Shoulder frozen

Musculoskeletal - ArVr ra g a, frozen shoulder, muscle weakness, musculoskeletal pain, myalgia, myositis, tendon disorder, torticollis. 

Barbiturates can cause various connective tissue disorders, including Dupuytren s contracture and frozen shoulder. 

Frozen shoulder has been attributed to indinavir (SEDA-24, 347) (37). In one case it was associated with Dupuytren s contracture and in one case each with arthralgias and tendinitis (38). An adhesive capsulitis seems to be present. 

Peyriere H, Mauboussin JM, Rouanet I, Rouveroux P, Hillaire-Buys D, Balmes P. Frozen shoulder in HIV patients treated with indinavir report of three cases. AIDS 1999 13(16) 2305-6. 

The incidence of barbiturate-induced Dupuytren s contracture, frozen shoulder, Ledderhose syndrome, Peyronie s disease, fibromas, and joint pains may be up to 10% (6). Most affected patients develop connective tissue changes in the first year, although these become disabling at a later stage. These complications should be recognized early, since they are often reversible (SED-12, 137) (7). 

In an evaluation of the frequency and clinical characteristics of the underlying connective tissue disorders associated with silicone breast implants, 300 women with silicone breast implants were studied (45). In addition to a history and physical examination, C reactive protein, rheumatoid factor, and autoantibodies were determined. Criteria for fibromyalgia and/or chronic fatigue syndrome were met by 54% connective tissue diseases were detected in 11% and undifferentiated connective tissue disease or human adjuvant disease in 10.6%. A variety of disorders, such as angioedema, frozen shoulder, and a multiple sclerosis-like syndrome, were also found. Several other miscellaneous conditions, including recurrent and unexplained low grade fever, hair loss, skin rash, symptoms of the sicca sjmdrome, Rajmaud s phenomenon, carpal tunnel syndrome, memory loss, headaches, chest pain, and shortness of breath were also seen. Of 93 patients who underwent explantation, 70% reported improvement in their systemic symptoms. 

Patients with cervical spine-shoulder syndrome, including shoulder bursitis (frozen shoulder, calcareous tendonitis and Duplay s disease) as well as lumbar spine syndrome, were also successfully treated with Permalon. These patients were generally treated with Permalon infusions as described for patients with RA. However, when these patients suffered from marked impairment of mobility accompanied by severe nocturnal pain, they were given an average of 4-8 infusions (40 to 80 mg of Cu) per day at intervals of... 

The committee also found convincing evidence of a causal relationship between injection of vaccine, independent of the antigen involved, and two types of adverse events, syncope or fainting and deltoid bursitis or frozen shoulder (characterized by pain and loss of movement in the shoulder). 

WRULDs describe a group of illnesses which can affect the neck, shoulders, arms, elbows, wrists, hands and fingers. Tenosynovitis (affecting the tendons), carpal tunnel syndrome (affecting the tendons which pass through the carpal bone in the hand) and frozen shoulder are all examples of WRULDs which differ in the manifestation and site of the illness. The term repetitive strain injury (RSI) is commonly used to describe WRULDs. 

Capsulitis of the shoulder seldom occurs in isolation. It is usually associated with other inflammatory processes of the shoulder. Adhesive capsulitis is the most common form (see Frozen Shoulder). 

Aiso known as adhesive capsulitis, frozen shoui-der resuits from proionged immobiiization ofthe shouider. Frozen shoulder may result from application of a splint or sling, or from failure to move the shoulder because of pain from trauma or an inflammatory process in the shoulder, inflammatory and fibrous changes occur in all the periarticular soft tissues. The range of motion of the shoulder can be markedly restricted, with abduction and internal rotation usually the most affected. Patients should be instructed to exercise the shoulder. Complete immobilization should not be continued for more than 48 hours except under supervision of a physician then, physical therapy should be begun as quickly as possible. 

There are few reports in literature dealing with spontaneous rupture of the deltoid muscle. In the reported cases, the injury occurred in patients with chronic, massive rotator cuff tears and was in some instances responsible for an acute onset of shoulder weakness. One of the possible causative factors claimed to explain rupture or detachment of the deltoid muscle is a history of repeated steroid injections for frozen shoulder and longstanding rotator cuff tears (Allen and Drakos 2002). Because, in patients with deltoid rupture and massive rotator cuff tear, contraction of the intact deltoid can lead... 

Adhesive capsulitis, also referred to as frozen shoulder, refers to an insidious syndrome of shoulder pain and restricted movement in the absence of shoulder impingement and rotator cuff injury. The patient generally complains of loss of the normal... 

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