Thickening of the inferior glenohumeral capsule: an ultrasound sign for shoulder capsular contracture

Michelin, Paul; Delarue, Y.; Duparc, Fabrice; Dacher, J.-N.

doi:10.1007/s00330-013-2874-2

“…Homsi et al 8 concluded that US was access to determine CHL thickness and the average thickness is significantly greater in adhesive capsulitis shoulders (3 mm) than in painful shoulders (1.39 mm) and asymptomatic shoulders (1.34 mm). Michelin et al 7 also used US to measure the inferior glenohumeral capsule thickness with a transducer placed within the axilla in maximally abducted shoulders.…”

Section: Discussionmentioning

confidence: 99%

“…US and US-arthrography images were analyzed in consensus by two radiologists (G.X.Y and L.M), who were blinded to patients' demographic date, history, group, and MR findings. For US evaluation, thickness of CHL and inferior glenohumeral capsule were obtained, rotator interval abnormality and biceps sheath effusion was observed and characterized as present or absent 7,8,18,19 . Rotator interval abnormality was diagnosed with the detecting of hypoechoic echotexture or increased vascular flow in rotator interval.…”

Section: Mri Protocol Mri Was Performed With a 15 T Mr System (Signmentioning

confidence: 99%

“…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 .…”

mentioning

confidence: 99%

See 1 more Smart Citation

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

Lu

¹

,

Cheng

²

2017

Ultrasound in Medicine & Biology

0

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

“…In this study, the CHL, rotator interval, and inferior glenohumeral (GH) capsule were scanned in sequence with patients sit in a chair. For assessment of CHL, the transducer was placed on the lateral border of the coracoid process to obtain a longitudinal image and to measure the thickness of the CHL (the thickest portion) with the shoulder in a neutral position and the forearm extended 8 . The rotator interval was scrutinised with the patient’s fist held by the side to detect if there were any increased echotexture or increased vascularity by using grey-scale and color Doppler sonography 17 .…”

Section: Methodsmentioning

confidence: 99%

“…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 8–10 . 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 .…”

Section: Introductionmentioning

confidence: 99%

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

Cheng

¹

,

Zhang

²

,

Guo

³

et al. 2017

Sci Rep

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 US-arthrography findings for diagnosing AC.

show abstract

Axillary Sonography of the Shoulder: An Adjunctive Approach

Michelin

¹

,

Legrand

²

,

Lee

³

et al. 2018

J of Ultrasound Medicine

Self Cite

6

0

View full text Add to dashboard Cite

Sonography of the shoulder is widely used to assess various disorders, including tendinous diseases of the rotator cuff and the long head of the biceps brachii muscle. The shoulder is commonly explored through anterior, superior, and posterior approaches, but the inferior axillary approach is rarely considered in the literature. However, this technique allows the direct visualization of relevant anatomic structures. The aim of this pictorial essay is, first, to technically describe this approach and the normal musculoskeletal sonographic anatomy of the region and, second, to present the sonographic findings of shoulder disorders that may be helpfully explored this technique.

show abstract

Thickening of the inferior glenohumeral capsule: an ultrasound sign for shoulder capsular contracture

Cited by 58 publications

References 23 publications

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

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

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

Axillary Sonography of the Shoulder: An Adjunctive Approach

Contact Info

Product

Resources

About