Correlation of MR Arthrographic Findings and Range of Shoulder Motions in Patients With Frozen Shoulder

Lee, So Yeon; Park, Jeongmi; Song, Seok-Whan

doi:10.2214/ajr.10.6173

Cited by 64 publications

(68 citation statements)

References 33 publications

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“…This is in agreement with previous sonographic studies [2,9]. However, adhesive capsulitis was the dominant finding in some studies that examined hemiplegic shoulders with conventional arthrography [28], contrast enhanced MRI [26,27], and magnetic resonance arthrography [29]. This discrepancy between USS and other imaging techniques could potentially be addressed in future studies by combining all of the various sonographic methods of detecting adhesive capsulitis reported in English literature thus far [15,30–34] in order to improve detection rate.…”

Section: Discussionsupporting

confidence: 91%

Sonographic Evaluation of Structural Changes in Post-Stroke Hemiplegic Shoulders

et al. 2018

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SummaryBackgroundStroke and hemiplegia are frequent complications of stroke. This study was performed to sonographically evaluate post-stroke hemiplegic shoulders and explore possible relationship(s) between the sonographic findings and clinical indices.Material/MethodsForty-five stroke patients and 45 age- and sex-matched controls were recruited. Standard sonographic examination of both shoulders was performed to assess for joint subluxation, rotator cuff tears, tendinosis, subacromial-subdeltoid bursitis or effusion and adhesive capsulitis.ResultsHemiplegic shoulders exhibited significantly higher number of pathologies compared to the unaffected shoulders and shoulders of controls (p=0.000). One or more structural abnormalities were found in all 45 (100%) hemiplegic shoulders, 25 (55.6%) unaffected shoulders of the stroke subjects, and 39 (43.3%) control shoulders. The most frequent pathologies in the hemiplegic shoulders were the following: tendinosis of the long head of bicep tendon (48.9%), inferior shoulder subluxation (44.4%), co-existing subacromial-subdeltoid bursa/long head of bicep tendon sheath effusion (44.4%), and long head of bicep tendon sheath effusion only (40%). Tendinosis of the long head of bicep tendon was commoner in hemiplegic shoulders with poor motor status than those with good motor status.ConclusionsHemiplegic shoulders have significantly higher number of structural abnormalities than unaffected shoulders and the shoulders of controls. Hemiplegic stroke patients should undergo ultrasonography of the hemiplegic shoulder to define the nature and extent of soft tissue injuries prior to physical therapy.

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Section: Discussionsupporting

confidence: 91%

Sonographic Evaluation of Structural Changes in Post-Stroke Hemiplegic Shoulders

et al. 2018

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“…In our study, the CHL thickness with a cutoff of 3 mm showed sensitivity of 51.28% and specificity of 91.43%, similar to those for adhesive capsulitis reported in several previous studies with cutoff values of 3 to 4 mm (sensitivity, 53%–83%; specificity, 85%–100%) . Hypoechoic changes at the rotator interval were also observed more frequently in patients with adhesive capsulitis than in the control group.…”

Section: Discussionsupporting

confidence: 89%

Ultrasound Microflow Imaging Technology for Diagnosis of Adhesive Capsulitis of the Shoulder

Kim

Choi

et al. 2019

J of Ultrasound Medicine

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Objectives-To assess the diagnostic accuracy of Superb Microvascular Imaging (SMI; Canon Medical Systems, Otawara, Japan) at the subcoracoid triangle for adhesive capsulitis of the shoulder, to compare the diagnostic value of SMI with that of conventional ultrasound (US) and power Doppler ultrasound (PDUS) findings, and to investigate the correlation between vascular flow on SMI with clinical features.Methods-Our study included 39 patients with a diagnosis of adhesive capsulitis and 35 healthy patients as a control group. The echogenicity in the rotator interval and coracohumeral ligament thickness were assessed with conventional US. Vascular flow in the subcoracoid fat triangle was evaluated with SMI and PDUS (SMI and PDUS areas). A receiver operating characteristic curve analysis was performed to evaluate diagnostic accuracy. The correlation between US findings and the range of motion, pain intensity, and duration of symptoms was also evaluated.Results-The SMI area was higher in the adhesive capsulitis group than in the control group (2.95 versus 0 mm 2 ; P < .01). The visualization of vascular flow at the subcoracoid fat triangle was superior with SMI compared with PDUS (P < .01). In the receiver operating characteristic analysis, the SMI area showed higher diagnostic performance, with an area under the curve of 0.90 compared with other US findings. The area of SMI vascular flow was also negatively correlated with external rotation and forward flexion (P < .05) in the adhesive capsulitis group.Conclusions-Measurement of vascular flow at the subcoracoid fat triangle using SMI facilitated the diagnosis of adhesive capsulitis. Superb Microvascular Imaging was superior to PDUS in diagnostic performance. Vascular flow was negatively correlated with the range of motion of external rotation and forward flexion.

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“…Thickening of the coracohumeral ligament and capsular thickening in the axillary recess are signs of capsulitis. 155,156 Coracohumeral ligament thickening in one study was significantly more prominent in patients with capsulitis and associated with limited external and internal rotation of the shoulder. 155…”

Section: Evaluating Instability and Dislocations Of The Shouldermentioning

confidence: 92%

MR Arthrography of the Shoulder: Technical Update and Clinical Applications

Sebro

Oliveira

Palmer

2014

Semin Musculoskelet Radiol

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Direct MR arthrography of the shoulder is a safe, relatively easy procedure that can increase diagnostic confidence in the evaluation of rotator cuff and labroligamentous disorders compared with conventional MR imaging of the shoulder. Surgeons more often request MR arthrography in younger patients who may have internal impingement or subtle shoulder subluxation rather than obvious cuff rupture, repeated dislocation, or arthropathy. This article describes the advances in glenohumeral injection and MR protocol techniques, imaging pitfalls, anatomical variants, common lesions associated with internal derangement of the shoulder, and MR arthrography of the postoperative shoulder.

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Correlation of MR Arthrographic Findings and Range of Shoulder Motions in Patients With Frozen Shoulder

Abstract: Coracohumeral ligament thickness on MR arthrography correlates with the range limitation of ER and IR in patients with frozen shoulder.

Cited by 64 publications

References 33 publications

Sonographic Evaluation of Structural Changes in Post-Stroke Hemiplegic Shoulders

Sonographic Evaluation of Structural Changes in Post-Stroke Hemiplegic Shoulders

Ultrasound Microflow Imaging Technology for Diagnosis of Adhesive Capsulitis of the Shoulder

MR Arthrography of the Shoulder: Technical Update and Clinical Applications

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