Present Restriction of the Extension of the Active and Passive Movement in the Glenohumeral Articulation

If we find out an approximately identical deficit of the extension of the active and  the passive movement at the examination, following pathological states come into reflection.


structural changes of the joint and its capsule

  1. a destruction of articular surfaces (arthritis, arthrosis, fracture, osteochonditis)

  2. adhesive capsulitis /rarely!! it exists???/

  3. a luxation of the joint

  4. articular hydrops

  5. synovitis of the joint


a damage of muscles and their attachments including the rotator cuff

  1. inflammations, degenerative changes, ruptures of the rotator cuff

  2. tenovaginitis of the long head of the biceps (most frequently!!!)

  3. bursitis (fibrotizing and exudative)

The restriction of the motility of the shoulder girdle can be really caused by all these causes, and therefore at the finding of the restricted extension of the movement we cannot rely only on the determination of a clinical diagnosis of adhesive capsulitis or mythological diagnosis of humeroscapular periarthritis and frozen shoulder, as it is ordinarily  nowadays.