periarthritis shoulder/ frozen shoulder/ adhesive capsulitis .pptx

Periarthritis shoulder or adhesive capsulitis or frozen shoulder is very common condition of shoulder joint.

Contents :
Definition
Epidemiology
Classification
Causes
clinical features
DIFFERENTIAL DIAGNOSIS
Diagnosis :- INVESTIGATION
Examination
MEDICAL TREATMENT

1. PERIARTHRITIC SHOULDER Presented by :- YasH N. anghan ( FROZEN SHOULDER ) OR ( ADHESIVE CAPSULITIS ) OR ( PAINFULL STIFF SHOULDER ) AKA

2. CONTENTS Definition Epidemiology Classification Causes clinical features DIFFERENTIAL DIAGNOSIS Diagnosis :- INVESTIGATION Examination MEDICAL TREATMENT Presented by :- YasH N. anghan

3. DEFINITION “A condition of varying severity characterized by the gradual development of global limitation of active and passive shoulder motion where radiographic findings other than osteopenia are absent.” ~ AMMARICAN ACADEMY OF ORTHOPEDIC SURGEONS ~ JHON EBNAZER “ It is defined as a clinical syndrome characterized by painful restriction of both active and passive shoulder movements due to causes within the shoulder joint or remote “ Presented by :- YasH N. anghan

4. Epidemiology Prevelance :- F > M ; RATIO : F : M = 10 : 8 :- more commonly Unilateral Incidance : in general population : 2 % - 5 % : In Diabetec population : 10 % – 35 % Mean age : 40 – 60 years ( commonly start in 40 – 45 years of age ) Presented by :- YasH N. anghan

5. Classification & causes Secondary P.S. Primary P.S. Idiopathic Secondary to any Condition Systemic Intrinsic Extrinsic - Diabetes mellitus
- Hypothyroidism
- Hyperthyroidism
- Hypoadrenalism - Rotator cuff tendinitis
- Rotator cuff tears
- Biceps tendinitis
- Calcific tendinitis
- AC arthritis - C a r dio pulmonary dis ease - C ervical disc - H umerus fractures - P arkinson's Presented by :- YasH N. anghan

6. STAGES OF PERIARTHRITIC SHOULDER Clinical features FREEZING STAGE ( Stage of pain ) (10 – 36 Weeks ) FROZEN STAGE ( Stage of stiffness ) ( 4 -12 Months ) THAWING STAGE ( stage of recovery ) ( ½ to 2 Years ) Acute pain Reduced Range of motion mainly external rotation then abduction followed by forword flexion Pain gradually decreased Only few degrees of movements has remained Very slight movements No pain Movements are recovered But can not be regained as normal Presented by :- YasH N. anghan

7. Other Clinical features Tenderness over joint surface Decreased range of AROM AND PROM BOTH Capsular pattern : EXTERNA ROTATION : Abduction : Internal Rotation Pain worsen at night And Radiates towords arm Overhead activities are hard to perform ! such as : combinG And oiling of hair Activities that includes External rotation are very hard to perform ! Such as : buttoning of blOuse Presented by :- YasH N. anghan

8. DIFFERENTIAL DIAGNOSIS acromioclavicular arthropathy autoimmune disease (e.g., systemic lupus erythematosus, rheumatoid arthritis) biceps tendinopathy glenohumeral osteoarthritis Neoplasm Subacromial and subdeltoid bursiti rotator cuff tendinopathy or tear (with or without impingement) Presented by :- YasH N. anghan

9. DIAGNOSIS INVESTIGATION Presented by :- YasH N. anghan Periarthritic shouldercan be diagnosed mainly signs and symptoms X – Rays Are mostly normal But it can show golding sign But radiographs, Ultrasound or MRI is Done to rule out differential diagnosis EXAMINATIONS It will be done by faculty member

10. TREATMENT PHYSIOTHERAPY treatment Medical treatment NSAIDS IN INITIAL STAGE INTRAARTICULAR STEROIDS ( GIVES ONLY TEMPORARY RELIEF ) IT WILL BE DONE BY FACULTY MEMBER Presented by :- YasH N. anghan

11. REFFERENCES Essential Orthopaedics Including Clinical Methods by J. Maheshwari Textbook of orthopaedics by John EBNAZER APLEY’S SYSTEM OF ORTHOPEDIC AND FRACTURE By LOUIS SOLOMON Textbook of Orthopaedics by Edward L Nazareth Presented by :- YasH N. anghan

12. THANK YOU FOR SUPPORT Presented by :- YasH N. anghan