Podcast
Questions and Answers
In the context of GH joint arthritis, which of the following is a common characteristic of the acute phase?
In the context of GH joint arthritis, which of the following is a common characteristic of the acute phase?
In the subacute phase of GH joint arthritis, what is the typical pattern of motion restriction?
In the subacute phase of GH joint arthritis, what is the typical pattern of motion restriction?
In the chronic phase of GH joint arthritis, what functional limitation is commonly seen?
In the chronic phase of GH joint arthritis, what functional limitation is commonly seen?
Which of the following is a characteristic of Stage 1 of idiopathic frozen shoulder?
Which of the following is a characteristic of Stage 1 of idiopathic frozen shoulder?
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What is the typical duration of Stage 2 (Freezing Stage) of idiopathic frozen shoulder?
What is the typical duration of Stage 2 (Freezing Stage) of idiopathic frozen shoulder?
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Which of the following is NOT a typical feature of Stage 3 (Frozen Stage) of idiopathic frozen shoulder?
Which of the following is NOT a typical feature of Stage 3 (Frozen Stage) of idiopathic frozen shoulder?
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What is the most common symptom associated with both GH joint arthritis and idiopathic frozen shoulder?
What is the most common symptom associated with both GH joint arthritis and idiopathic frozen shoulder?
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Which of the following is a key difference between GH joint arthritis and idiopathic frozen shoulder?
Which of the following is a key difference between GH joint arthritis and idiopathic frozen shoulder?
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What characterizes Stage 4 of the condition described?
What characterizes Stage 4 of the condition described?
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What is the average duration of Stage 4 after onset?
What is the average duration of Stage 4 after onset?
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What may happen if inappropriate therapy is applied during this stage?
What may happen if inappropriate therapy is applied during this stage?
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Which statement is true regarding recovery in Stage 4?
Which statement is true regarding recovery in Stage 4?
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What type of management is typically advised during Stage 4?
What type of management is typically advised during Stage 4?
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Study Notes
Glenohumeral (GH) Joint Arthritis
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Acute Phase: Pain and muscle guarding limit motion, primarily external rotation and abduction. Pain often radiates to the elbow and disrupts sleep. Joint swelling isn't typically visible, but tenderness is palpable in the sulcus below the acromion process.
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Subacute Phase: Capsular tightness develops, creating a capsular pattern (limited external rotation and abduction, less limited internal rotation and flexion). Pain occurs at the end of the limited range. Passive accessory motion testing reveals restricted joint play. Managing the acute condition by gradually increasing movement and activity minimizes potential joint/soft tissue contractures.
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Chronic Phase: Progressive restriction of the GH joint capsule worsens restricted motion (capsular pattern). Significant loss of function occurs, with difficulty reaching overhead, outwards, or behind the back. Pain is localized to the deltoid region.
Idiopathic Frozen Shoulder
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Four Stages: A classic continuum is observed.
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Stage 1 (Freezing): Gradual onset of pain, worsening with movement, present at night. External rotation is lost, but rotator cuff strength remains intact. Usually lasts less than 3 months.
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Stage 2 (Freezing): Persistent, intense pain, even at rest. Motion is limited in all directions, and intra-articular injections don't completely restore movement. Typically lasts between 3 and 9 months.
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Stage 3 (Frozen): Pain only with movement, significant adhesions, and severe GH motion restrictions. Compensatory scapulothoracic movement is common. Muscle atrophy of the deltoid, rotator cuff, biceps, and triceps may occur. This stage lasts 9 to 15 months.
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Stage 4 (Thawing): Minimal pain, no synovitis, but significant capsular restrictions from adhesions. Gradual improvement in motion. This stage lasts 15 to 24 months; some patients never regain full range of motion. Average spontaneous recovery time is approximately 2 years, but some experience long-term limitations.
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Description
Explore the phases of Glenohumeral joint arthritis, including symptoms and management strategies. Learn about the acute, subacute, and chronic phases of this condition, focusing on limitations in motion and pain experienced by patients. This quiz will enhance your understanding of this joint problem and its effects on mobility.
