Anatomy/Clinical Course
Which soft tissue structure limits ER the most at 0 degrees of abduction?
Subscapularis.
Which motion is most limited in Adhesive Capsulitis?
External Rotation
Intra articular corticosteroid injections receive what level evidence recommendation, when combined with stretching?
Level A
During the first stage of the disease, what is frozen shoulder often misdiagnosed as?
Subacromial Shoulder Impingement
What are the two numbers that went viral towards the end of the year, with teenagers frequently saying them?
6,7
Which ligament covers the biceps tendon in the bicipital groove?
Transverse Humeral Ligament
Name one of the three outcome measures that received A level evidence for their use in patients with Adhesive Capsulitis.
DASH
ASES
SPADI
Joint mobilizations receive what level of evidence recommendation?
Level C
What are the two other most common differential diagnoses when considering adhesive capsulitis according to the CPG's Diagnostic Classification Criteria?
- Shoulder stability and movement coordination impairments/dislocation of shoulder joint, or sprain and strain of shoulder joint
- Shoulder pain and muscle power deficits/rotator cuff syndrome
Which popular social media app was temporarily unavailable in the United States in mid-January?
Tik Tok
What becomes fibrotic during adhesive capsulitis?
The entire capsuloligamentous complex
Glenohumeral ER or IR ROM decreases as the humerus is abducted from __ to __ degrees.
45-90 degrees
Clinicians may utilize what 3 modalities when combined with mobility and stretching exercises?
Shortwave Diathermy
Ultrasound
Electric Stimulation
Radiographic evidence of glenohumeral joint osteoarthritis can help rule in/out adhesive capsulitis?
Rule out
Following the death of Pope Francis, who was named the new leader of the Catholic church in May this year?
Pope Leo XIV
What explains the heightened pain response in those with adhesive capsulitis?
New nerve growth, accompanying angiogenesis.
How many stages are there in Adhesive Capsulitis, and what are the typical time frames of each?
Stage 1: 0-3 months
Stage 2: 3-9 months
Stage 3: 9-15 months
Stage 4: 15-24 months
Patient education should include what 3 components?
(1) describes the natural course of the disease
(2) promotes activity modification to encourage functional, pain-free ROM
(3) matches the intensity of stretching to the patient’s current level of irritability.
Name 3 other differentials that are not specified in the Diagnostic Classification Criteria.
• Acute calcific tendonitis/bursitis
• Arthrosis of the shoulder, primary
• Arthrosis of the shoulder, secondary
• Bursitis of the shoulder
In 46 B.C., which Roman leader made Jan. 1 New Year’s Day?
Julius Caesar
The capsuloligamentous complex and __________ create an intimate static and dynamic constraining sleeve around the glenohumeral joint.
Rotator Cuff tendons
What are the risk factors for developing Adhesive Capsulitis?
Female
Age 40-65
Hx of Diabetes and Thyroid disease
Hx of Adhesive Capsulitis in contralateral arm
A Physical Therapist is planning a treatment session for a patient diagnosed with Adhesive Capsulitis. They decide to utilize heat and e-stim for pain modulation, low intensity joint mobilizations, and pain free PROM exercises. What is the likely irritability level of this patient?
High irritability
A 30 year old female patient presents to clinic for her Right shoulder, due to an injury sustained approximately 1 month ago. She has pain free weakness in ER and abduction. Upon ROM testing she demonstrates apprehension toward end range flexion and ER. What is the most likely diagnosis according to the CPG's Diagnostic Classification Criteria?
Shoulder stability and movement coordination impairments/dislocation of shoulder joint, or sprain and strain of shoulder joint
In what year did the ball-lowering celebration in Times Square first take place?
1907