Adhesive capsulitis of the shoulder: Dimensions of the rotator interval measured with magnetic resonance arthrography

Kim, Kyung Cheon; Rhee, Kwang Jin; Shin, Hyun Dae

doi:10.1016/j.jse.2008.10.018

Cited by 47 publications

(30 citation statements)

References 25 publications

(48 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Normal volumes of contrast material may be injected into patients with concomitant full-thickness rotator cuff tears [20]. In patients with a ruptured joint capsule at the level of the subscapular recess and the biceps tendon sheath, intra-articular contrast material injection volumes can also be increased [20]. In the current series, three of four patients with adhesive capsulitis had massive extravasation through the subscapular muscle.…”

Section: Discussionmentioning

confidence: 71%

“…However, this topic is controversial [16]. Normal volumes of contrast material may be injected into patients with concomitant full-thickness rotator cuff tears [20]. In patients with a ruptured joint capsule at the level of the subscapular recess and the biceps tendon sheath, intra-articular contrast material injection volumes can also be increased [20].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Extra-articular contrast material leaks into locations unrelated to the injection path in shoulder MR arthrography

et al. 2014

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Extra-articular contrast material leaks into locations unrelated to the injection path in shoulder MR arthrography

et al. 2014

View full text Add to dashboard Cite

show abstract

“…In the past decades, several studies had been performed to assess the usefulness of MRI and MRA in the diagnosis of frozen shoulder 9,11,13,18,20 . MRI and MRA are both capable of diagnosing adhesive capsulitis as well as determining the pathophysiological stage and ruling out concurrent pathology 18 .…”

Section: Discussionmentioning

confidence: 99%

Adhesive Capsulitis of the Shoulder: Evaluation With US-Arthrography Using a Sonographic Contrast Agent

Cheng

2017

Ultrasound in Medicine & Biology

View full text Add to dashboard Cite

Adhesive capsulitis (AC) is a painful and disabling disorder, which caused restricted motion and chronic pain of shoulder. Intracavitary contrast-enhanced ultrasound has been recently applied to assess obstructive bile duct diseases, tubal patency, vesicoureteric reflux and so on. The aim of this study was to detect the value of US-arthrography by injecting the contrast agent SonoVue into glenohumeral joint compared with US in diagnosing AC. Utrasound (US) and US-arthrography images of 45 patients with AC were compared with that of 45 control subjects without AC with MRI as a gold standard. Patients with AC had a significantly thickened coracohumeral ligment (CHL, 3.1 mm) and inferior capsule (3.5 mm) on US, and a decreased volume of axillary recess (1.14 ml) on US-arthrography compared with the control subjects (1.59 ml). Filling defect (91.1%) and synovitis-like abnormality (75.6%) in the joint on US-arthrography were more sensitive than that of rotator interval abnormality (71.1%), thickened CHL more than 3 mm (64.4%), thickened inferior capsule more than 3.5 mm (66.7%) on US respectively for diagnosis of AC. Consequently, US-arthrography was more effective method than US for assessment of AC. Filling defects of joint cavity and synovitis-like abnormality in the joint are characteristic USarthrography findings for diagnosing AC.Adhesive capsulitis of the shoulder (AC), also known as frozen shoulder, is an inflammatory and fibrosing condition of the shoulder characterised by progressive pain and decreased range of motion of the glenohumeral joint 1, 2 . It is a said to be a self-limiting condition lasting for an average of 2-3 years, but up to 40% of patients may have persistent symptoms and restricted movement beyond 3 years, with 15% left with permanent disability 3, 4 . The etiology is still unknown, which may be associated with diabetes mellitus, Dupuytren disease, shoulder trauma, various cardiac, endocrine, and neurologic disorders 5,6 . Although AC is much less common than subacromial impingement syndrome, calcific tendinitis and rotator cuff tear, it is difficult to differentiate them from each other based on clinical presentation sometimes. So it is of great importance to explore some characteristic imaging findings of AC in order to make an accurate diagnosis and choose the treatment further.Arthrography, ultrasound (US), plain magnetic resonance imaging (MRI) and MR arthrography (MRA) may provide reliable imaging indicators of frozen shoulder 7 . The traditional shoulder arthrography was used to assess the volume of the glenohumeral joint. Both US and MRI have high soft-tissue resolution and are widely used to assess coracohumeral ligament (CHL) and capsule and synovium for AC [8][9][10] . Numerous specific MRI/MRA findings have been reported to diagnose AC, which includes thickening of the CHL, thickening of the joint capsule in the rotator cuff interval and axillary recess, effacement of the axillary recess, obliteration of subcoracoid fat triangle and so on 7, 10-13 .Recently, contrast enhanced u...

show abstract

“…23,32 The patient's shoulder condition described in this case best matched a stage 2 presentation. Although adhesive capsulitis is considered to involve primarily the capsular tissue, 1,3,6,25 the pain the patient experienced was most likely due to myofascial trigger points, indicating that the synovitis stage had resolved. Furthermore, significant gains in ROM after the pain was reduced suggest that capsule fibrosis, which is characteristic of stage 3, had likely not developed.…”

Section: Discussionmentioning

confidence: 99%

Trigger Point Dry Needling as an Adjunct Treatment for a Patient With Adhesive Capsulitis of the Shoulder

Clewley¹,

Flynn²,

Koppenhaver³

2014

J Orthop Sports Phys Ther

View full text Add to dashboard Cite

A dhesive capsulitis is a common shoulder condition of unknown etiology that is often treated by physical therapists. 26,47 The incidence rate of adhesive capsulitis is higher in women than in men and higher among middleaged individuals. 47 The risk factors associated with adhesive capsulitis are type 1 or 2 diabetes mellitus, thyroid disease, an age of between 40 and 65 years, trauma, prolonged immobilization, autoimmune disease, and myocardial infarction. 23 In individuals with diabetes, the incidence rate is upward of 20%, compared to 2% to 5% in individuals without diabetes. 15,37The economic burden and the impact of adhesive capsulitis on health care expenditures are significant. 9,43 The condition has been described as self-limiting, typically resolving in 1 to 3 years, with long-term range of motion (ROM) deficits lasting up to 10 years. 27 However, the prognosis associated with adhesive capsulitis improves with a lesser number of comorbidities. 48There are a number of invasive and conservative options for managing adhesive capsulitis. 7,8,13,23,44 Invasive interventions include intra-articular steroid injection, surgery, and manipulation under anesthesia. Manipulation under anesthesia is commonly used but carries the risk of humeral fracture, dislocation, rotator cuff injuries, labral tears, and brachial plexus injury.13 Acetaminophen and nonsteroidal anti-inflammatory medications are common first-line nonsurgical treatments for adhesive capsulitis, but there is little evidence for their effectiveness. 44 Oral corticosteroids might provide short-term benefit in pain relief and improved ROM in patients with adhesive capsulitis.7 However, they have not been proven to reduce the duration of adhesive capsulitis. 8Early physical therapy intervention that includes joint mobilization directed at the shoulder joint complex has been T T STUDY DESIGN: Case report. T T BACKGROUND:Prognosis for adhesive capsulitis has been described as self-limiting and can persist for 1 to 3 years. Conservative treatment that includes physical therapy is commonly advised. T T CASE DESCRIPTION:The patient was a 54-year-old woman with primary symptoms of shoulder pain and loss of motion consistent with adhesive capsulitis. Manual physical therapy intervention initially consisted of joint mobilizations of the shoulder region and thrust manipulation of the cervicothoracic region. Although manual techniques seemed to result in some early functional improvement, continued progression was limited by pain. Subsequent examination identified trigger points in the upper trapezius, levator scapula, deltoid, and infraspinatus muscles, which were treated with dry needling to decrease pain and allow for higher grades of manual intervention. T T OUTCOMES:The patient was treated for a total of 13 visits over a 6-week period. After trigger point dry needling was introduced on the third visit, improvements in pain-free shoulder range of motion and functional outcome measures, assessed with the Shoulder Pain and Disability Index and the shortened form...

show abstract

Adhesive capsulitis of the shoulder: Dimensions of the rotator interval measured with magnetic resonance arthrography

Cited by 47 publications

References 25 publications

Extra-articular contrast material leaks into locations unrelated to the injection path in shoulder MR arthrography

Extra-articular contrast material leaks into locations unrelated to the injection path in shoulder MR arthrography

Adhesive Capsulitis of the Shoulder: Evaluation With US-Arthrography Using a Sonographic Contrast Agent

Trigger Point Dry Needling as an Adjunct Treatment for a Patient With Adhesive Capsulitis of the Shoulder

Contact Info

Product

Resources

About