Adhesive Capsulitis of the Shoulder Following Breast Cancer Treatment: Risk Factors and Prevalence
In a study, researchers aimed to assess the prevalence and risk factors of adhesive capsulitis of the shoulder between 13 and 18 months following surgery in 271 patients with breast cancer. The researchers used the definition of current adhesive capsulitis as, “restriction of external rotation and one or more additional directional restrictions with history of shoulder pain,” whereas cumulative adhesive capsulitis was described as, “current adhesive capsulitis or a previous history of adhesive capsulitis after breast cancer surgery.” They used a multivariate logistic regression analysis to observe the links between current and cumulative adhesive capsulitis, as well as the potential risk factors.
Of the patients in the study, 10.3% and 7.7%, respectively, had cumulative or current adhesive capsulitis. Those who had a mastectomy, mastectomy with reconstruction, or were aged 50 to 59 years old had a greater incidence of cumulative and current adhesive capsulitis. Those who have these risk factors need more attention for an initial diagnosis and appropriate treatment.
Yang S, Park DH, Ahn SH, et al. Prevalence and risk factors of adhesive capsulitis of the shoulder after breast cancer treatment. Support Care Cancer. 2017;25(4):1317-1322. doi:10.1007/s00520-016-3532-4