Common musculoskeletal complications of diabetes include stiff hand syndrome, Dupuytren's contracture, various types of tendinitis, periarthritis of shoulder and frozen shoulder or adhesive capsulitis
. [1,2] Diabetic patients present with adhesive capsulitis
at an early age.
This study supported the use of manual therapies for shoulder impingement syndrome, rotator cuff-associated disorders, adhesive capsulitis
, and nonspecific shoulder pain.
, also called as frozen shoulder, defines a pathological process that causes limited movement, pain, and dysfunction in the shoulder due to adhesion occurring at the glenohumeral joint.
It has been reported that the incidence of adhesive capsulitis
increases with age and duration of the disease, in both patients with T1DM and T2DM.
Objective: To compare the intra-articular corticosteroid versus physiotherapy in the management of adhesive capsulitis
in terms of mean pain score.
Frozen shoulder, also called adhesive capsulitis
, happens when the ligaments that hold the shoulder joint in place tighten due to inflammation and restrict the joint's movement.
MRI of adhesive capsulitis
of the shoulder: Distension of the bursa in the superior subscapularis recess is a suggestive sign of the pathology.
To make an accurate diagnosis, it is critical to complete a thorough neurologic and musculoskeletal examination of both the symptomatic and the asymptomatic extremities, including testing manual muscle strength, range of motion, sensation, and reflexes as well as evaluating the shoulder for signs of impingement, adhesive capsulitis
, rotator cuff injury, and scapular dyskinesis.
Wickiewicz, "Immunolocalization of cytokines and their receptors in adhesive capsulitis
of the shoulder," Journal of Orthopaedic Research, vol.
A Known as adhesive capsulitis
, frozen shoulder occurs when the capsule of connective tissue surrounding the shoulder joint develops chronic inflammation, thickens and tightens.
, often called frozen shoulder, is very painful stiffness and so this condition needs to be given time to settle down before therapy exercises can begin, otherwise it will be too painful to move.
Moreover, brachial plexus anesthesia does not always include shoulder in its effect; hence, the patients in need of open reduction internal fixation (ORIF) are held captive in the hands of unfavorable circumstances, because they need a sound fixation of the fracture fragments to allow early shoulder movements and avoid adhesive capsulitis
. Hence, we in this initial study, attempted stabilizing the fracture fragments by external fixation device, popular as JESS viz., Joshi's External Stabilization System, under local anesthesia.