Quel regard sur la capsulite rétractile en 2024 ?
(2024) Louvain médical — Vol. 143, n° 9-10, p. 569-574 (2024)
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- (en) [A look at adhesive capsulitis in 2024] Frozen shoulder, also known as adhesive capsulitis, is a common condition encountered in clinical practice among patients complaining of shoulder problems. It manifests itself in three distinct phases, initially causing severe pain, followed by stiffness and functional impairment, and ultimately gradual recovery. The diagnosis of frozen shoulder is primarily clinical, with physical examination being the only method of diagnosis, and is characterized by loss of both active and passive shoulder mobility. While the majority of cases are idiopathic, some risk factors have been identified, such as diabetes, thyroid disorders, and immobilization. Initial treatment is predominantly conservative and includes analgesics, corticosteroid injections, and physical therapy, depending on the disease phase. Surgery is reserved for exceptional cases and avoided especially in the early stages. Although many aspects of this condition remain mysterious, this article is intended to inform general practitioners about the existence of frozen shoulder, so that they can provide early information to patients, initiate appropriate additional investigations, and begin initial therapeutic measures as soon as possible.
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Citations
Breyne, L., Dubuc, J.-E., Cornu, O., & Opsomer, G. (2024). Quel regard sur la capsulite rétractile en 2024 ? Louvain médical, 143(9-10), 569-574. https://hdl.handle.net/2078.5/239964 (Original work published 2024)