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Revue Marocaine de Medecine et Sante. 2006; 23 (1): 36-40
in French | IMEMR | ID: emr-180503

ABSTRACT

The adhesive capsulitis of the shoulder is characterised mainly by a passive amplitude loss in the three articular sectors in abduction, antepulsion and external rotation.They raises various etiologies and constitute a major indication to the rehabilitation. The goal of the rehabilitation is to shorten the delay of evolution and to avoid recidivisms. We bring back results of the experience of the unit of rehabilitation of the service of rheumatology of the C.H.U. Ibn Rochd, of 1997 to 2003. It is about 70 patient whose middle age is of 48 years. The picture clinic included a global pain of the shoulder, with to the exam clinic a passive limitation of the articular mobility of at least 40% of the deficit in the abduction, the antepulsion and the external rotation. The balance didn't recover any etiology at 41 patient [60%]. The treatment included a treatment anodyne and anti-inflammatory non sterdidien partner to an infiltration intraarticular of corticosteroids and rehabilitation. A recuperation to 140 degree of the articular amplitudes has been observed in 79% of cases. The adhesive capsulitis is the most often primitive, however an investigation meticulous etiologic imposes itself before keeping this diagnosis. The reach is more frequent at the woman. The rehabilitation permits to get 80% of good results with a total articular amplitude recuperation and an improvement of the functional prognostication

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