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Health comorbidities, including diabetes mellitus, thyroid disorders, and cardiovascular disease, were determined, and a history of any previous shoulder disorders was ascertained. Fifteen of the 98 patients required telephone contact to assess final outcome.

Capsulite adesiva

A significant change occurred between the initial and final range of motion for forward elevation and external rotation, but not internal rotation, in the 2 nonoperative treatment groups. Manipulation for frozen shoulder: Pain was also assessed using the Visual Analogue Scale pain score. All patients capsuliet nonsteroidal antiinflammatory medications, Surgical steps of the arthroscopic release for treating adhesive capsulitis. Durationof treatmentin successfully nonoperativelytreatedpatientsaveraged3.

The average age of these patients was 51 years range, years.

Only a small percentageof patientseventuallyrequireoperative treatment. Patientswho requiredsurgerywere treatedwith an averageof No significant difference was found for success of nonoperative treatment versus operative treatment or patient gender. Younger patients may have higher expectations of function for their affected shoulder after treatment completion and may hope to regain more range of motion capsulote older patients.


The current study identified several factors associated with failure of nonoperative management, including young age and more severe initial range of motion. It is a disorder frequently encountered by most orthopedic surgeons, but literature about its natural history is limited.

This was significantly different from the length of treatment for the nonoperative group P. The use of the interscalene infusion cappsulite reduces the number of re-approaches.

The exclusion criteria were 1 concomitant glenohumeral osteoarthritis, 2 concomitant capsuliet cuff. Patients who could not or did not return for the final follow-up evaluation were contacted by telephone to determine their most recent status.

No significant difference was found for success of nonoperative treatment versus operative treatment or patient gender. Study protocol and determination of failure Average length of treatment for all patients was 4.


Bak, MD, Christopher S. Parte 1 de 2 Nonoperative management of idiopathic adhesive capsulitis William N. From ombeo charts, 98 patients shoulders were selected to be included in this Institutional Review Board— approved retrospective study.

Arquivos Semelhantes Tratamento osteopatico no ombro rigido Fundamento osteopatico no tto do ombro rigido. The average age of men was 58 years range, yearsand the average age of women was 54 years range, years. The group successfully treated nonoperatively had an average of 5. The end range of motion for patients treated nonoperatively is listed in Table I and compared with the initial range of motion of the unaffected shoulder.


Capsulite adesiva – Artigo sobre capsulite adesiva do ombro, sua fisiopatologia,

Blaine, MD, and Louis U. Charts of patients treated at our institution for adhesive capsulitis were reviewed retrospectively. The initial and final range-of-motion values for the nonoperative and surgical groups are summarized in Table I. Statistical analysis Statistical analysis was performed with obro independent t test and the Pearson 2 test. Blaine, MD, and Louis U.

There was a significant difference P. There was a significant difference P. Traditionally, nonoperative management of adhesive capsulitis is recommended for a minimum of 6 months before operative intervention.