Adhesiv kapsulit, frusen skuldra
Senast uppdaterad: Senast reviderad:
Sakkunnig:Remy Waardenburg
Definition:
Tillstånd med smärta och nedsatt passiv och aktiv rörelseförmåga i axel/skuldra till följd av inflammation/fibrotisering av ledkapseln.
Förekomst:
Ofta idiopatiskt men vanligare hos personer med diabetes och hypotyreos. Ovanligt före 40 års ålder.
Symtom:
Gradvis utveckling av smärta i axeln med därefter tilltagande stelhet. Senare i förloppet mest stelhet.
Kliniska fynd:
Rörelseinskränkning enligt kapsulärt mönster (nedsatt utåtrotation mest påverkad).
Diagnostik:
Diagnosen baseras på anamnesen och kliniska fynd.
Behandling:
Behandlingsalternativ består av smärtstillande, fysioterapi, kortisoninjektioner och kirurgi.
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- Remy Waardenburg, specialist i allmänmedicin, medicinsk redaktör Medibas
Tidigare sakkunniga
- Tomas Lihagen, leg sjukgymnast, Örebro Rehabcenter