Rotator Cuff Tear vs. Frozen Shoulder FAQs
Rotator Cuff Tear vs. Frozen Shoulder FAQs Many individuals with shoulder pain often experience misdiagnosis, with a rotator cuff tear being mistaken for frozen shoulder, or vice versa. This misdiagnosis can lead to delays in appropriate treatment and potentially hinder the recovery process. To prevent such issues, it is important to have a comprehensive understanding of these conditions and the factors contributing to their misdiagnosis.
Stay tuned as we delve deeper into the differences between a rotator cuff tear and frozen shoulder, exploring diagnostic methods and highlighting the importance of accurate diagnosis. We will also discuss the treatment options available for each condition and provide insights on rehabilitation and preventing misdiagnosis. Furthermore, we will showcase the expertise and personalized care offered by ACIBADEM Healthcare Group in diagnosing and treating shoulder conditions.
Understanding Rotator Cuff Tear and Frozen Shoulder
Rotator cuff tears and frozen shoulder are two distinct shoulder conditions that can cause significant pain and limit mobility. Although they share some similarities in symptoms, it is important to understand the differences between them to ensure accurate diagnosis and effective treatment.
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A rotator cuff tear is a common shoulder injury that occurs when one or more of the tendons in the rotator cuff, the group of muscles and tendons that stabilize the shoulder joint, become torn or damaged. This injury can result from trauma, such as a fall or sudden impact, or from gradual wear and tear over time.
Common causes of rotator cuff tears include:
- Overuse or repetitive motions
- Age-related degeneration
- Shoulder impingement
Individuals with a rotator cuff tear may experience:
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- Weakened shoulder muscles
- Loss of range of motion
Frozen Shoulder
Frozen shoulder, also known as adhesive capsulitis, is a condition characterized by pain and stiffness in the shoulder joint. It occurs when the tissues surrounding the shoulder joint become thickened and inflamed, causing a decrease in joint space and restricting movement.
Factors that can contribute to the development of frozen shoulder include:
- Prolonged immobilization, such as after a fracture or surgery
- Diabetes
- Thyroid disorders
Individuals with frozen shoulder may experience:
- Gradual onset of shoulder pain and stiffness
- Difficulty performing daily activities, such as reaching or lifting
- Limited range of motion in the shoulder
The Confusion
Due to the overlapping symptoms of shoulder pain and limited mobility, rotator cuff tears are sometimes misdiagnosed as frozen shoulder, and vice versa. This confusion can lead to delays in appropriate treatment and potentially worsen the condition.
It is crucial to consult a healthcare professional who specializes in shoulder injuries to ensure an accurate diagnosis and proper treatment plan is established.
| Rotator Cuff Tear | Frozen Shoulder |
|---|---|
| Caused by torn or damaged tendons in the rotator cuff | Caused by inflammation and thickening of the shoulder joint tissues |
| Shoulder pain, weakness, and limited range of motion | Shoulder pain, stiffness, and restricted movement |
| Common causes: overuse, age-related degeneration, shoulder impingement | Common causes: prolonged immobilization, diabetes, thyroid disorders |
| Diagnosis: physical examination, imaging tests (MRI, ultrasound) | Diagnosis: physical examination, imaging tests (MRI, X-ray) |
| Treatment: conservative approaches, physical therapy, or surgery | Treatment: medication, physical therapy, and joint mobilization techniques |
By understanding the nuances of rotator cuff tears and frozen shoulder, individuals can seek appropriate medical attention and receive the most effective treatment for their specific condition. Avoiding misdiagnosis and ensuring accurate treatment is crucial for a timely recovery and restoration of shoulder function.
Differentiating Between Rotator Cuff Tear and Frozen Shoulder
Accurately distinguishing between a rotator cuff tear and frozen shoulder is essential for effective treatment. While these conditions may share some similarities in symptoms and presentation, there are key differences that healthcare professionals need to consider.
Differential Diagnosis Through Physical Examination
Thorough physical examination is a crucial diagnostic tool for differentiating between a rotator cuff tear and frozen shoulder. Shoulder joint misalignment is often a characteristic feature of rotator cuff tears, manifesting as weakness and limited range of motion. Conversely, in frozen shoulder cases, shoulder stiffness oversight is more apparent, with restricted movement in multiple directions.Rotator Cuff Tear vs. Frozen Shoulder
During physical examination, clinicians may perform a variety of specific tests to assess the different structures of the shoulder and identify potential injuries. These tests include:
- Jobe’s Test: This evaluates the strength and stability of the supraspinatus muscle, one of the rotator cuff muscles.
- Empty Can Test: Also known as the Hawkins-Kennedy test, it assesses impingement of the supraspinatus tendon in the subacromial space.
- External Rotation Lag Sign: This test detects weakness in the infraspinatus muscle, another rotator cuff muscle, which may indicate a tear.
- Apley’s Scratch Test: This evaluates shoulder mobility, particularly rotation, to identify limitations or pain.
Imaging Tests for Accurate Identification
In addition to physical examination, imaging tests play a vital role in differentiating between a rotator cuff tear and frozen shoulder. These tests can provide clearer visual evidence of the underlying condition and assist in accurate diagnosis. The most commonly used imaging methods include:
- Magnetic Resonance Imaging (MRI): MRI scans produce detailed images of the shoulder joint, allowing healthcare professionals to visualize the integrity of the rotator cuff tendons and muscles.
- X-rays: Although not as effective as MRI in diagnosing rotator cuff tears, x-rays can help rule out other potential causes of shoulder pain and assess the overall health of the shoulder joint.
- Ultrasound: Ultrasound imaging provides real-time images of the shoulder structures and can help identify specific abnormalities, such as tears or inflammation.
When used in conjunction with physical examination findings, these imaging tests significantly contribute to accurate identification of a rotator cuff tear or frozen shoulder.
| Features | Rotator Cuff Tear | Frozen Shoulder |
|---|---|---|
| Shoulder Joint Misalignment | Present | Absent |
| Shoulder Stiffness Oversight | Absent | Present |
| Common Symptoms | – Shoulder weakness and limited range of motion – Pain worsens with overhead activities or lifting – Tenderness and swelling |
– Shoulder stiffness and restricted movement – Pain is typically constant, with or without activity – Gradually worsening over time |
| Differential Diagnosis Methods | – Physical examination tests: Jobe’s Test, Empty Can Test, External Rotation Lag Sign, Apley’s Scratch Test – Imaging tests: MRI, X-rays, Ultrasound |
– Physical examination tests: Range-of-motion assessment, palpation, external rotation resistance test – Imaging tests: MRI, X-rays, Ultrasound |
| Treatment Approaches | – Physical therapy – Pain management techniques – Surgical intervention if conservative methods fail |
– Physical therapy focused on range-of-motion exercises – Medication for pain management – Therapeutic techniques to relieve stiffness |
By carefully considering the distinct characteristics of each condition and utilizing appropriate diagnostic methods, healthcare professionals can differentiate between a rotator cuff tear and frozen shoulder, ensuring patients receive appropriate and tailored treatment plans.Rotator Cuff Tear vs. Frozen Shoulder
Misdiagnosis of Rotator Cuff Tear as Frozen Shoulder
Despite advancements in medical technology and expertise, misdiagnosis of a rotator cuff tear as frozen shoulder remains a prevalent issue in healthcare. This misinterpretation can lead to delayed or ineffective treatment, prolonging the patient’s recovery process.
One of the main reasons for misdiagnosis lies in the similarity of symptoms between a rotator cuff tear and frozen shoulder. Both conditions can cause shoulder pain, limited range of motion, and discomfort with everyday activities. These overlapping symptoms often confuse healthcare providers, making it challenging to accurately differentiate between the two.
Additionally, the misinterpretation of shoulder symptoms can also contribute to the misdiagnosis. Patients may present symptoms that are more indicative of a frozen shoulder, such as persistent stiffness and restricted movements. In such cases, healthcare providers may overlook the possibility of a rotator cuff tear, leading to a misdiagnosis and inappropriate treatment plan.
Another contributing factor to the misdiagnosis is the focus on shoulder rehabilitation. Frozen shoulder is commonly associated with stiff and immobile shoulders, leading healthcare providers to prioritize rehabilitation exercises aimed at improving mobility. However, in cases where a rotator cuff tear is misdiagnosed as frozen shoulder, this emphasis on rehabilitation can potentially worsen the patient’s condition or delay proper treatment.
Addressing the misdiagnosis of a rotator cuff tear as frozen shoulder requires a comprehensive understanding of both conditions and a thorough evaluation of the patient’s symptoms. Accurate diagnostic methods, including a detailed medical history, physical examination, and appropriate imaging studies, are essential for differentiating between the two conditions.
Comparison of Symptoms and Diagnostic Findings for Rotator Cuff Tear and Frozen Shoulder
| Rotator Cuff Tear | Frozen Shoulder | |
|---|---|---|
| Symptoms | Shoulder pain, weakness, clicking or popping sensation | Shoulder stiffness, limited range of motion, pain at night |
| Physical Examination Findings | Positive impingement signs, weakness during specific shoulder movements | Reduced passive and active range of motion, shoulder capsule thickening |
| Imaging Studies | Magnetic resonance imaging (MRI) reveals tear in the rotator cuff tendon | No specific imaging findings, diagnosis made clinically |
This table highlights the distinctive symptoms and diagnostic findings associated with a rotator cuff tear and frozen shoulder. Differentiating between these conditions is crucial to avoid misdiagnosis and ensure appropriate treatment planning.
By addressing the challenges and common reasons for misdiagnosis, healthcare providers can improve the accuracy of their diagnoses and provide optimal care for patients with shoulder injuries. This emphasis on precise diagnosis will lead to better treatment outcomes and faster recovery for individuals experiencing shoulder pain and dysfunction.
Rotator Cuff Tear vs. Frozen Shoulder : The Importance of Accurate Diagnosis
Obtaining an accurate diagnosis for shoulder injuries is paramount in ensuring effective treatment and optimal patient outcomes. Misdiagnosis can lead to prolonged pain, limited shoulder function, and potential complications. At ACIBADEM Healthcare Group, we understand the critical role of accurate diagnosis in providing the best care for individuals with shoulder conditions.
Accurate diagnosis begins with a thorough examination of the shoulder, including a comprehensive evaluation of symptoms and medical history. Our experienced healthcare professionals utilize advanced imaging techniques and diagnostic tools to assess the extent of the injury and identify the underlying cause.
Through meticulous shoulder exams, we prioritize precision and attention to detail, evaluating factors such as range of motion, strength, and stability. Our goal is to uncover any subtle abnormalities that could impact the diagnosis and subsequent treatment plan.
With a focus on shoulder exam accuracy, we ensure that every patient receives a precise diagnosis, enabling us to tailor treatment options to their specific needs. Our team of specialists, including orthopedic surgeons, physical therapists, and sports medicine experts, work collaboratively to develop comprehensive and personalized treatment plans.
The Expertise of ACIBADEM Healthcare Group
ACIBADEM Healthcare Group is renowned for its expertise in diagnosing and treating a wide range of shoulder conditions. Our multidisciplinary approach combines the latest medical advancements with a patient-centered philosophy, delivering compassionate care and exceptional results.
With world-class facilities and state-of-the-art technology, we prioritize accuracy and precision in our diagnostic processes. Our highly skilled healthcare professionals have extensive experience in evaluating and diagnosing rotator cuff tears, frozen shoulder, and other shoulder-related issues.
At ACIBADEM Healthcare Group, we believe that accurate diagnosis is the foundation for effective treatment and successful recovery. We are committed to providing our patients with the highest level of care, employing a comprehensive approach that considers their unique circumstances and goals.
| Benefits of Accurate Diagnosis at ACIBADEM Healthcare Group |
|---|
| Customized treatment plans tailored to individual needs |
| Access to the latest medical advancements and technologies |
| Comprehensive evaluation of symptoms and medical history |
| Collaboration between specialists for a multidisciplinary approach |
| State-of-the-art facilities and diagnostic tools |
| Expertise and experience in shoulder exam accuracy |
With our commitment to shoulder exam accuracy and personalized care, ACIBADEM Healthcare Group is dedicated to helping individuals regain optimal shoulder function and improve their quality of life.
Treatment Options for Rotator Cuff Tear
When it comes to treating a rotator cuff tear, there are several options available that can help alleviate shoulder pain misdiagnosis and address the shoulder injury confusion. The treatment approach will depend on the severity of the tear and the individual’s specific needs and goals. Here, we will explore the various treatment options for a rotator cuff tear, ranging from conservative approaches to surgical interventions.Rotator Cuff Tear vs. Frozen Shoulder
Conservative Approaches
In many cases, conservative approaches are the first line of treatment for a rotator cuff tear. These methods focus on shoulder pain misdiagnosis management and improving shoulder injury confusion symptoms without the need for surgery. Some of the conservative treatment options may include:
- Physical Therapy: A tailored physical therapy program can help strengthen the rotator cuff muscles, improve flexibility and range of motion, and restore shoulder function. Therapists may utilize various techniques, such as strengthening exercises, stretching, and manual therapy.
- Pain Management: Pain medication, nonsteroidal anti-inflammatory drugs (NSAIDs), and corticosteroid injections may be recommended to reduce pain and inflammation associated with a rotator cuff tear.
- Activity Modification: Modifying activities that aggravate the shoulder, avoiding overhead movements, and practicing proper posture and ergonomics can help prevent further damage and promote healing.
Surgical Interventions
If conservative approaches do not provide sufficient relief or the rotator cuff tear is severe, surgical interventions may be considered. The specific surgical procedure will depend on the size and location of the tear. Some common surgical options for treating a rotator cuff tear include:
- Arthroscopy: This minimally invasive procedure involves using a tiny camera and specialized instruments to repair the torn rotator cuff through small incisions. Arthroscopy offers the advantages of less scarring, faster recovery, and reduced shoulder pain misdiagnosis compared to traditional open surgery.
- Open Repair: In cases of large or complex tears, open repair surgery may be necessary. This procedure involves making a larger incision to directly access and repair the torn rotator cuff. Open repair is sometimes preferred for complex cases or when additional procedures, such as tendon transfers, are required.
It’s important to note that the appropriate treatment for a rotator cuff tear should be determined by a qualified healthcare professional based on the individual’s specific condition and needs. Consulting with a shoulder specialist, such as those at ACIBADEM Healthcare Group, can help ensure accurate diagnosis, appropriate treatment, and optimal outcomes.
| Treatment Option | Description |
|---|---|
| Physical Therapy | A tailored program to strengthen the rotator cuff muscles, improve flexibility, and restore shoulder function. |
| Pain Management | Medication, NSAIDs, and corticosteroid injections to reduce pain and inflammation. |
| Activity Modification | Modifying activities, avoiding overhead movements, and practicing proper posture and ergonomics. |
| Arthroscopy | Minimally invasive procedure using a tiny camera and specialized instruments to repair the torn rotator cuff. |
| Open Repair | Larger incision to directly access and repair the torn rotator cuff, preferred for complex cases or when additional procedures are needed. |
Treatment Options for Frozen Shoulder
Rotator Cuff Tear vs. Frozen Shoulder When it comes to frozen shoulder, early intervention is crucial for effective treatment. The condition, also known as adhesive capsulitis, results in shoulder stiffness and limited range of motion. To alleviate pain and restore shoulder mobility, several treatment options are available.
Range-of-Motion Exercises
Shoulder stiffness oversight can be addressed through a tailored range-of-motion exercise program. These exercises aim to gradually stretch and strengthen the shoulder joint, improving flexibility and reducing discomfort. A physical therapist can provide guidance on the appropriate exercises and ensure proper technique to maximize results.
Medication
Medical intervention can play a significant role in managing the symptoms of frozen shoulder. Nonsteroidal anti-inflammatory drugs (NSAIDs) may help reduce pain and inflammation, allowing for increased mobility. In some cases, corticosteroid injections may be administered directly into the shoulder joint to provide targeted relief. Consultation with a healthcare professional is necessary to determine the most appropriate medication plan.
Therapeutic Techniques
A variety of therapeutic techniques can aid in the treatment of frozen shoulder. These may include shoulder joint misalignment correction methods, such as joint mobilization or manipulation performed by a trained specialist. Additionally, modalities like heat therapy, cold therapy, and transcutaneous electrical nerve stimulation (TENS) can provide pain relief and promote healing.
Combining a multidisciplinary approach that includes physical therapy, medication, and therapeutic techniques can help individuals with frozen shoulder regain their mobility and alleviate discomfort.
| Treatment Options for Frozen Shoulder | Benefits |
|---|---|
| Range-of-Motion Exercises | – Gradually increases flexibility and mobility – Strengthens the shoulder joint – Reduces pain and stiffness |
| Medication | – Reduces pain and inflammation – Enhances mobility – Facilitates the healing process |
| Therapeutic Techniques | – Corrects shoulder joint misalignment – Provides targeted pain relief – Promotes healing and rehabilitation |
Rehabilitation and Recovery
In the journey towards recovery from both rotator cuff tears and frozen shoulder, rehabilitation plays a crucial role. A comprehensive rehabilitation program, tailored to the individual’s specific needs, is essential for optimizing shoulder function and regaining strength and mobility.
Rehabilitation after a shoulder injury involves a combination of exercises, physical therapy, and ongoing care. It aims to not only alleviate pain but also restore range of motion and improve overall shoulder function. By addressing the underlying issues, rehabilitation can help prevent long-term complications and promote a full recovery.
Shoulder rehabilitation issue: While the importance of rehabilitation is widely acknowledged, it is important to note that shoulder rehabilitation is not a one-size-fits-all approach. Each individual may have unique challenges and requirements that need to be addressed for effective rehabilitation.
Misinterpreted shoulder symptoms: Timely and accurate diagnosis of the underlying condition is crucial for designing an appropriate rehabilitation plan. Sometimes, shoulder symptoms may be misinterpreted, leading to suboptimal rehabilitation strategies. It is essential to work with qualified healthcare professionals who can accurately assess and interpret the symptoms to ensure the most effective rehabilitation process.Rotator Cuff Tear vs. Frozen Shoulder
Components of Shoulder Rehabilitation
A comprehensive shoulder rehabilitation program typically includes the following components:
- Physical therapy: Guided by a physical therapist, specific exercises and techniques are used to strengthen the shoulder muscles, improve flexibility, and restore range of motion. Physical therapy also focuses on correcting any imbalances or compensatory patterns to optimize shoulder function.
- Stretching exercises: These exercises help increase the flexibility of the shoulder joint and adjacent muscles, reducing stiffness and promoting better mobility.
- Strengthening exercises: Targeted exercises help rebuild muscle strength and stability in the shoulder, reducing the risk of future injuries and improving overall function.
- Pain management: Techniques such as ice or heat therapy, transcutaneous electrical nerve stimulation (TENS), or other modalities may be used to manage pain and facilitate the rehabilitation process.
- Ongoing care: Regular follow-up appointments with healthcare professionals are important to monitor progress, make necessary adjustments to the rehabilitation plan, and ensure proper healing and recovery.
Rehabilitation requires commitment, patience, and consistency, as progress may vary from person to person. It is essential to follow the guidance of healthcare professionals and actively participate in the rehabilitation process to achieve the best possible outcomes.
Preventing Misdiagnosis and Ensuring Accurate Treatment
In the realm of shoulder injuries, a misdiagnosis can lead to ineffective treatment and prolonged recovery. It is essential to differentiate between a rotator cuff tear and frozen shoulder to provide appropriate care.
Rotator cuff tear misdiagnosed as frozen shoulder and shoulder impingement error are common pitfalls that medical professionals must navigate to avoid these misdiagnoses.
A comprehensive evaluation of the patient’s medical history is crucial in preventing misdiagnosis. This includes assessing previous shoulder injuries or chronic pain, as well as any underlying conditions that may contribute to shoulder issues. A thorough understanding of the patient’s history provides valuable insights for accurate diagnosis and treatment planning.
Comprehensive physical examinations play a significant role in distinguishing between a rotator cuff tear and frozen shoulder. This involves assessing the range of motion, muscle strength, and the presence of specific shoulder impingement signs. Paying attention to these details ensures proper identification and minimizes the risk of misdiagnosis.
Appropriate imaging studies supplement physical examinations by providing a deeper understanding of the underlying shoulder condition. Diagnostic techniques such as magnetic resonance imaging (MRI) and ultrasound can help visualize the structures within the shoulder joint, including the rotator cuff. These imaging modalities aid in confirming the presence of a rotator cuff tear and ruling out other conditions, avoiding an erroneous diagnosis of frozen shoulder.Rotator Cuff Tear vs. Frozen Shoulder
A multidisciplinary approach, including collaboration between orthopedic specialists, radiologists, and physical therapists, is essential for accurate treatment planning. These professionals can collaboratively review the patient’s history, examination findings, and imaging results to reach an accurate diagnosis and develop an individualized treatment plan.
Ensuring accurate diagnosis and treatment for shoulder injuries such as rotator cuff tears requires a combination of comprehensive medical history evaluation, thorough physical examinations, and appropriate imaging studies. By actively preventing misdiagnosis, healthcare providers can provide effective treatment and optimize patient outcomes.
Seeking Expert Care
When it comes to shoulder injuries and conditions, seeking expert care is of paramount importance. ACIBADEM Healthcare Group is a leading healthcare provider with a vast expertise in diagnosing and treating rotator cuff tears, frozen shoulder, and other shoulder-related issues.
One of the essential factors in achieving optimal treatment outcomes is the accuracy of the shoulder examination. ACIBADEM Healthcare Group ensures meticulous shoulder exam accuracy, employing advanced diagnostic technologies and comprehensive physical assessments to identify and address shoulder injuries and conditions with precision.
The highly skilled medical professionals at ACIBADEM Healthcare Group possess specialized knowledge and experience in diagnosing and treating a wide range of shoulder ailments. Their expertise enables them to offer tailored treatment plans and interventions that cater to the unique needs of each patient.
By choosing ACIBADEM Healthcare Group, individuals can trust that they are receiving top-quality care and access to state-of-the-art facilities. The dedicated team at ACIBADEM is committed to providing personalized care, prioritizing patient comfort and ensuring the best possible outcomes.
Why Choose ACIBADEM Healthcare Group:
- Unmatched expertise in diagnosing and treating shoulder injuries and conditions
- Accurate shoulder examination to identify underlying issues
- Comprehensive physical assessments for precise diagnosis
- Personalized treatment plans tailored to individual needs
- State-of-the-art facilities and advanced diagnostic technologies
- Dedicated team focused on patient comfort and optimal outcomes
When it comes to shoulder health, trust ACIBADEM Healthcare Group for exceptional care and shoulder exam accuracy. By seeking expert care, individuals can ensure accurate diagnosis and receive the most effective treatments for their shoulder injuries and conditions.
Conclusion
In conclusion, accurately diagnosing shoulder injuries, such as rotator cuff tears and frozen shoulder, is crucial for providing appropriate treatment and achieving favorable outcomes. The confusion between these two conditions can lead to misdiagnosis and ineffective management. Therefore, healthcare professionals must be well-informed about the distinguishing features and employ thorough diagnostic methods to ensure accurate identification.
Seeking expert care from renowned institutions like ACIBADEM Healthcare Group is paramount to avoid shoulder misdiagnosis and obtain comprehensive evaluation and treatment. Their experienced healthcare providers employ advanced techniques and stay up-to-date with the latest research to accurately diagnose and manage shoulder injuries.
Remember, early intervention, tailored rehabilitation programs, and a multidisciplinary approach play a vital role in the successful recovery from rotator cuff tears and frozen shoulder. By prioritizing accurate diagnosis, appropriate treatment, and collaborating with knowledgeable healthcare professionals, individuals with shoulder injuries can improve their quality of life and regain optimal shoulder function.Rotator Cuff Tear vs. Frozen Shoulder
FAQ
Can a rotator cuff tear be misdiagnosed as frozen shoulder?
Yes, it is possible for a rotator cuff tear to be misdiagnosed as frozen shoulder. The symptoms of these two conditions can overlap, leading to confusion and incorrect diagnoses. It is essential to consider a thorough evaluation and appropriate diagnostic tests to accurately differentiate between the two.
How can shoulder pain misdiagnosis occur?
Shoulder pain misdiagnosis can occur due to various factors. It can be attributed to the similarities in symptoms between different shoulder conditions, inadequate examination techniques, or misinterpretation of reported symptoms. Accurate diagnosis often requires a comprehensive understanding of shoulder anatomy and experience in assessing various underlying issues.
What are the key differences between a rotator cuff tear and frozen shoulder?
While both a rotator cuff tear and frozen shoulder can cause shoulder pain and limited mobility, they have different underlying causes. A rotator cuff tear involves damage to the tendons connecting the muscles to the shoulder joint, while frozen shoulder is characterized by stiffness and reduced movement due to inflammation and thickening of the joint capsule.
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