Intra-articular Corticosteroid Injection for the Treatment of Idiopathic Adhesive Capsulitis of the Shoulder

Treatment for idiopathic adhesive capsulitis or frozen shoulder of the shoulder is controversial. The hypothesis of the study is that intra-articular corticosteroid injection in the early stages of idiopathic adhesive capsulitis will lead to a razpid resolution of stiffness and symptoms. This is a retrospective cohort study of only patients with stage 1 or stage 2 adhesive capsulitis. The diagnosis was made by history and physical examination and only when other causes of pain and motion loss were eliminated. Stage 1 adhesive capsulitis was defined as significant improvement in pain and normalization of motion following intra-articular injection. Stage 2 included patients who had significant improvement in pain and partial improvement in motion following injection. Seven patients with stage 1 and 53 patients with stage 2 comprised the baseline cohort. The mean age was 52 years (range: 30 to 78); 46 patients were female and nine patients had diabetes mellitus. Patients completed a physical examination as well as a shoulder rating questionnaire for symptoms and disability. Criteria for resolution were defined as forward flexion and external rotation to within 15° of the contralateral side and internal rotation to within three spinal levels of the contralateral side. Forty-four of the patients out of 60 met the criteria for recovery at a mean of 6.7 months. The mode and median time to recovery was 3 months. The mean score at final follow-up for 41 patients using the shoulder-rating questionnaire of L’Insalata was 90 (range 52–100). The mean time to recovery for the stage 1 patients was 6 weeks (range: 2 weeks to 3 months), and it was 7 months for stage 2 patients (range: 2 weeks to 2 years). Glenohumeral corticosteroid injection for early adhesive capsulitis may have allowed patients to recover motion at a median time of 3 months. In many cases, the patients had improvement prior to the 3-month mark; however, that was the routine time for follow-up. Patients with stage 1 disease tended to resolve more rapidly than stage 2 patients. Prompt recognition of stage 1 and stage 2 idiopathic adhesive capsulitis and early injection of corticosteroid with local anesthesia may be both diagnostic and therapeutic

Three Decades of Subterranean Acoustic Communication Studies

The subterranean environment has strongly influenced the evolution of the sensory biology of subterranean rodents. While dark and monotonous tunnels have led to reductions in the visual capabilities of some species, other senses appear to be highly developed in contrast. Among them, the emission of acoustic and seismic signals plays a major role in communication and alertness of subterranean mammals. In this chapter, the ecological and evolutionary conditions that influence the characteristics of vibrational communication in subterranean rodents are reviewed. First, the characteristics of rodents’ burrows and how they dictate the methods used to study subterranean communication are discussed. Second, the properties and roles of vocalizations and seismic signals in subterranean species are examined, including the main hypotheses about the evolution of these signals. Third, what is understood about social and vocal complexity in subterranean rodents is summarized and the similarities and differences in the vocal repertoires of social and solitary groups are analyzed. The chapter ends with a short summary and a consideration of future challenges in the field of subterranean acoustic communication in rodents.Fil: Schleich, Cristian. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata. Instituto de Investigaciones Marinas y Costeras. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Instituto de Investigaciones Marinas y Costeras; ArgentinaFil: Francescoli Gilardini, Gabriel Enrique. Universidad de la República; Urugua