CLINICAL
CLINICAL PRESENTATION Pain 2-9m
Pain and Stiffness 4-12m
Stiffness 5-26m
THERAPEUTIC OPTIONS
None – supervised neglect
Manipulation / Physio
Intraarticular corticosteroid
Hydrodilation
Suprascapular nerve block
MUA
Surgical division GHL / Axillary capsule
RADIOGRAPHY
Usually normal
Obtained to exclude OA as this can also cause global restriction of movement
MRI
Normal
Thickened capsule axillary recess
Thickening around CHL
ULTRASOUND
Normal
Thickening around CHL
Doppler activity