Stage 3 adhesive capsulitis presents with which pattern?

Stage 3 adhesive capsulitis presents with which pattern?

• A. Pain only with movement; limited GH motion; atrophy of RTC, deltoid, biceps, triceps
• B. Pain at rest; ROM fully recovered
• C. No pain and full ROM
• D. Hypermobility with increased ROM

Answer: (A)

Stage 3 adhesive capsulitis, the frozen stage, is defined by severe stiffness of the shoulder with marked loss of motion in all directions. Pain, if it is present, tends to be activity-related rather than constant at rest. The joint capsule remains thickened and contracted, and disuse can lead to atrophy of the shoulder muscles, such as the rotator cuff and deltoid, contributing to weakness. This pattern fits best with pain mainly during movement, significant limitation of glenohumeral motion, and muscle atrophy. Descriptions of pain at rest with full ROM, no pain with full ROM, or increased ROM/hypermobility do not match the frozen stage.

Stage 3 adhesive capsulitis, the frozen stage, is defined by severe stiffness of the shoulder with marked loss of motion in all directions. Pain, if it is present, tends to be activity-related rather than constant at rest. The joint capsule remains thickened and contracted, and disuse can lead to atrophy of the shoulder muscles, such as the rotator cuff and deltoid, contributing to weakness. This pattern fits best with pain mainly during movement, significant limitation of glenohumeral motion, and muscle atrophy. Descriptions of pain at rest with full ROM, no pain with full ROM, or increased ROM/hypermobility do not match the frozen stage.