Adhesive capsulitis and ultrasound diagnosis, an inseparable pair: a novel review

Khayyat, Suhel Gabriele Al; Falsetti, Paolo; Conticini, Edoardo; Frediani, Bruno; Galletti, Stefano; Stella, Salvatore Massimo

doi:10.1007/s40477-022-00725-9

Cited by 10 publications

(7 citation statements)

References 36 publications

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“…Al Khayyat's comprehensive review of US features in AC noted that 78 of 214 (36.44%) shoulders with FS had increased RI vascularity. Tandon et al found that shoulders with FS had increased soft tissue in the RI with a sensitivity and specificity of 86.2% and 92.8%, respectively, and that clinicians can confidently diagnose FS by US when combining multiple US variables (CHL diameter, increased soft tissue in the RI, and external rotation restriction on dynamic scanning) with a sensitivity of 100% and specificity of 87% (15,16).…”

Section: Ultrasoundmentioning

confidence: 99%

“…Tandon et al (15) compared subjects with confirmed FS against painful and asymptomatic shoulders, found a mean CHL thickness of 1.2 mm in the FS group, and suggested a diagnostic threshold of 0.7 mm at the coracoid attachment site (sensitivity 93.1%, specificity 94.4%). Al Khayyat et al (16) conducted a focused review of 20 relevant manuscripts studying the use of US in diagnosing FS and found that the average CHL thickness in patients with FS was 2.65 ± 0.4 mm.…”

Section: Imagingmentioning

confidence: 99%

“…A 2021 case-control study involving 106 patients with FS found that an AP thickness of at least 4 mm yielded a diagnostic sensitivity of 93.4% and specificity of 98% for FS ( P < 0.0001) (17). Al Khayyat's review article found an average AP thickness of 3.34 ± 0.8 mm in shoulders with adhesive capsulitis across multiple studies (16).…”

Section: Imagingmentioning

confidence: 99%

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Frozen Shoulder: Diagnosis and Management

Wise,

Seales,

Houser

et al. 2023

Curr Sports Med Rep

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Frozen shoulder is a common condition that causes pain and restriction of movement of the shoulder unrelated to secondary causes. It has three classic phases (freezing, frozen, and thawing), and is resolved in most cases within 1 to 2 years. Diagnosis is clinical based on global motion restriction and pain. Imaging plays an ancillary role to narrow the differential diagnosis. Physical therapy, nonsteroidal anti-inflammatories, and injection therapies are standard treatments, although none have been shown to alter the long-term course of the condition. Ultrasound guidance is recommended for injection-based therapy, although not required. Further study should focus on long-term outcomes and treatments that significantly alter the natural course of the disease.

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Section: Ultrasoundmentioning

confidence: 99%

Section: Imagingmentioning

confidence: 99%

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Frozen Shoulder: Diagnosis and Management

Wise,

Seales,

Houser

et al. 2023

Curr Sports Med Rep

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“…Codman’s work in 1934 marked a seminal depiction of AC as a painful constriction of shoulder mobility. Subsequently, the subject area was refined by Neviaser in 1945, who delineated AC as a pain-constrained restriction in glenohumeral range of motion (ROM) lacking structural deficits, thereby coining the term “adhesive capsulitis” ( 3 ). Primarily afflicting women aged 40 to 60, initial patient complaints regarding AC include pain during extreme ROM, persisting for at least a month, followed by the onset of joint limitation, notably in flexion, abduction (both at average and extreme angles), and external rotation (particularly between 45 and 90 degrees of abduction), significantly impeding daily activities ( 4 ).…”

Section: Introductionmentioning

confidence: 99%

Causal relationships between systemic inflammatory cytokines and adhesive capsulitis: a bidirectional Mendelian randomization study

Ouyang,

Dai

2024

Front. Immunol.

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BackgroundMounting evidence suggests a connection between inflammatory cytokines and adhesive capsulitis (AC). However, the specific systemic inflammatory cytokines contributing to AC have not been clearly identified. This study employed Mendelian randomization (MR) to explore the causal relationships between 41 inflammatory cytokines and AC.MethodsIn this bidirectional, two-sample MR analysis, genetic variations associated with AC were derived from a comprehensive genome-wide association study (GWAS). The inflammatory cytokines data were sourced from a GWAS summary involving 8,293 healthy participants. The primary MR method employed was inverse variance weighting, supplemented by MR-Egger, weighted median, and MR-pleiotropy residual sum and outlier for sensitivity analysis. Heterogeneity was assessed using Cochran’s Q test, and the MR results were validated using the leave-one-out method.ResultsElevated levels of interferon gamma-induced protein 10 (IP-10) (odds ratio (OR) = 1.086, 95% confidence interval (CI) = 1.002–1.178) and regulated on activation, normal T cell expressed and secreted (RANTES) (OR = 1.107, 95% CI = 1.026–1.195) were linked to an increased risk of AC. Increased levels of stromal cell-derived factor-1 alpha (SDF-1α) (OR = 0.879, 95% CI = 0.793–0.974) and tumor necrosis factor-alpha (TNF-α) (OR = 0.911, 95% CI = 0.831–0.999) were associated with a reduced AC risk. Moreover, genetically predicted AC exhibited associations with elevated cutaneous T cell attracting (CTACK) levels (OR = 1.202, 95% CI = 1.007–1.435) and diminished levels of interleukin-17 (IL-17) (OR = 0.678, 95% CI = 0.518–0.888) and interleukin-5 (IL-5) (OR = 0.786, 95% CI = 0.654–0.944), as confirmed through inverse-variance weighted (IVW) methods.ConclusionThe present study successfully establishes a causal association between genetically proxied circulating levels of IP-10, RANTES, SDF-1α, and TNF-α and the risk of AC. Additionally, AC contributes to an increase in CTACK and a decrease in IL-17 and IL-5. This significant finding not only enhances the understanding of the pathogenesis of AC but also holds promise for the development of effective clinical management strategies.

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“…Nonetheless, despite the fact that imaging is not crucial for the diagnosis, both ultrasound and MR imaging can be used to exclude other conditions that may mimic AC, such as arthropathy of the acromioclavicular joint, glenohumeral arthropathy of degenerative or inflammatory origin, rotator cuff pathology including hydroxyapatite deposition disease, subacromial-subdeltoid bursitis, and cervical spinal pathology. In addition, signs of AC can be recognized on both MR imaging and US [9][10][11]. MR imaging can indicate a thickened coracohumeral ligament, thickening of the axillary recess with surrounding soft-tissue edema, and obliteration of the normal fat of the rotator cuff interval where increased signal on T2-w or PD-w fat-suppressed images can be demonstrated.…”

Section: Introductionmentioning

confidence: 99%

Long-Term Outcomes of Ultrasound-Guided Hydrodistension for Adhesive Capsulitis: A Prospective Observational Study

Dimitri-Pinheiro,

Klontzas,

Vassalou

et al. 2023

Tomography

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Ultrasound-guided hydrodistention has been established as an effective minimally invasive treatment option for glenohumeral joint adhesive capsulitis (AC). Nonetheless, the long-term outcomes of the procedure have not yet been established. A total of 202 patients with AC were prospectively recruited and followed up for a total of 2 years. Pain and functionality were assessed with the use of the visual analogue scale (VAS) and the disabilities of the arm, shoulder, and hand (DASH) score, respectively, at the beginning and the end of the follow-up period. The relapse of AC over the 2-year period and the effect of diabetes were also evaluated in the treatment cohort. The Mann–Whitney U test was used to compare mean scores at the two time points, and Cox survival analysis and χ2 test were used to assess the effect of diabetes on AC relapse. VAS and DASH scores were significantly lower at 2 years compared with the beginning of the follow-up period (p < 0.001). Diabetes was diagnosed in 38/202 patients (18.8%) and was found to be significantly associated with recurrence of the disease (p < 0.001). In conclusion, in this observational study, we have demonstrated that ultrasound-guided hydrodistention is linked to excellent long-term outcomes for the treatment of AC, which are significantly worse in patients with diabetes.

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Adhesive capsulitis and ultrasound diagnosis, an inseparable pair: a novel review

Cited by 10 publications

References 36 publications

Frozen Shoulder: Diagnosis and Management

Frozen Shoulder: Diagnosis and Management

Causal relationships between systemic inflammatory cytokines and adhesive capsulitis: a bidirectional Mendelian randomization study

Long-Term Outcomes of Ultrasound-Guided Hydrodistension for Adhesive Capsulitis: A Prospective Observational Study

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