A chronic fibrosing condition characterised by insidious and progressive severe restriction of both active and passive shoulder ROM - In the absense of a known intrinsic disorder of the shoulder

Often bilateral

Characteristic feature - global limitation of movements of shoulder (similar to OA of the shoulder)

Epidemiology:

• Adhesive capsulitis affects 2% to 5% of the population.
• It is slightly more common in women than in men

Risk factors:

• Aged 40 to 70
• Diabetes mellitus (up to 20% of diabetics may have an episode)
• Hx of adhesive capsulitis
• Shoulder pain and immobilisation
• Previous shoulder surgery
• Female

PC

Typical course of Sx, 3 phases:

• Painful phase - pain anteriorly at the GHJ, could go around shoulder
• Stiff phase - active & passive ROM (ex.rotation most affected), pain settles down
• Thawing phase -gradual improvement in stiffness and return to normal