2017, Number 1
An Med Asoc Med Hosp ABC 2017; 62 (1)
Serrano AAM, Abush TS
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ABSTRACTHistorically, adhesive capsulitis has been defined as an entity of unknown etiology, variable course, unpredictable, and with controversial treatment. It is also known as «frozen shoulder», and consists of loss of passive shoulder mobility, especially of external rotation, which is accompanied by diffuse pain and functional limitation. Its course is insidious, progressive and, in most cases, self-limiting. It occurs most frequently between ages 40 and 70, and is more common in women and patients with thyroid disorders or diabetes. The goal of the treatment is to restore joint mobility and functionality as well as to alleviate pain through the use of anti-inflammatory medication, steroids, physical therapy, and sometimes closed manipulation under anesthesia or arthroscopic capsular release. The purpose of this article is to review all operational definitions of adhesive capsulitis, to describe the causal agents and intraarticular pathological changes, and to list the conservative and surgical therapeutic alternatives for the appropriate treatment of those patients suffering from it.