Saturday, September 20, 2008

ADHSIVE CAPSULITIS IN HIP!!!!

JOASSIN R et al (2008) reported 3 cases.
They elaborated the diagnosis and treatment of adhesive capsulitis of the hip as follows:


Diagnosis:


1. Adhesive capsulitis of the hip is a supposedly rare but probably underestimated condition which predominantly affects middle-aged women.
2. Clinical assessment reveals a painful limitation of joint mobility. (may be capsular pattern)
3. The diagnosis is confirmed by arthrography, where the crucial factor is a joint capacity below 12ml.

DD:
1. Osteoarthritis and
2. complex regional pain syndrome type 1 are the two main differential diagnoses.

The treatment:
The first-line treatment consists of sustained-release corticosteroid intra-articular injections and physical therapy. Arthroscopy and manipulation under anaesthesia

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