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
a
destruction of articular surfaces (arthritis, arthrosis, fracture,
osteochonditis)
adhesive capsulitis /rarely!! it exists???/
a
luxation of the joint
articular hydrops
synovitis of the joint
a damage of muscles and their attachments including the rotator cuff
inflammations, degenerative changes, ruptures of the rotator cuff
tenovaginitis
of the long head of the biceps (most frequently!!!)
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.