Frozen Shoulder
ROM Restriction , no initiating factor , global stiffness , affects external rotation
Plain X-ray normal
Stages
1. Painful Freezing
2. Progressive stiffness
3. Resolution
O/e
diffuse tenderness
motion - active / passive both restricted
Investigations
X-ray - to differentiate primary and secondary frozen syndrome
Bone scan - to differentiate from Reflex Sympathetic dystrophy
MRI - to rule out other pathology
Arthrosocopy - It has both therpeutic and diagnostic value.
Management
Analgesics
USG , TENS
Steroids -Intra-articular
Stretching exercises
Manipulation under anaestheisa
sequence - flexion , extension , abduction , adduction ,external rotation , internal rotation
Arthroscopic Release
rotator interval , MGHL , coracohumeral ligament ,
Rehabilitation
supervised ROM exercise
Plain X-ray normal
Stages
1. Painful Freezing
2. Progressive stiffness
3. Resolution
O/e
diffuse tenderness
motion - active / passive both restricted
Investigations
X-ray - to differentiate primary and secondary frozen syndrome
Bone scan - to differentiate from Reflex Sympathetic dystrophy
MRI - to rule out other pathology
Arthrosocopy - It has both therpeutic and diagnostic value.
Management
Analgesics
USG , TENS
Steroids -Intra-articular
Stretching exercises
Manipulation under anaestheisa
sequence - flexion , extension , abduction , adduction ,external rotation , internal rotation
Arthroscopic Release
rotator interval , MGHL , coracohumeral ligament ,
Rehabilitation
supervised ROM exercise
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