Frozen Shoulder - Everything You Need To Know - Dr. Nabil Ebraheim
Dr. Ebraheim’s educational animated video describes the condition of frozen shoulder which is also called adhesive capsulitis.
This disorder of the shoulder joint capsule is also known as adhesive capsulitis.
The patient is unable to move the arm up or turn it to the side (loss of external rotation of the shoulder).
The condition is painful. It occurs due to thickening and tightening of the shoulder capsule and ligaments, especially the coracohumeral ligament.
x-rays are usually normal.
Frozen shoulder can occur by itself or following trauma, and it can follow surgery.
The process of frozen shoulder usually begins with pain. The pain is severe especially with movement and the patient is unable to sleep.
The patient will be unable to move the shoulder from the pain and the condition will lead to stiffness of the shoulder.
Frozen shoulder may take a long time to resolve, perhaps even several years.
The condition of frozen shoulder occurs more in diabetics, especially those who are insulin dependent, and the condition is more severe in diabetics.
It also occurs in patients with Dupuytren contracture and hypothyroidism.
Frozen shoulder tends to occur more in females, especially in their fourth decade of life.
Examine the patient’s range of motion both actively and passively. Differentiate the shoulder movement from scapulothoracic movement.
Examine the other shoulder. The risk is high for the other shoulder to also become frozen.
Exclude dislocation of the shoulder, especially posterior dislocation. With a posterior dislocation, the patient will have a limited external rotation, the same as adhesive capsulitis.
Obtain an axillary view X-ray to differentiate between the two conditions.
Not every frozen shoulder is adhesive capsulitis. Exclude dislocation, diabetes, infection, fractures, and tumors.
Treatment is usually complex.
•Early aggressive uninterrupted, continuous physiotherapy.
•Pain control
•Shoulder manipulation and injection.
•Surgery is sometimes helpful to release the contractures.
Follow me on twitter:
https://twitter.com/#!/DrEbraheim_UTMC
Видео Frozen Shoulder - Everything You Need To Know - Dr. Nabil Ebraheim канала nabil ebraheim
This disorder of the shoulder joint capsule is also known as adhesive capsulitis.
The patient is unable to move the arm up or turn it to the side (loss of external rotation of the shoulder).
The condition is painful. It occurs due to thickening and tightening of the shoulder capsule and ligaments, especially the coracohumeral ligament.
x-rays are usually normal.
Frozen shoulder can occur by itself or following trauma, and it can follow surgery.
The process of frozen shoulder usually begins with pain. The pain is severe especially with movement and the patient is unable to sleep.
The patient will be unable to move the shoulder from the pain and the condition will lead to stiffness of the shoulder.
Frozen shoulder may take a long time to resolve, perhaps even several years.
The condition of frozen shoulder occurs more in diabetics, especially those who are insulin dependent, and the condition is more severe in diabetics.
It also occurs in patients with Dupuytren contracture and hypothyroidism.
Frozen shoulder tends to occur more in females, especially in their fourth decade of life.
Examine the patient’s range of motion both actively and passively. Differentiate the shoulder movement from scapulothoracic movement.
Examine the other shoulder. The risk is high for the other shoulder to also become frozen.
Exclude dislocation of the shoulder, especially posterior dislocation. With a posterior dislocation, the patient will have a limited external rotation, the same as adhesive capsulitis.
Obtain an axillary view X-ray to differentiate between the two conditions.
Not every frozen shoulder is adhesive capsulitis. Exclude dislocation, diabetes, infection, fractures, and tumors.
Treatment is usually complex.
•Early aggressive uninterrupted, continuous physiotherapy.
•Pain control
•Shoulder manipulation and injection.
•Surgery is sometimes helpful to release the contractures.
Follow me on twitter:
https://twitter.com/#!/DrEbraheim_UTMC
Видео Frozen Shoulder - Everything You Need To Know - Dr. Nabil Ebraheim канала nabil ebraheim
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