Adhesive Capsulitis of Hip–A Systematic Review of Literature

Abstract
Introduction Adhesive capsulitis is clinically characterized by the gradual progressive painful loss of active and passive
motion caused by the formation of adhesions of the joint capsule. Adhesive Capsulitis of the Hip (ACH) is not a well-explored clinical condition when compared to adhesive capsulitis of shoulder because of the underdiagnosis and rarity of this condition. Materials and Methods Cochrane, Scopus, Pubmed, Embase, and Web of Science databases were searched for original studies on ACH till December 2021 following Cochrane and PRISMA guidelines. Year of publication, authors, number of
cases, baseline characteristics of the studies, causes described, presentation, associated conditions, method of diagnosis,
treatment to be given, functional outcomes, and complications was extracted from each study.
Results 16 articles were included in this review. 3 of the included studies were retrospective case–control studies, 6 were
case series and the remaining 7 were case reports. A total of 224 ACH cases were recorded. Pain and stifness of the hips
were the most common clinical features. Investigations like serology, radiograph, and MRI have been used to rule out other
conditions. Arthrography has been used to confrm the diagnosis in 7 studies. Spontaneous recovery is expected in one to
two years. Management has been in the form of physiotherapy, intra-articular injection, and arthroscopy.
Conclusion Literature on ACH is limited because of the rarity of the condition. The disease has a favorable prognosis with

the possibility of spontaneous recovery. Physiotherapy has been the frst line of management. Intractable cases require sur-
gical intervention.