Codman, initially considered the condition to be an ‘adherent
subacromial bursitis’, but after 15 years of clinical observation he
rejected this in favour of the term frozen shoulder (Codman, 1934).
He believed the condition involved a non-calcifying tendinitis of
the rotator cuff, arguing that calcification represented a different
pathology. During a one year period (approximately 1933), Codman
treated four people suffering from frozen shoulder, and described
the symptoms to consistently involve; slow onset (typically insidious,
although trauma or strain may predispose), pain near the
insertion of deltoid, inability to sleep on the affected side, painful
and incomplete shoulder elevation and external rotation, and, with
the exception of possible bone atrophy, normal shoulder radiographs.
He added that although the aetiology remained uncertain,
and the condition difficult to treat, the disorder would almost
certainly resolve. To treat frozen shoulder, Codman advocated
hospitalisation, with the arm constrained in elevation for one to
two weeks. Patients were permitted to get up, out of bed, once a
day to perform pendular exercises.
Codman, initially considered the condition to be an ‘adherentsubacromial bursitis’, but after 15 years of clinical observation herejected this in favour of the term frozen shoulder (Codman, 1934).He believed the condition involved a non-calcifying tendinitis ofthe rotator cuff, arguing that calcification represented a differentpathology. During a one year period (approximately 1933), Codmantreated four people suffering from frozen shoulder, and describedthe symptoms to consistently involve; slow onset (typically insidious,although trauma or strain may predispose), pain near theinsertion of deltoid, inability to sleep on the affected side, painfuland incomplete shoulder elevation and external rotation, and, withthe exception of possible bone atrophy, normal shoulder radiographs.He added that although the aetiology remained uncertain,and the condition difficult to treat, the disorder would almostcertainly resolve. To treat frozen shoulder, Codman advocatedhospitalisation, with the arm constrained in elevation for one totwo weeks. Patients were permitted to get up, out of bed, once aday to perform pendular exercises.
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