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Frozen Shoulder

Categories
  • Joint/Tendon
Tags
  • Shoulder injury
Shoulder

Shoulder anatomy

Anatomy

Shoulder anatomy
Rotator Cuff Muscles

Description

  • The shoulder joint is a multi-axial joint with muscles crossing it to allow shoulder range of motion (ROM)
  • The rotator cuff muscles are important in allowing shoulder ROM
  • The rotator cuff muscles consist of Subscapularis, Supraspinatus, Infraspinatus and Teres Minor
  • Other important shoulder muscles that allow shoulder ROM include long head of Biceps and the Deltoid muscle
Frozen Shoulder

Frozen shoulder, also known as adhesive capsulitis is a shoulder condition where there is shoulder inflammation with clinical manifestation that includes shoulder pain and stiffness.

The shoulder pain and stiffness worsen over time and then slowly resolves. Full recovery may take 2-3 years.

Frozen shoulders commonly affect 40 to 60-year-old individuals and is associated with conditions like Diabetes and hormonal dysfunction that include thyroid abnormalities, cardiac disease, and Parkinsons.

Clinical manifestation

Frozen shoulder will present with shoulder pain.
Clinical examination will demonstrate decreased shoulder range of motion (ROM).

Normal shoulder abduction ROM
Normal shoulder abduction ROM
Normal shoulder external ROM
Normal shoulder external ROM
Normal shoulder internal ROM
Normal shoulder internal ROM

Management

  • Management include non operative measures or operative surgery where indicated
  • Shoulder Rehabilitation
Management
Shoulder injection with steroid and local anesthetic

Shoulder Rehabilitation

Rehabilitation exercises include stretching and rotator cuff/pericapsular stabilizer strengthening exercises.

Shoulder pendulums
Pendulum shoulder range of motion
Shoulder pendulum_(dumbbells)
Pendulum shoulder strength exercise
Banded shoulder external rotation
Shoulder strengthening with resistance band

Download ASSIC Performance Fingerprint or Strength & Conditioning apps for post shoulder joint replacement rehab guideline routines

apple app store  google play store

Shoulder arthroscopy for capsular release

Bankart repair

Description

Shoulder arthroscopy: arthroscopic shoulder joint surgery where rotator cuff tendons are repaired/debrided ± an acromioplasty ± removal of loose fragments ± debridement, capsular release.

Arthroscopy of shoulder

Contributor:

Dr N J Kauta

Learn More

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