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KMID : 0948920150140010006
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Clinical Pain
2015 Volume.14 No. 1 p.6 ~ p.10
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Application and Limitation on Interventional Management of Adhesive Capsul
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Lee Jong-Hwa
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Abstract
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Adhesive capsulitis is common shoulder problem charac-terized by pain and decreased range of motion. The patho-genesis remains poorly understood, there is evidence of both inflammatory and fibrotic processes. Inflammatory con-tracture of the capsule and ligaments reduces the available intra-articular volume, and limiting glenohumeral movement. The inflammation and thickening of tissues progress to a more indolent fibrotic appearance with time. Considering these underlying causes, we can try therapeutic intervention to relieve pain, restore movement and regain function of the shoulder. This review describes the application and limi-tation on interventional management of adhesive capsulitis. It also outlines the current treatment options and reviews the published results. The interventional management in-cludes intra-articular injection, capsular distension and ma-nipulation under anesthesia.
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KEYWORD
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Intra-articular injection, Capsular distension, Mani-pulation under anesthesia
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