4 thoughts on “43 year old Chinese Male with 7 month shoulder pain and LROM, much more severe in the last 2 months, MRI”

  1. hilary.umans
    kyungjin.suh

    Dear Dr. Hilary Umans,

    Thank you for sharing a good case.

    I am a male Asian, NOT younger.

    I have had adhesive capsulitis on both shoulders.
    I took a DM pill and controlled my blood sugar efficiently. Now I am OK.

    I take care of patients with AD everyday.
    Many of them have DM, especially older patients.

    I’ll ask my colleagues who are interested in AD shoulder in Korea.

    Stay healthy.

    Yours,
    Kyung

    2021년 8월 24일 (화) 오전 2:25, hilary umans <hilary.umans@gmail.com>님이 작성:

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  2. ptirmanmd

    I can only speak anecdotally. Adhesive capsulitis is much more common in
    L.A’s asian population than any other ethnic group. I’ve seen many patients
    with bilateral disease. Most don’t have a history of diabetes (or at least
    history given to us). In my practice patients with adhesive capsulitis are
    predominantly of Korean ethnicity because that is the largest asian
    population served by us.. Same is not true for southeast asia (again
    anecdotal).

    On Mon, Aug 23, 2021 at 10:25 AM hilary umans <hilary.umans@gmail.com>
    wrote:

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  3. ocad-msk

    Anecdotally as well , shared with HU

    Have been to Cambodia on medical missions a few times. A big medical problem in the provinces is diabetes because of the high reliance on rice in their diet. The Cambodians are skinny as rails, but still have DM.

    Maybe this gent has similar dietary habits.

    Sent from my iPhone fcrnkovich

  4. griffith

    Hi Phil,

    Thanks. That is interesting. May well be so.
    We see features indicative of adhesive capsulitis in at least 20% of patients attending for routine shoulder MRI.

    James

    Professor James F. Griffith
    Professor and Chairman
    Department of Imaging & Interventional Radiology
    Faculty of Medicine
    The Chinese University of Hong Kong

    Office: (852) 3505 1167
    Mobile: (852) 6686 0170
    LG12 Cancer Centre, Prince of Wales Hospital, Shatin, NT, Hong Kong
    [e-sign]

    Sent: Tuesday, August 24, 2021 8:42 AM
    Cc: ocad-msk@googlegroups.com

    I can only speak anecdotally. Adhesive capsulitis is much more common in L.A’s asian population than any other ethnic group. I’ve seen many patients with bilateral disease. Most don’t have a history of diabetes (or at least history given to us). In my practice patients with adhesive capsulitis are predominantly of Korean ethnicity because that is the largest asian population served by us.. Same is not true for southeast asia (again anecdotal).

    There is flagrant bilateral adhesive capsulitis.
    I have rarely seen concomitant bilateral adhesive capsulitis—and it seems quite unusual in a relatively young Male,
    I have long perceived a predilection for adhesive capsulitis in our Asian patient population (mostly in our Japanese patients….which is a far smaller population than Chinese and Koreans in NYC), and I know that DM is associated with increased incidence, and sometimes chronic refractory symptoms.
    I was not aware that anyone published on the Asian ethnic correlation….I’ve attached an article from Brazil, but they don’t break down the population by country of origin.

    Thoughts? Comments?

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6148712/
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4915459/

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