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Adhesive Capsulitis (Frozen Shoulder)

Berenice Subero Pablo, MD, Mena Megellie, MD and George G.A. Pujalte, MD, FACSM Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Frozen shoulder, or adhesive capsulitis (AC):

    • Characterized by progressive pain and stiffness of the shoulder

    • Usually resolves after 18 months

    • Global limitation of movement for active...

DIAGNOSIS

HISTORY

  • Identify possible risk factors.

  • Progressive and worsening stiffness of the glenohumeral (GH) joint

  • Majority will have diffuse shoulder pain, especially at the beginning of the disease.

  • O...

TREATMENT

  • In most cases, self-limited

  • Manage patient expectations; resolution often takes 18 months of medication and rehabilitation.

MEDICATION

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

  • After establishing a diagnosis, assess the need for pain control, and start the patient on NSAIDs, in combination with a gentle exercise program.

  • Follow up in 3 to...

REFERENCES

1
1 Rangan A, Goodchild L, Gibson J, et al. Frozen shoulder. Shoulder Elbow.  2015;7(4):299–307. {L-End} {L-End} [View Abstract on OvidMedline]
2
2 Page MJ, Green S, Kramer S, et al. M...

CODES

ICD10

  • M75.00 Adhesive capsulitis of unspecified shoulder

  • M75.01 Adhesive capsulitis of right shoulder

  • M75.02 Adhesive capsulitis of left shoulder

ICD9

  • 726.0 Adhesive capsulitis of shoulder

SNOMED

  • 39911...

CLINICAL PEARLS

  • Frozen shoulder or AC is generally a self-limiting global restriction in ROM of the shoulder joint. Up to 50% will have permanent inability to externally rotate the shoulder.

  • Natural co...

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