Adhesive Capsulitis (Frozen Shoulder) Questions & Answers

Updated: Nov 12, 2020
  • Author: Jefferson R Roberts, MD; Chief Editor: S Ashfaq Hasan, MD  more...
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Questions & Answers

Overview

What is frozen shoulder syndrome (FSS) (adhesive capsulitis)?

How is frozen shoulder syndrome (FSS) (adhesive capsulitis) differentiated from other shoulder conditions?

What are the Lundberg criteria for frozen shoulder syndrome (FSS) (adhesive capsulitis)?

How is primary frozen shoulder syndrome (FSS) (adhesive capsulitis) characterized?

What are the signs and symptoms of each phase of frozen shoulder syndrome (FSS) (adhesive capsulitis)?

How are primary and secondary frozen shoulder syndrome (FSS) (adhesive capsulitis) differentiated?

What are the signs and symptoms for frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What are the inclusion criteria for frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What is the prevalence of frozen shoulder syndrome (FSS) (adhesive capsulitis)?

How is diabetes associated with frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What triggers frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What disorders are associated with frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What is the role of shoulder immobilization in the etiology of frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What should be the focus of clinical history in suspected frozen shoulder syndrome (FSS) (adhesive capsulitis)?

Which existing medical conditions should be noted in the history and evaluation of suspected frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What should be the focus of medical history in the evaluation of frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What are conservative treatment options for frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What shoulder anatomy understanding is needed to manage frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What are contraindications to surgery for frozen shoulder syndrome (FSS) (adhesive capsulitis)?

How is the pathophysiology of frozen shoulder syndrome (FSS) (adhesive capsulitis)?

Which biomarkers found in synovial fluid suggest chronic inflammation in the pathogenesis of frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What is the role of matrix metalloproteinases in the pathogenesis of frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What are the inflammatory and fibrotic processes associated with frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What are predisposing conditions for frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What is the prognosis of frozen shoulder syndrome (FSS) (adhesive capsulitis)?

Presentation

What is the clinical presentation suggestive of the initial (freezing) stage of frozen shoulder syndrome (FSS) (adhesive capsulitis)?

How is the pain of frozen shoulder syndrome (FSS) (adhesive capsulitis) characterized?

What is the clinical presentation suggestive of the second (frozen) stage of frozen shoulder syndrome (FSS) (adhesive capsulitis)?

Why is it important to pay attention to the posture of a patient with frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What physical findings are characteristic of frozen shoulder syndrome (FSS) (adhesive capsulitis)?

DDX

What are the differential diagnoses for Adhesive Capsulitis (Frozen Shoulder)?

Workup

How is frozen shoulder syndrome (FSS) (adhesive capsulitis) diagnosed?

What is the role of lab testing in the diagnosis of frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What is the role of imaging studies in the diagnosis of frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What is the role of radiography in the diagnosis of frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What is the role of ultrasonography in the diagnosis of frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What is the role of arthrography in the diagnosis of frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What is the role of MRI in the diagnosis of frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What is the role of PET/CT scans in the diagnosis of frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What are arthroscopic findings characteristic of frozen shoulder syndrome (FSS) (adhesive capsulitis)?

Treatment

What are the goals of treatment for frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What are first-line treatment options for all stages of frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What is the treatment for idiopathic adhesive capsulitis?

What is the role NSAIDs in the treatment of frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What is the role of oral corticoids in the treatment of frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What is the role of corticosteroid injections in the treatment of frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What is the role of extracorporeal shockwave therapy (ESWT) in the treatment of frozen shoulder syndrome (FSS) (adhesive capsulitis)?

How is extracorporeal shockwave therapy (ESWT) administered in the treatment of adhesive capsulitis?

When is surgery indicated in the treatment of frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What is the efficacy of surgery for frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What is the role of hydrodilatation in the treatment of frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What is arthroscopic capsular release for the treatment of frozen shoulder syndrome (FSS) (adhesive capsulitis)?

Which surgical therapy yields the best results for treatment of frozen shoulder syndrome (FSS) (adhesive capsulitis)?

When is inpatient care indicated in the treatment of frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What is the treatment for adhesive capsulitis relapse?

Which medications are used postoperatively for frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What monitoring is required following treatment for frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What are the possible complications of frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What is the prognosis and expected outcomes for different frozen shoulder syndrome (FSS) (adhesive capsulitis) treatments?

What new therapies may be effective in the treatment of frozen shoulder syndrome (FSS) (adhesive capsulitis)?

Which instruments can be used for long-term monitoring of frozen shoulder syndrome (FSS) (adhesive capsulitis)?

What is the role of acupuncture in the treatment of frozen shoulder syndrome (FSS) (adhesive capsulitis)?