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Adhesive capsulitis of the shoulder
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Adhesive capsulitis of the shoulder

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Contributors: Robert Lachky MD, Eric Ingerowski MD, FAAP
Other Resources UpToDate PubMed

Synopsis

Adhesive capsulitis of the shoulder (also called "frozen shoulder") is a condition of fibrosis and contracture of the shoulder joint capsule that results in pain and loss of range of motion. It may be unilateral or bilateral. It affects women more than men (70% of patients with frozen shoulder are women) and is most likely to occur in the patient's 50s-60s. The cause is unknown, although risk factors include diabetes (type 1), thyroid disorders, and prolonged immobilization.

The condition usually occurs in 3 phases:
  1. Pain – insidious onset of pain that becomes severe and disabling. Pain is worse at night, and stiffness increases over time. The first phase typically lasts between 2 and 9 months.
  2. Contracture – stiffness and progressive loss of range of motion, limiting normal activities of daily living. This phase usually lasts between 4 and 12 months. Pain improves.
  3. Recovery, or "thawing" phase – a progressive improvement of range of motion over the following 5-24 months.

Codes

ICD10CM:
M75.00 – Adhesive capsulitis of unspecified shoulder

SNOMEDCT:
399114005 – Adhesive Capsulitis Of The Shoulder

Look For

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

Best Tests

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Management Pearls

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Therapy

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Drug Reaction Data

Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.

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References

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Last Reviewed: 06/08/2018
Last Updated: 06/29/2018
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Adhesive capsulitis of the shoulder
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Adhesive capsulitis of the shoulder : Joint stiffness, Shoulder pain, Limited range of motion
Imaging Studies image of Adhesive capsulitis of the shoulder
Sag proton density MRI sequence demonstrates scarring in the region of the rotator interval fat which is a secondary sign of adhesive capsulitis.
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