Author: Tern Doumi
Country: Bulgaria
Language: English (Spanish)
Genre: Video
Published (Last): 17 July 2009
Pages: 385
PDF File Size: 12.54 Mb
ePub File Size: 18.78 Mb
ISBN: 998-6-17984-232-5
Downloads: 27404
Price: Free* [*Free Regsitration Required]
Uploader: Mejora

There was improvement in pain and range of motion. No significant difference was found for success of nonoperative treatment versus operative treatment or patient gender. Arthroscopic appearance of frozen shoulder.

Traditionally, nonoperative management of adhesive capsulitis is recommended for a minimum of 6 months before operative intervention. Patientswho requiredsurgerywere treatedwith an averageof This was significantly different from the length of treatment for the capsullite group P.

The group successfully treated nonoperatively had an average of 5. Medias this blog was made to help people to easily download or read PDF files.

Capsulite adesiva

Fifteen of the 98 patients required telephone contact to assess final outcome. In addition, the youngestpatient in this study capsulitd type 1 diabetesmellitus and was affected bilaterally.

This study examined patient characteristics, treatment patterns, and response to treatment of the disease in a large series of patients with this condition. To evaluate the results of arthroscopic releases performed in patients with adhesive capsulitis refractory to conservative treatment. It is unclear from this study whether this is due to a possible bias toward treating younger patients more aggressively or if younger age adesiba initial presentation is a factor in poor prognosis.

Ahmad, Okbro, Theodore A. J ShoulderElbow Surg ; All patients received treatment consisting of oral NSAIDs medications and a standardized physical therapy program. All patients received nonsteroidal antiinflammatory medications, A total of shoulders in 98 patients were identified with follow-up to end point.


The end range of motion for patients xdesiva nonoperatively is listed in Table I and compared with the initial range of motion of the unaffected shoulder. There was a significant difference P.

It is a disorder frequently encountered by most orthopedic surgeons, but literature about its natural history is limited.

There was a significant difference between initial forward elevation and external rotation between the nonoperative and operative groups. Additional studies should be conducted to evaluate this factor further.

Of the 17 shoulders treated nonoperatively, 8 were effectively treated with physical therapy alone, and 9 were treated with capsilite therapy and 1 or more intraarticularcorticosteroidinjections. At the initial evaluation, patient range of motion, function, and pain were assessed. Reviewed were charts of patients with adhesive capsulitis treated between April and February Capsulige who could not or did not return for the final follow-up evaluation were contacted by telephone to determine their most recent status.

The average age of these patients was 51 years range, years. Operative indications included progressive worsening range of motion, failure to make progress after 3 consecutive visits, or residual functional impairment after 6 months or more of nonoperative treatment. The initial and final range-of-motion values for the nonoperative and surgical groups are summarized in Table I. Health comorbidities, including diabetes mellitus, thyroid disorders, and cardiovascular disease, were determined, and a history of any previous shoulder disorders was ascertained.

Additional studies should be conducted to evaluate this factor further. Study protocol and determination of failure Average length of treatment for all patients was 4.



There was a significant difference between the end range of motion of the affected shoulder and the contralateral shoulder range of motion for forward elevation, external rotation, and internal rotation P.

Bak, MD, Christopher S. This was compared with the initial evaluation of the same measurements. A significant change occurred between the initial and final range of motion for forward elevation and external rotation, but not internal rotation, in the 2 nonoperative treatment groups.

Evaluation At the initial evaluation, patient range of motion, function, and pain were assessed. On the basis of these results, consideration should be given to operative intervention in patients who fail to respond within the first 4 months of treatment. Adhesive capsulitis of the shoulder is a common disorder, yet literature on its natural history is limited.

Capsulite adesiva – Artigo sobre capsulite adesiva do ombro, sua fisiopatologia,

None of them reported recurrent symptoms of adhesive capsulitis at the time of the follow-up phone call. The effects of passive joint mobilization on pain and hypomobility associated with adhesive capsulitis of the shoulder. Nonoperative treatment is typically prescribed initially. Patients in the surgical group were treated for an average of