Monday, May 30, 2011

Adhesive Capsule - Diagnosis

Laboratory studies:
-Full blood count, erythrocyte sediemntare rate is increased
- C-reactive protein is increased, blood glucose assessment,evaluation of thyroid hormones.

Imaging Studies:

Routine radiograph of the shoulder is important to exclude other pathologies. This should include a joint derivationanterioposterioara glenohumeral rotation in neural derivation of thesupraspinatus and axillary.

MRI is not indicated in all cases initially adhesive capsule.Because pain associated global study of frozen shoulder isunspecific. However, if the patient does not recover after a periodof 3 weeks to 3 months to exclude MRI imaging shows a cuff orintra-articular pathology cape.
The differential diagnosis is made ​​with the following conditions:biceps rupture, biceps tendinopathy, Neural brachial, cervicalmiofasciala pain, neck sprains, neoplastic brachial plexopatia,psoriatic arthritis, rheumatoid arthritis, heterotopic ossification,myelomeningocele.

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