Primary frozen shoulder: brief review of pathology and imaging abnormalities, 2014
Topics: Shoulder pain, Frozen shoulder, Adhesive capsulitis, Therapy
Authors: Kazuya Tamai, Miwa Akutsu and Yuichiro Yano
Background Primary frozen shoulder (FS) is a painful contracture of the glenohumeral joint that arises spontaneously without an obvious preceding event. Investigation of the intra-articular and periarticular pathology would contribute to the treatment of primary FS. Review of literature Many studies indicate that the main pathology is an inflammatory contracture of the shoulder joint capsule. This is associated with an increased amount of collagen, fibrotic growth factors such as transforming growth factor-beta, and inflammatory cytokines such as tumor necrosis factor-alpha and interleukins. Immune system cells such as B-lymphocytes, T-lymphocytes and macrophages are also noted. Active fibroblastic proliferation similar to that of Dupuytren’s contracture is documented. Presence of inflammation in the FS synovium is supported by the synovial enhancement with dynamic magnetic resonance study in the clinical setting. Conclusion Primary FS shows fibrosis of the joint capsule, associated with preceding synovitis. The initiator of synovitis, however, still remains unclear. Future studies should be directed to give light to the pathogenesis of inflammation to better treat or prevent primary FS.
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From Newton, to Einstein, to the new wildfire of Fascia Research. How do we understand things from a different perspective?
In the 70s when the orthopedic surgeon Dr. Stephen Levin was at a natural history museum and saw the wires holding up the neck of a dinosaur, he did not get the picture to go together. How could his neck have been held up originally?
New research leads to insights and by looking at the body in a completely new way we get new perspectives and explanations to symptoms and diseases. At the 2015 Joint Conference on Acupuncture, Oncology and Fascia in Boston, research was presented regarding Fascia and Cancer
At the 2015 Fascia Research Congress in Washington DC, Tom Myers, the author of Anatomy Trains, gives a short introduction to Fascia and how new research changes the way we look at pain and discomfort.
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You probably know that the immune system is our defensive wall protecting us from the threats from the outside world – but do you know how it works and how to boost it?
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The new discoveries and knowledge about Fascia has taken us back to an observing stage – we have to investigate our surroundings to get an understanding for what to measure.