AI Snips
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Episode notes
Definition And Key Movement Limits
- Adhesive capsulitis is a condition of unknown cause marked by painful restriction of active and passive shoulder movements.
- It most notably limits internal rotation, abduction, and external rotation of the glenohumeral joint.
Three-Phase Natural History
- The condition typically progresses through three phases: painful, frozen, then thawing, with pain resolving before motion returns.
- Most cases are self-limited and eventually improve over months to a year or more.
Focus The Exam On Active And Passive Loss
- Examine both active and passive shoulder range of motion, focusing on internal rotation at 90° abduction and abducted external rotation.
- Compare with the contralateral side and check functional signs like difficulty threading a belt or putting on a bra.