HSS Journal

, Volume 4, Issue 2, pp 164–169 | Cite as

Magnetic Resonance Imaging of Adhesive Capsulitis: Correlation with Clinical Staging

  • Carolyn M. Sofka
  • Gina A. Ciavarra
  • Jo A. Hannafin
  • Frank A. Cordasco
  • Hollis G. Potter
Original Article


The purpose of this study was to evaluate non-contrast magnetic resonance imaging (MRI) findings of adhesive capsulitis and correlate them with clinical stages of adhesive capsulitis. This will hopefully define a role for shoulder MR imaging in the diagnosis of adhesive capsulitis as well as in potentially directing appropriate treatment. Forty-seven consecutive non-contrast magnetic resonance imaging examinations of 46 patients with a clinical diagnosis of adhesive capsulitis were retrospectively reviewed and correlated with clinical staging. Specific MRI criteria correlated with the clinical stage of adhesive capsulitis, including the thickness and signal intensity of the joint capsule and synovium as well as the presence and severity of scarring in the rotator interval. Routine MRI of the shoulder without intraarticular administration of gadolinium can be used to diagnose all stages of adhesive capsulitis, including stage 1, where findings may be subtle on clinical examination. We believe that future studies assessing the role of MRI in guiding the initiation of appropriate treatment should be undertaken.


adhesive capsulitis shoulder magnetic resonance imaging 


  1. 1.
    Duplay S (1872) De la peri-arthrite scapulo-humerale et des raideurs de lepaule qui en sont la consequence. Arch Gen Med 20:513–542Google Scholar
  2. 2.
    Hannafin JA, Chiaia TA (2000) Adhesive capsulitis: a treatment approach. Clin Orthop 372:95–109PubMedCrossRefGoogle Scholar
  3. 3.
    Neviaser JS (1945) Adhesive capsulitis of the shoulder. A study of the pathological findings in periarthritis of the shoulder. J Bone Joint Surg 27:211–222Google Scholar
  4. 4.
    Neviaser RJ (1983) Painful conditions affecting the shoulder. Clin Orthop 173:63–69PubMedGoogle Scholar
  5. 5.
    Neviaser RJ, Neviaser TJ (1987) The frozen shoulder. Diagnosis and management. Clin Orthop 223:59–64PubMedGoogle Scholar
  6. 6.
    Neviaser TJ (1996) Adhesive capsulitis. In: McGinty JB, Caspari RB, Jackson RW, Poehling GG (eds) Operative arthroscopy, 2nd edn. Lippincott-Raven, PhiladelphiaGoogle Scholar
  7. 7.
    Potter HG, Hannafin JA, Morwessel RM, DiCarlo EF, O’Brien SJ, Altchek DW (1995) Lateral epicondylitis: correlation of MRI imaging, surgical, and histopathological findings. Radiology 196:43–46PubMedGoogle Scholar
  8. 8.
    Loyd JA, Loyd HM (1983) Adhesive capsulitis of the shoulder: arthrographic diagnosis and treatment. South Med J 76:879–883PubMedGoogle Scholar
  9. 9.
    Neviaser TJ (1980) Arthrography of the shoulder. Orthop Clin North Am 11:205–217PubMedGoogle Scholar
  10. 10.
    Connell D, Padmanabhan R, Buchbinder R (2002) Adhesive capsulitis: role of MRI imaging differential diagnosis. Eur Radiol 12(8):2100–2106PubMedGoogle Scholar
  11. 11.
    Emig EW, Schweitzer ME, Karasick D, Lubowitz J (1995) Adhesive capsulitis of the shoulder: MRI diagnosis. Am J Roentgenol 164:1457–1459Google Scholar
  12. 12.
    Manton GL, Schweitzer ME, Weishpaut D, Karasick D (2001) Utility of MRI arthrography in the diagnosis of adhesive capsulitis. Skeletal Radiol 30(6):326–330PubMedCrossRefGoogle Scholar
  13. 13.
    Tamai K, Yamato M (1997) Abnormal synovium in frozen shoulder: a preliminary report with dynamic magnetic resonance imaging. J Shoulder Elbow Surg 6(6):534–543PubMedCrossRefGoogle Scholar
  14. 14.
    Jung JY, Jee WH, Chun HJ, Kim YS, Chung YG, Kim JM (2006) Adhesive capsulitis of the shoulder: evaluation with MR arthrography. Eur Radiol 16(4):791–796PubMedCrossRefGoogle Scholar
  15. 15.
    Lefevre-Colau MM, Drape JL, Fayad F et al (2005) Magnetic resonance imaging of shoulders with idiopathic adhesive capsulitis: reliability of measures. Eur Radiol 15(12):2415–2422PubMedCrossRefGoogle Scholar
  16. 16.
    Mengiardi B, Pfirrmann CW, Gerber C, Hodler J, Zanetti M (2004) Frozen shoulder: MR arthrographic findings. Radiology 233(2):486–492PubMedCrossRefGoogle Scholar
  17. 17.
    Ekelund AL, Rydell N (1992) Combination treatment for adhesive capsulitis of the shoulder. Clin Orthop 282:105–109PubMedGoogle Scholar
  18. 18.
    Rodeo SA, Hannafin JA, Tom J, Warren RF, Wickiewicz TL (1997) Immunolocalization of cytokines and their receptors in adhesive capsulitis of the shoulder. J Orthop Res 15:427–436PubMedCrossRefGoogle Scholar
  19. 19.
    Grey RG (1978) Brief note. The natural history of “idiopathic” frozen shoulder. J Bone Joint Surg Am 60-A:564Google Scholar
  20. 20.
    Griggs SM, Ahn A, Green A (2000) Idiopathic adhesive capsulitis. A prospective functional outcome study of nonoperative treatment. J Bone Joint Surg Am 82-A:1398–1407PubMedGoogle Scholar
  21. 21.
    Carrillon Y, Noel E, Fantino O, Perrin-Fayolle O, Tran-Minh VA (1999) Magnetic resonance imaging findings in idiopathic adhesive capsulitis of the shoulder. Rev Rhum Engl Ed 66(4):201–206PubMedGoogle Scholar
  22. 22.
    Munshi M, Pretterklieber ML, Chung CB et al (2004) Anterior bundle of ulnar collateral ligament: evaluation of anatomic relationships by using MRI imaging, MRI arthrography and gross anatomic and histologic analysis. Radiology 231:797–803PubMedCrossRefGoogle Scholar
  23. 23.
    Yacoe ME, Bergman AG, Ladd AL, Hellman BH (1993) Dupuytren’s contracture: MRI imaging findings and correlation between MRI signal intensity and cellularity of lesions. Am J Roentgenol 160:813–817Google Scholar
  24. 24.
    Amis ES Jr (1991) Retroperitoneal fibrosis. Am J Roentgenol 157:321–329Google Scholar

Copyright information

© Hospital for Special Surgery 2008

Authors and Affiliations

  • Carolyn M. Sofka
    • 1
  • Gina A. Ciavarra
    • 1
  • Jo A. Hannafin
    • 2
  • Frank A. Cordasco
    • 2
  • Hollis G. Potter
    • 1
  1. 1.Department of Radiology and Imaging, Magnetic Resonance Imaging DivisionHospital for Special SurgeryNew YorkUSA
  2. 2.Department of Orthopaedic Surgery, Sports Medicine and Shoulder ServiceHospital for Special SurgeryNew YorkUSA

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