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. 2020 Aug 31;38(1):19–26. doi: 10.12701/yujm.2020.00535

Table 1.

Stages of adhesive capsulitis [18-20]

Variable Stage
1 (Preadhesive) 2 (Freezing) 3 (Frozen) 4 (Thawing)
Duration (mo) 0–3 3–9 9–15 15–24
Symptoms and signs Painful shoulder movement Painful shoulder movement Reduced pain with shoulder movement Progressive improvement of joint motion
Minimal restriction in motion Progressive loss of joint motion Severely restricted joint motion Pain minimal
Pain referred to deltoid insertion Stiffness Stiffness
Arthroscopic appearance Fibrinous synovial inflammatory reaction Diffuse, thickened and proliferative synovitis Loss of axillary fold Fully mature adhesions
No adhesions or capsular contracture Adhesion formation in the axillary fold extending to the humeral head Diminished capsular volume Capsular scar
No hypervascularity
Minimal synovitis with maturation
Pathologic findings Hypervascular, hypertrophic synovitis Hypervascular, hypertrophic synovitis Hypercellular, dense and collagenous tissue with a thin synovial membrane similar to other fibrosing conditions Not reported
Normal capsular tissue Fibroplasia and perivascular scar formation Extensive fibroplasia
“Burned out” synovitis
Scar formation