Shoulder

Question 1

Risk Factors for Adhesive Capsulitis

Answer 1

II. Diabetes Mellitus
II. Thyroid Disease
II. Women
II. Age 40-65
II. Hx of AC on opposite side
II. Dupuytren's Disease/Contracture
III. Elevated serum cytokine levels
IV. prolonged immobilization, myocardial infarction, trauma, autoimmune disease

Question 2

Stage 1 Adhesive Capsulitis symptoms

Answer 2

Sharp pain at end ROM (may begin to loose ER ROM)
Achy pain at rest
Sleep disturbances
(gradual/progressive onset)

Question 3

Stage 2 Adhesive Capsulitis symptoms

Answer 3

Gradual loss of motion in all directions

Pain with movement of shoulder

Question 4

Stage 3 Adhesive Capsulitis symptoms

Answer 4

Decreased ROM (ER>abd>IR+flex)

Question 5

Stage 4 Adhesive Capsulitis symptoms

Answer 5

Decreased pain
Continued stiffness (18-24 months)

Question 6

Adhesive capsulitis exam findings

Answer 6

• Loss of Active and Passive ROM (ER>Ab>IR)
• ER loss of 50% or <30°
• GHJ accessory motion restricted

Question 7

Adhesive capsulitis imaging findings

Answer 7

• x-ray: normal (may have arthritis)
• MRI: thickened capsule and coracohumeral ligament in rotator cuff interval
• Arthrography: joint capsule capacity <10-12mL

Question 8

ASES

Answer 8

Shoulder outcome measure
0-100 (100= full function)
50% from pain
50% from activity
MDC: 9.4

Question 9

DASH

Answer 9

Disability of the arm shoulder and hand

• 30 Q
• 0-100 (0 no disability)
• MDC: 6.6-12.2
• MCID: 10.2

Question 10

SPADI

Answer 10

• 13 item
• 0-100 (0 no disability)
• MDC: 18.1
• MCID: 8-13.1 points

Question 11

Adhesive capsulitis treatment

Answer 11

I. Cortisone injection