{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T09:44:24Z","timestamp":1762508664597,"version":"build-2065373602"},"reference-count":19,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,11,26]],"date-time":"2021-11-26T00:00:00Z","timestamp":1637884800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2021,11,26]],"date-time":"2021-11-26T00:00:00Z","timestamp":1637884800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2021,11,26]],"date-time":"2021-11-26T00:00:00Z","timestamp":1637884800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To prospectively evaluate a cohort of patients with adhesive capsulitis and identify predictors of failure of conservative treatment in the first 2\u00a0months of therapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a single\u2010cohort, prospective observational study that included 20 participants (13 females\/7\u00a0males; median age of 51.8 years [interquartile range: 8.65]) with primary adhesive capsulitis managed conservatively and evaluated clinically every month for at least 2 years of follow\u2010up (29 [5] months). The evaluation included stage of the disease, treatment applied, radiological findings, pain levels and range of motion (active and passive ROM in the four planes and isolated glenohumeral passive ROM in abduction [GH\u2010ABD], external rotation [GH\u2010ER] and internal rotation). The main outcome assessed was failure of conservative treatment defined as the need for surgery and persistent pain or CMS below 70 points at the 1\u2010year follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seven patients (7\/20, 35%) were considered to have failed conservative treatment because they required arthroscopic capsular release 5.2 (2.1) months after the initial diagnosis. Of all the clinical and epidemiological variables, absence of improvement during the first 2\u00a0months in isolated glenohumeral ROM abduction and external rotation predicted failure of conservative treatment: improvement in GH\u2010ABD (10\u00b0 or more) occurred in 10\/13 patients in the conservative treatment group and in 1\/7 patients in the surgery group (<jats:italic>p<\/jats:italic>\u2009=\u20090.017). Improvement in GH\u2010ER (10\u00b0 or more) occurred in 9\/13 patients in the conservative treatment group and in 0\/7 patients in the surgery group (<jats:italic>p<\/jats:italic>\u2009=\u20090.005).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Precise assessment of isolated glenohumeral ROM in patients with adhesive capsulitis can help identify patients in which conservative treatment might fail. In this study, patients who did not experience early improvements in isolated glenohumeral ROM often required surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>III (Prospective cohort study).<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-021-06804-4","type":"journal-article","created":{"date-parts":[[2021,11,26]],"date-time":"2021-11-26T08:02:35Z","timestamp":1637913755000},"page":"2099-2104","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Assessment of isolated glenohumeral range of motion in patients with adhesive capsulitis can help predict failure of conservative treatment: a pilot study"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5985-3388","authenticated-orcid":false,"given":"Miguel Angel","family":"Ruiz Ib\u00e1n","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Unidad de Hombro y Codo Hospital Universitario Ram\u00f3n y Cajal Cta Colmenar km 9,100 28046 Madrid Spain"},{"name":"<!--<label>2<\/label>--> Department of Surgery, Medical and Social Sciences Universidad de Alcal\u00e1 de Henares Alcal\u00e1 de Henares Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susana","family":"Alonso G\u00fcemes","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Unidad de Hombro y Codo Hospital Universitario Ram\u00f3n y Cajal Cta Colmenar km 9,100 28046 Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raquel","family":"Ruiz D\u00edaz","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Unidad de Hombro y Codo Hospital Universitario Ram\u00f3n y Cajal Cta Colmenar km 9,100 28046 Madrid Spain"},{"name":"<!--<label>2<\/label>--> Department of Surgery, Medical and Social Sciences Universidad de Alcal\u00e1 de Henares Alcal\u00e1 de Henares Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Diaz Heredia","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Unidad de Hombro y Codo Hospital Universitario Ram\u00f3n y Cajal Cta Colmenar km 9,100 28046 Madrid Spain"},{"name":"<!--<label>2<\/label>--> Department of Surgery, Medical and Social Sciences Universidad de Alcal\u00e1 de Henares Alcal\u00e1 de Henares Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ignacio","family":"de Rus Aznar","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Unidad de Hombro y Codo Hospital Universitario Ram\u00f3n y Cajal Cta Colmenar km 9,100 28046 Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafael Lorente","family":"Moreno","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> Servicio de Traumatologia y Cirugia Ortopedica, Hospital Universitario de Badajoz Badajoz 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