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Objective: Adhesive capsulitis is an inflammatory disease of the joint capsule, clinically manifested as pain, stiffness, and dysfunction of the shoulder. We subjectively observed an increased incidence of adhesive capsulitis, and raised the hypothesis that adhesive capsulitis was more frequent in magnetic resonance imaging examinations performed during the COVID-19 pandemic as compared with examinations prior to this period.
Methods: Data from medical records and magnetic resonance imaging of the shoulder presenting typical imaging findings of adhesive capsulitis, performed in our organization from March to June 2020, were evaluated and compared with data and imaging from the same period of the previous year. To this end, an organizational business intelligence tool called "search reports" was used, searching for the term "adhesive capsulitis" in the radiological report, results were tabulated, and corresponding magnetic resonance imaging exams were analyzed.
Results: Our search found a total of 240 and 1,373 cases of adhesive capsulitis in the 2020 and 2019 periods, respectively. The mean age of patients was 53.9 years in the 2020 group and 49.9 years in 2019 (p<0.001). Magnetic resonance imaging findings were positive for adhesive capsulitis in 40 out of 240 shoulders (16.7%) in the 2020 group versus 127 out of 1,373 shoulders (9.2%) in the 2019 group. This difference was statistically significant (p=0.001).
Conclusion: Our study findings suggest a relative increase in the proportion of magnetic resonance imaging findings suggestive of adhesive capsulitis cases during COVID-19 pandemics based on data from our organization.
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http://dx.doi.org/10.31744/einstein_journal/2022AE0163 | DOI Listing |
Ind Health
September 2025
Dokuz Eylul University, Faculty of Medicine, Department of Occupational Medicine, Turkey.
Jockeys endure considerable physical and psychological demands, rendering them vulnerable to occupational injuries such as fractures, concussions, and soft tissue damage. This descriptive case series presents the medical and occupational histories of three professional jockeys with long-term disabilities following work-related accidents. Each individual commenced their jockey career in early adolescence.
View Article and Find Full Text PDFJBJS Case Connect
July 2025
Department of Orthopedic Surgery, Lower Extremities, Schulthess Clinic, Zurich, Switzerland.
Case: A 41-year-old patient presented with chronic, left-sided trochanteric bursitis, unresponsive to conservative treatments including intensive physiotherapy, local and systemic anti-inflammatory therapy, and neuromodulation. A novel surgical approach was used, involving an adducting trochanteric closing wedge osteotomy to reduce the lateral prominence of the greater trochanter without relevantly affecting the abductor lever arm. The procedure resulted in substantial symptom relief, with excellent functional outcomes.
View Article and Find Full Text PDFJ Trauma Acute Care Surg
September 2025
From the Department of Surgery, Center for Trauma and Critical Care, George Washington University, Washington, DC.
Abstract: The Morel-Lavallée lesion (MLL) is a rare closed degloving injury resulting from traumatic shearing forces that separate subcutaneous tissue from underlying fascia, creating a cavity filled with blood, lymph, and inflammatory exudate. Typically occurring in regions where skin can glide significantly over rigid structures, such as the thigh, MLLs present as fluctuant, boggy, sometimes painful lesions, which result from disrupted lymphatic and vascular structures. The lesion evolves through an inflammatory cascade leading to eventual encapsulation by dense fibrotic tissue.
View Article and Find Full Text PDFEFORT Open Rev
September 2025
Semmelweis University, Department of Orthopedics, Budapest, Hungary.
The results of our survey conducted among the members of the European Society for Surgery of the Shoulder and the Elbow is presented in this article. The two most important features of frozen shoulder are movement restriction and pain. Frozen shoulder is considered secondary if it occurs after surgery or trauma.
View Article and Find Full Text PDFPain Med Case Rep
August 2025
Dept. of Physical Medicine & Rehabilitation, Montefiore Medical Center/Albert Einstein School of Medicine, Bronx, NY.
Background: Chronic degenerative shoulder pain, often due to adhesive capsulitis or osteoarthritis, is challenging to treat. Total shoulder arthroplasty is an option when conservative treatment fails to alleviate symptoms, but many patients are unsuitable surgical candidates and require alternative treatment plans.
Case Report: This case report presents a successful treatment approach combining coracohumeral ligament release and peripheral nerve stimulation (PNS).