the joint “from the inside” has been pioneered by a radiology clinic in Prahran in 1989.
	members.optusnet.com.au /physio/frozen_shoulder.html (539 words)

	Medical Dictionary: Adhesive Capsulitis - WrongDiagnosis.com
		Adhesive Capsulitis: A condition where the shoulder is stiff and painful and the range of motion is reduced.
		Adhesive Capsulitis: Another name for Frozen Shoulder (or close medical condition association).
		Adhesive Capsulitis: Adhesive Capsulitis is listed as a type of (or associated with) the following medical conditions in our database: Shoulder conditions
	www.wrongdiagnosis.com /medical/adhesive_capsulitis.htm (296 words)

	eMedicine - Adhesive Capsulitis : Article by Thierry HM Dahan, MD, LMCC, CCFP, FRCPC, FABPMR (Site not responding. Last check: 2007-10-31)
		Myxoid globular degeneration of the terminal sensory nerve fibers of the glenohumeral joint capsule in healthy subjects has been shown to be particularly important in the fifth and sixth decades of life, when up to 40% of terminal sensory nerve fibers of the shoulder are in a degenerated state.
		Recent improvements in surgical techniques (eg, the advent of controlled capsular release using arthroscopic access to the anterior glenohumeral joint capsule and coracohumeral ligament) appear to be promising avenues of treatment; however, these improved surgical techniques have not yet demonstrated their efficacy in the context of controlled clinical trials.
		Corbeil V, Dussault RG, Leduc BE, Fleury J: [Adhesive capsulitis of the shoulder: a comparative study of arthrography with intra-articular corticotherapy and with or without capsular distension].
	www.emedicine.com /pmr/topic8.htm (9185 words)

	adhesive capsulitis supraspinatus rotator cuff
		The term adhesive capsulitis refers to scar tissue that forms inside the joint due to lack of movement.
		Adhesive capsulitis is especially common in stroke victims who are paralyzed on one side because they are unable to move their shoulders through a full range of motion.
		Since the initial cause of the adhesive capsulitis was
	www.prolonews.com /prolotherapy_e-newsletter__frozen_shoulder__ross_hauser,_m_d_,_marion_hauser_m_s,r_d_.htm (449 words)

	Short course prednisolone for adhesive capsulitis * Author's reply -- Douglas and Buchbinder 64 (8): 1247 -- Annals of ...
		Short course prednisolone for adhesive capsulitis * Author's reply -- Douglas and Buchbinder 64 (8): 1247 -- Annals of the Rheumatic Diseases
		Adhesive capsulitis is a condition whose pathogenesis remains
		adhesive capsulitis is a painful, disabling condition, most
	ard.bmjjournals.com /cgi/content/full/64/8/1247-a (712 words)

	Adhesive Capsulitis - New Treatments, May 2, 2006
		Adhesive capsulitis, or frozen shoulder is more common in people who have underlying arthritis but particularly chronic rotator cuff disease, diabetes.
		Diabetics are more prone to frozen shoulder and I think that is the most common reason that I’ve seen it.
		This is different because the patient will complain of pain in their shoulder but it is true shoulder pain.
	www.ccspublishing.com /journals4a/adhesive_capsulitis.htm (776 words)

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