<prompt> True about Frozen shoulder.May occur after myocardial infarctionSeen following colies fractureLess commonly seen in diabetesImproves after intraarticular steroid injection  <response>: Ans: D Improve... FROZEN SHOULDER iVfoftesmjrf Sth144This is a disease of unknown etiology where the glenohumeral joint becomes painful stiff because of the loss of resilience of the joint capsule, possibily with adhesions bw its foldsOften, there is a history of preceding trauma. The disease is commoner in diabeticsThis is a self limiting disease lasting for 6-9 months, after which in most cases, the inflammation subsides, leaving a stiff but painless shoulderTreatment is by analgesics, hot fomentation physiotherapyAn intra-articular injection of hydrocortisone may speed up the recoveryFROZEN SHOULDERCAPHESIVE CAPSULITIS Apley 9th 7351-52The condition is particularly associated with diabetes, Dupuytrens, hvperlipidaemia, hyperthyroidism, cardiac disease hemiplegiaNot every stiff or painful shoulder is a frozen shoulder. Stiffness occur in a variety of conditions- arthritic, rheumatic, posttraumatic postoperativeDiagnosis of frozen shoulder are based on 2 clinical characteristic: 1 painful restriction of movement in the presence of normal x-ray 2, a natural progression through 3 successive phasesWhen the patient is first seen, a number of conditions should be excluded- infectionparticularly in diabetes, Post-traumatic stiffness shoulder injury, Diffuse stiffnessif arm is nursed over-cautiously i,e following a forearm fracture, shoulder may stiffen reflex sympathetic dystrophyTableApley: The painful shoulderReferred pain syndromesRotator cuff disordersCervical spondylosisMediastinal pathologyCardiac ischaemiaTendinitisRuptureFrozen shoulderJoint DisorderInstabilityGleno-humeral arthritisAcroclavicular arthritisDislocationSubluxationBone lesionsNerve InjuryInfectionTumoursSuprascapular nerve entrapment 