Adhesive capsulitis ( Frozen shoulder )

Frozen shoulder ( Codman 1934 ) also known as adhesive capsulitis ( AC ) is a common painful , disabling and debilitating shoulder condition which is commonly managed in primary care.

incidence is likely to be 2 % to 5 % worldwide presents in the age group 40-70 ( uncommon before 40 ) unusual in patients > 70 ( excluding secondary traumatic AC ) slightly more common in women and peak age has been reported to be 56 yrs non- dominant shoulder is more likely to be affected , but b/l involvement has been reported in up to 40 % to 50 % cases incidence in those suffering with thyroid problems or diabetes can be as high as 10 % to 38 % ( patient with diabetes also are likely to face worse treatment outcomes based on duration of their diabetes ) no racial predilection.

Primary -idiopathic risk factors for primary AC include diabetes , thyroid disorders , rheumatoid arthritis , gout , hyperlipidaemia , Parkinson's disease , cardiopulmonary disease , hypoadrenalism , duputyrens disease of hand normal radiographs

Secondary-identifiable traumatic or non traumatic shoulder pathology pre-existing shoulder disorders non-traumatic ( OA , RC tendinopathy, calcific tendinitis ) shoulder trauma...