Capsular distention for adhesive capsulitis in a pediatric patient with acute flaccid myelitis: A case report

Jared Levin, Asad Raiz Siddiqi, Heakyung Kim

Research output: Contribution to journalArticlepeer-review

Abstract

INTRODUCTION: Acute Flaccid Myelitis (AFM) is a recently recognized pediatric condition characterized by flaccid paralysis that can cause lifelong deficits. Adhesive Capsulitis (AC) is a chronic condition that causes loss of passive range of motion in the shoulder due to joint contracture. CASE REPORT: This is a case report of a 15-year-old male who suffered from shoulder pain with progressive loss of passive range of motion after AFM, diagnosed with AC based on exam and radiology. After failing conservative management, the patient was successfully treated with ultrasound guided corticosteroid injection. DISCUSSION/CONCLUSION: AC is uncommonly reported in pediatric patients. However, secondary adhesive capsulitis is frequently associated with disorders of shoulder immobility in adults. This case contributes to the body of literature regarding pediatric frozen shoulder, highlights the successful use of ultrasound guided injections for management, and suggests a relationship between AFM and AC which may be beneficial for pediatric physiatrists in treating patients with shoulder pain or immobility related to this condition.

Original languageEnglish (US)
Pages (from-to)37-40
Number of pages4
JournalJournal of Pediatric Rehabilitation Medicine
Volume14
Issue number1
DOIs
StatePublished - 2021
Externally publishedYes

Keywords

  • acute flaccid myelitis
  • Adhesive capsulitis
  • capsular distention
  • frozen shoulder syndrome
  • hydrodilitation
  • hydrolilation
  • ultrasound

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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