Kortikosteroide zur Behandlung der Adhäsiven Kapsulitis der Schulter

Idiopathic adhesive capsulitis is a common illness of the shoulder leading to pain and limited range of motion. The underlying pathology remains uncertain. An abnormal production of cytokines is described, resulting in a reactive fibrosis of the capsule and the rotator interval. In the conservative treatment which includes pain killers, anti-inflammatory medication and physical therapy, the application of oral or intra-articular corticosteroids is also described. They lead to fast pain relief, improve range of motion and are, in our opinion, an adequate option in the treatment of idiopathic adhesive capsulitis of the shoulder.