Physical Therapy Assistant Practice Exam

Which medical condition is most likely for a 52-year-old female with right shoulder pain, progressive loss of range of motion, and difficulty lifting her arm overhead?

1. Rotator cuff tear

2. Adhesive capsulitis

3. Shoulder impingement syndrome

4. Labral tear

The correct answer is: Adhesive capsulitis

The situation described aligns well with adhesive capsulitis, commonly known as frozen shoulder. This condition is characterized by inflammation and stiffness of the shoulder joint, which typically impacts the patient's ability to move their arm, particularly in overhead motions. In a 52-year-old woman, the presentation of progressive loss of range of motion, pain, and difficulty lifting her arm overhead strongly indicates adhesive capsulitis. This condition often develops gradually and is more prevalent in women and those aged 40 to 60. Patients with adhesive capsulitis often experience significant joint stiffness and pain during various movements, particularly external rotation and elevation. The gradual onset of symptoms, along with the hallmark restriction in range of motion, supports the diagnosis, distinguishing it from other shoulder conditions that may present differently or with more acute symptoms. Understanding the unique attributes of adhesive capsulitis provides a clearer framework for recognizing it as the most probable diagnosis in this scenario.