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Quiz Question of the Week: Fibroblastic proliferation of the joint capsule

adhesive capsulitis frozen shoulder quiz question of the week

Quiz Question of the Week

1. Which of the following types of shoulder pain patients is most likely to have a fibroblastic proliferation of their joint capsule?

A. 69-year-old woman with ulnar drift of the fingers, primal bony nodules of the fingers and shoulder pain.

B. 45-year-old man with a history of gout and now shoulder pain.

C. 52-year-old woman with hypothyroidism, shoulder pain and loss of range of motion (active and passive).

D. 71-year-old woman with bony nodules proximal and distal interphalangeal joints of the fingers, deep, aching pain at the base of your thumb and shoulder stiffness.

E. 61-year-old woman with COPD, chronic prednisone use along with shoulder pain and stiffness.

 

Answer: C. 52-year-old woman with hypothyroidism, shoulder pain and loss of range of motion (active and passive).

 

Adhesive capsulitis is a fibroblastic process and characteristic for this condition. Risk factors for frozen shoulder include: females, age 40-60, diabetes and hypothyroidism. It causes severe pain, and global loss of passive range of motion. Fibroblasts lay down collagen which is similar to Dupuytren's disease of the hand, with no inflammation and no synovial involvement.

Incorrect Answers

  1. Rheumatoid arthritis
  2. Gout can cause crystal deposition disease of the glenohumeral joint.
  3. Osteoarthritis
  4. Avascular necrosis of the glenohumeral joint

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