{"id":144,"date":"2017-04-11T05:05:30","date_gmt":"2017-04-11T05:05:30","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJPhysiotherRes\/?page_id=144"},"modified":"2017-04-11T05:05:30","modified_gmt":"2017-04-11T05:05:30","slug":"ijpr-2017-111","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/ijpr-2017-111","title":{"rendered":"IJPR.2017.111"},"content":{"rendered":"<p style=\"text-align: justify;\"><div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijpr.5.2\/IJPR.2017.111.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#3498db;border-color:#2a7ab0;border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#71b7e6;border-radius:5px;text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijpr_vol5_2.html\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#3498db;border-color:#2a7ab0;border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#71b7e6;border-radius:5px;text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong>\u00a0\u00a0Original Research<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 5; Issue 2 (April 2017)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong>\u00a01946-1950<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijpr.2017.111<\/h3>\n<h3 style=\"text-align: justify;\">IDENTIFIED AND MOLECULAR CHARACTERIZATION OF THE PATHOLOGY DISORDERS IN FROZEN SHOULDER PATIENTS OF SOUTH INDIANS, INDIA<\/h3>\n<p style=\"text-align: justify;\"><strong>Venkata Naga Prahalada. Karnati *.<\/strong><\/p>\n<p style=\"text-align: justify;\"><sup>* <\/sup>Lecturer, Department Of Rehabilitation, College Of Applied Medical Sciences, Shaqra University, Shaqra, Saudi Arabia.<\/p>\n<p style=\"text-align: justify;\"><strong>Corresponding Author: <\/strong>K.V.N. Prahalada, PhD, PT, Lecturer, Department Of Rehabilitation, College of Applied Medical Sciences, Shaqra University, Shaqra, Saudi Arabia. Phone no.: 00966-534043933 <strong>E-Mail:<\/strong> venkat_dr2002@yahoo.co.in<\/p>\n<p style=\"text-align: justify;\"><strong>ABSTRACT:<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Introduction: <\/strong>Frozen shoulder is a common disease which causes significant morbidity. Frozen shoulder is a common shoulder disorder characterized by pain and gradual loss of active and passive glenohumeral motion that occurs in 2\u20135% of the general population. However, the etiology and pathophysiologic mechanisms that lead to the development of frozen shoulder are poorly understood, and there is no consensus regarding optimal treatment.<\/p>\n<p style=\"text-align: justify;\"><strong>Materials and Methods: <\/strong>Total number of 850 patients were initially recruited during a one year period between January 2014andJanuary 2015;we treated 70 patients with a diagnosis of primary frozen shoulder resistant to conservative treatment by manipulation under anaesthetic and arthroscopic release of the rotator interval, at a mean time from onset of 5 months.<\/p>\n<p style=\"text-align: justify;\"><strong>Result and Discussion: <\/strong>Biopsies were taken from this site and histological and immunocytochemical analysis was performed to identify thetypes of cell present. The tissue was characterised by the presence of fibroblasts,proliferating fibroblasts and chronic inflammatory cells. The infiltrate of chronic inflammatory cells was predominantly made up of mast cells, with T cells, B cells and macrophages also present.<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusion: <\/strong>In conclusion, arthroscope biopsy material from the rotator interval in patients with frozen shoulder revealed immunocytochemical evidence of both chronic inflammation and proliferative fibrosis, supporting the theory that this is both a chronic inflammatory and a fibrotic condition.Together with the presence of high vascularity and nerve tissue, this inflammation and fibrosis explains why frozen shoulder is such a painful and stiff condition.<\/p>\n<p style=\"text-align: justify;\"><strong>Key words:<\/strong> Frozen Shoulder Patients, Immunocytochemical, Manipulation, Rotator interval.<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<ol style=\"text-align: justify;\">\n<li>Bunker TD. Frozen shoulder: unravelling the enigma. Ann R Coll Surg Engl 1997;79:210-13.<\/li>\n<li>Bridgman J. Periarthritis of the shoulder and diabetes mellitus. Ann Rheum Dis 1972;31:69-71.<\/li>\n<li>Hannafin J, Chiaia T. Adhesive capsulitis: a treatment approach. Clin Orthop 2000;372:95-109.<\/li>\n<li>Codman E. Rupture of the supraspinatus tendon and other lesions in or about the subacromial bursa I. In: The shoulder. Boston: Thomas Todd, 1934.<\/li>\n<li>Neer C, Satterlee C, Dalsey R, Flatow E. The anatomy and potential effects of contracture of the coracohumeral ligament. Clin Orthop 1992;280:182-5.<\/li>\n<li>Ogilvie-Harris D, Biggs D, Fitsialos D, Mackay M. The resistant frozen shoulder: manipulation versus arthroscopic release. Clin Orthop 1995;319:238-48.<\/li>\n<li>Neviaser J. Adhesive capsulitis of the shoulder: a study of the pathological findings in periarthritis of the shoulder. J Bone Joint Surg 1945;27:211-22.<\/li>\n<li>Simmonds FA. Shoulder pain: with particular reference to frozen shoulder. J Bone Joint Surg [Br] 1949;31-B:426-32.<\/li>\n<li>Lundberg BJ. The frozen shoulder: clinical and radiographical observations: the effect of manipulation under general anesthesia: structure and glycosaminoglycan content of the joint capsule: local bone metabolism. Acta Orthop Scand Suppl 1969;119:1-59.<\/li>\n<li>Bunker T, Anthony P. The pathology of frozen shoulder: a Dupuytren-like disease. J Bone Joint Surg [Br] 1995;77-B:677-83.<\/li>\n<li>Bunker T, Reilly J, Baird K, Hamblen D. Expression of growth factors, cytokines and matrix metalloproteinases in frozen shoulder. J Bone Joint Surg [Br] 2000;82- B:768-73.<\/li>\n<li>Hutchinson J, Tierney G, Parsons S, Davis T. Dupuytren\u2019s disease and frozen shoulder induced by treatment with a matrix metalloproteinase inhibitor. J Bone Joint Surg [Br] 1998;80-B:907-8.<\/li>\n<li>Bunker T, Anthony P. The pathology of frozen shoulder: a Dupuytren-like disease. J Bone Joint Surg [Br] 1995;77-B:677-83.<\/li>\n<li>Bunker T, Reilly J, Baird K, Hamblen D. Expression of growth factors, cytokines and matrix metalloproteinases in frozen shoulder. J Bone Joint Surg [Br] 2000;82-B:768-73.<\/li>\n<li>Hutchinson J, Tierney G, Parsons S, Davis T. Dupuytren\u2019s disease and frozen shoulder induced by treatment with a matrix metalloproteinase inhibitor. J Bone Joint Surg [Br] 1998;80-B:907-8.<\/li>\n<li>Duplay S. De la peri-arthrite scapulo-humerale et des raideurs de l\u2019epaule qui en sont la consequence. Arch Gen Med 1872;20:513-14.<\/li>\n<li>DePalma A. Loss of scapulohomeral motion (frozen shoulder). Ann Surg 1952;135:193-204.<\/li>\n<li>Bunker T, Fagas K, Deferme A. Arthroscopy and manipulation in frozen shoulder. J Bone Joint Surg [Br] 1994;76-B(Suppl 1):53.<\/li>\n<li>Ogilvie-Harris DJ, Wiley AM. Arthroscopic surgery of the shoulder: a general appraisal. J Bone Joint Surg [Br] 1986;68-B:201-7.<\/li>\n<li>Kay NR, Slater DN. Fibromatoses and diabetes mellitus. Lancet 1981;2:303.<\/li>\n<li>Quigley T. Checkrein shoulder: a type of frozen shoulder; diagnosis and treatment by manipulation and ACTH or cortisone. N Engl J Med 1954;250:188-92.<\/li>\n<\/ol>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #3498db #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #3498db;\"><strong>Cite this article:<\/strong><\/span> Venkata Naga Prahalada. Karnati. IDENTIFIED AND MOLECULAR CHARACTERIZATION OF THE PATHOLOGY DISORDERS IN FROZEN SHOULDER PATIENTS OF SOUTH INDIANS, INDIA. Int J Physiother\u00a0Res 2017;5(2):1946-1950. DOI: 10.16965\/ijpr.2017.111 \n             <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"<p>Type of Article:\u00a0\u00a0Original Research Volume 5; Issue 2 (April 2017) Page No.:\u00a01946-1950 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijpr.2017.111 IDENTIFIED AND MOLECULAR CHARACTERIZATION OF THE PATHOLOGY DISORDERS IN FROZEN SHOULDER PATIENTS OF SOUTH INDIANS, INDIA Venkata Naga Prahalada. Karnati *. * Lecturer, Department Of Rehabilitation, College Of Applied Medical Sciences, Shaqra University, Shaqra, Saudi Arabia. Corresponding Author: K.V.N. Prahalada, PhD, PT,<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/ijpr-2017-111\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-144","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/144"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/comments?post=144"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/144\/revisions"}],"predecessor-version":[{"id":145,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/144\/revisions\/145"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/media?parent=144"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}