This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Injuries Around Shoulder, Subject name: Orthopaedics
True about Frozen shoulder. 
Select and explain. 
A. May occur after myocardial infarction, B. Seen following colie's fracture, C. Less commonly seen in diabetes, D. Improves after intraarticular steroid injection
D: Improves after intraarticular steroid injection
Answer: D: Improves after intraarticular steroid injection 
Explanation: Ans: D (Improve...) FROZEN SHOULDER iVfoftes'mjrf Sth/144This is a disease of unknown etiology where the glenohumeral joint becomes painful & stiff because of the loss of resilience of the joint capsule, possibily with adhesions b/w its foldsOften, there is a history of preceding trauma. The disease is commoner in diabeticsThis is a self limiting disease lasting for 6-9 months, after which in most cases, the inflammation subsides, leaving a stiff but painless shoulderTreatment is by analgesics, hot fomentation & physiotherapyAn intra-articular injection of hydrocortisone may speed up the recoveryFROZEN SHOULDERCAPHESIVE CAPSULITIS) Apley 9th 7351-52The condition is particularly associated with diabetes, Dupuytren's, hvperlipidaemia, hyperthyroidism, cardiac disease & hemiplegiaNot every stiff or painful shoulder is a frozen shoulder. Stiffness occur in a variety of conditions- arthritic, rheumatic, posttraumatic & postoperativeDiagnosis of frozen shoulder are based on 2 clinical characteristic: (1] painful restriction of movement in the presence of normal x-ray & (2], a natural progression through 3 successive phasesWhen the patient is first seen, a number of conditions should be excluded- infection(particularly in diabetes), Post-traumatic stiffness (shoulder injury), Diffuse stiffness(if arm is nursed over-cautiously i,e following a forearm fracture, shoulder may stiffen) & reflex sympathetic dystrophyTable(Apley): The painful shoulderReferred pain syndromesRotator cuff disordersCervical spondylosisMediastinal pathologyCardiac ischaemiaTendinitisRuptureFrozen shoulderJoint DisorderInstabilityGleno-humeral arthritisAcroclavicular arthritisDislocationSubluxationBone lesionsNerve InjuryInfectionTumoursSuprascapular nerve entrapment