Ver el código de «Adhesive capsulitis»

==Background==
*Also known as "frozen shoulder syndrome"
*Inflammation of glenohumeral joint -> joint capsule fibrosis, shoulder restriction
*Must rule-out posterior shoulder dislocation
*Associated with:
**[[Impingement Syndrome]]
**Postmenopause
**DM
**Thyroid disease
**Pulmonary neoplasm
**Autoimmune

==Clinical Features==
*Stage 1 (first 2-3mo)
**Acute synovial inflammation w/ limitation of shoulder movement due to pain
*Stage 2 (months 3-9)
**"Freezing stage"
***Decreased shoulder motion due to capsular thickening/scarring; pt has chronic pain
*Stage 3 (months 9-15)
**"Frozen stage"
***Less pain, but significantly decreased range of motion
*Stage 4 (months >15)
**Minimal pain, progressive improvement in shoulder range of motion 

==Diagnosis==
*Limited active and passive range of motion is hallmark
*Pain
**Diffuse, aching, poorly localized, accompanied by stiffness, worse at night
**Not typically reproducible by palpation

==Treatment==
#Avoid immobilization
#Analgesia
##NSAIDs, opioids
#Oral steroids
##Provide significant short-term benefit in terms of relieving pain and improving ROM

==Disposition==
*Refer to PMD for physical therapy

==Source==
*Tintinalli

[[Category:Ortho]]