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Average range of motion decreased from the initial evaluation to the preoperative evaluation for the surgical patient group. This study evaluated patient characteristics, treatment patterns, and resolution of symptoms in a large series of patients with adhesive capsulitis. Griggs et al15 reported that most patients with adhesive capsulitis can be treated successfully with a specific 4-direction shoulder-stretching exercise program. Average length of treatment for all patients was 4.

The average age of these patients was 51 years range, years. Trabalho retrospectivo feito entre ecom 56 ombros 52 pacientes submetidos a cirurgia; 38 eram do sexo feminino e 28 tinham o lado dominante acometido. To evaluate the results of arthroscopic releases performed in patients with adhesive capsulitis refractory to conservative treatment. Nonoperative group Symptoms resolved in 94 Six women and 4 men required surgery, none of which were smokers.

In addition, the youngestpatient in this study had type 1 diabetesmellitus and was affected bilaterally. Published reports on the natural history of patients with adhesive capsulitis are limited. Adhesive capsulitis is a common disorder in which definitive treatment is still uncertain.

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None of them reported recurrent symptoms of adhesive capsulitis at the time of the follow-up phone call. Patientswho requiredsurgerywere treatedwith an averageof Traditionally, nonoperative management of adhesive capsulitis is recommended for a minimum of 6 months before operative intervention.

Charts of patients treated at our institution for adhesive capsulitis were reviewed retrospectively. A subscapularis tenotomy ombeo performed when necessary. Bak, MD, Christopher S. Patients who were initially evaluated with more limited range of motion of their shoulders were more likely to require surgical treatment. Medias this blog was made to help people to easily download or read PDF files.

Capsulite adesiva

This study did not show, however,that diabeticpatientswere more likely toneedsurgicalmanagement. One of the 15 received surgical treatment with an outside physician; the remaining 14 were successfully treated nonoperatively. Additional studies should be conducted to evaluate this factor further.

Younger patients may have higher expectations of function for their affected shoulder after treatment completion and may hope to regain more range of motion than older patients. With supervisedtreatment,most patientswith adhesivecapsulitiswill experienceresolutionwith nonoperativemeasuresin a relativelyshort period.

The patients were evaluated by 1 of 4 shoulder surgeons at the initial visit. Statistical analysis Statistical analysis was performed with the independent t test and the Pearson 2 test.


This demonstrates that indications for surgical treatment may include either worse initial range of motion or progressively worsening range of motion through treatment. All patients received nonsteroidal antiinflammatory medications, Surgical steps of the arthroscopic release for treating adhesive capsulitis. Tags capsulite adesiva ombro. Only2ofthe19diabetic shoulders in this study required surgical management. Nonoperative treatment is typically prescribed initially.


There was a significant difference between the end range of motion of the affected shoulder and the contralateral shoulder range of motion for forward elevation, external rotation, and internal rotation P. Adhesive capsulitis of the shoulder is a common disorder, yet literature on its natural history is limited.

Patient demographics Sixty-eight patients Levine, MD, Christine P. On the basis of these results, consideration should be given dl operative intervention in patients who fail to respond within the first 4 months of treatment.

Capsulite adesiva – Artigo sobre capsulite adesiva do ombro, sua fisiopatologia,

Adhesive capsulitis is a common painful condition of the shoulder of unknown etiology. This was compared with the initial evaluation of the same measurements. J ShoulderElbow Surg ;