hyaluronic acid

Adhesive capsulitis

Idiopathic inflammatory condition

- characterised by progressive shoulder pain & stiffness

- due to contracture of capsuloligamentous structures

- spontaneously resolves

2% incidence

- 40 - 60 years

- Women 2:1

Sedentary workers

- Non-dominant limb

Bilateral in 10 - 40%

Painful restriction of dorsiflexion of the great toe

- secondary to degenerative changes in MTPJ

- initially pain and synovitis

- osteophytes don't form medially or on plantar aspect

Two peaks

1. Adolescence F > M

2. Middle Age M > F

Often Idiopathic

Trauma