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Kapsulitt, skulder

Sist revidert:
Sist revidert av:
Definisjon:
Smertefull skulder med innskrenket passiv bevegelighet (kapsulært mønster) på grunn av inflammasjon og fibrosering av leddkapselen, noen ganger med adheranser i eller omkring leddet. Bakenforliggende årsak er ukjent
Forekomst:
Prevalens angis til 2-5%, oftest hos kvinner og i alder 40–70 år
Symptomer:
Endres i forløpet fra smertefase til tilstivningsfase til tilhelingsfase
Funn:
Typiske funn er nedsatt aktiv og passiv bevegelighet i et kapsulært mønster
Diagnostikk:
Tilleggsundersøkelser er vanligvis ikke påkrevd, ev. MR
Behandling:
Omdiskutert. Gjentatte kortisoninjeksjoner synes å gi god akutt smertereduksjon, men påvirker i liten grad langtids-forløpet.
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  • Stig Fossum, fysioterapeut, spesialkompetanse på muskel- og skjelettsykdommer, Moholt Fysioterapi, Trondheim
  • Pål Kristensen, spesialist i allmennmedisin, Ranheim legesenter, Trondheim
  • Satya P Sharma, spesialist i allmennmedisin, spesialkompetanse i muskel-skjelettlidelser, Rolland legesenter, Bergen

Tidligere fagmedarbeidere

  • Magne Rø, overlege Fysikalsk medisinsk avdeling, Regionsykehuset i Trondheim, og førsteamanuensis, Norges teknisk-naturvitenskapelige universitet, Trondheim