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Adhesive capsulitis of the shoulder joint (?frozen shoulder?) in patients with diabetes mellitus

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Abstract


Adhesive capsulitis (АС) has an incidence of 20% in diabetic patients. The tightening of the shoulder capsule ("freezing") can cause gradually increasing limitation in active and passive range of motion (ROM) of shoulder. Consequences of the increasing limitations are reduced quality of life and patient disability. It is thought that AC is a self-limiting disorder that resolves in 1?2.5 years in most cases. However, new clinical data indicate both long-term persistent pain and residual loss of motion in 10% of patients without diabetes and in 85% of patients with diabetes. In this review, we summarize the results from different clinical trials in which risk factors and pathogenesis of AC in diabetic patients as well as the diagnosis and efficacy of various methods for the treatment of AC were examined.

Nadezhda Viktorovna Maximova

I.M. Sechenov First Moscow State Medical University, Moscow

Author for correspondence.
Email: maximova.nadezhda@gmail.com

Russian Federation

MD, PhD, Research assistant, Endocrinology Department of the Medical Faculty in I.M. Sechenov First Moscow State Medical University

Maria Vadimovna Amosova

I.M. Sechenov First Moscow State Medical University, Moscow

Email: murmurmary13@gmail.com

Russian Federation

MD, Research fellow, Resident of clinical internship, Endocrinology Department of the Medical Faculty in I.M. Sechenov First Moscow State Medical University

Evdokiya Sergeevna Tsvetkova

I.M. Sechenov First Moscow State Medical University, Moscow

Email: evatsvetkoff@gmail.com

Russian Federation 6th year medical student, Endocrinology Department of the Medical Faculty in I.M. Sechenov First Moscow State Medical University

Natalya Alexandrovna Chubrova

I.M. Sechenov First Moscow State Medical University, Moscow

Email: arion-n@mail.ru

Russian Federation

MD, Endocrinologist, Endocrinology Department of the Medical Faculty in I.M. Sechenov First Moscow State Medical University

Galina Afanas'evna Mel’nichenko

I.M. Sechenov First Moscow State Medical University, Moscow; Endocrinology Research Centre, oscow

Email: teofrast2000@mail.ru

Russian Federation

MD, PhD, Professor, Academician of Russian Academy of Sciences, Endocrinology Department of the Medical Faculty in I.M. Sechenov First Moscow State Medical University

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Copyright (c) 2014 Maximova N.V., Amosova M.V., Tsvetkova E.S., Chubrova N.A., Mel’nichenko G.A.

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