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What is True about Frozen shoulder. and explain in detail?
Ans: D (Improve...) FROZEN SHOULDER iVfoftes'mjrf Sth/144This 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 b/w 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, Dupuytren's, 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- infection(particularly in diabetes), Post-traumatic stiffness (shoulder injury), Diffuse stiffness(if arm is nursed over-cautiously i,e following a forearm fracture, shoulder may stiffen) & reflex sympathetic dystrophyTable(Apley): The painful shoulderReferred pain syndromesRotator cuff disordersCervical spondylosisMediastinal pathologyCardiac ischaemiaTendinitisRuptureFrozen shoulderJoint DisorderInstabilityGleno-humeral arthritisAcroclavicular arthritisDislocationSubluxationBone lesionsNerve InjuryInfectionTumoursSuprascapular nerve entrapment