(Adhesive capsulitis/periarthritis shoulder)

It is characterized by pain and progressive limitation of some movements of shoulder joint occurring in past middle age.

Types-

·       Primary idiopathic type- cause not known

·       Secondary type- in patients with Diabetes mellitus, TB, cardiac ischemia

Clinical Features-

·       Diffuse pain in shoulder radiating to middle of upper arm

·       Tenderness in subacromial region & in anterior joint line

·       Marked limitation of abduction & external rotation

·       When condition involves whole rotator cuff results in total restriction of all movements of joint.

Investigations- Radiographs are normal

Treatment-

Analgesics & short term diathermy or wax bath followed by physiotherapy Resistant cases-local infiltration of steroid &manipulation under anaesthesia