Abstract
The magnetic resonance imaging (MRI) findings in idiopathic adhesive capsulitis (AC) were compared with those of contralateral healthy shoulders and the reliability of measures assessed. Twenty-six consecutive patients (26 AC and 14 healthy shoulders) were prospectively assessed. The main measurements were thickness of the joint capsule and synovial membrane in the axillary recess and rotator interval in T1-weighted spin-echo sequence enhanced with intravenous (IV) gadolinium chelate (Gd-chelate). Reliability was studied by use of the intraclass correlation coefficient (ICC). The mean thickness of the axillary recess on the coronal plane was 9.0±2.2 mm in AC shoulders and 0.4±0.7 mm in healthy shoulders. The mean thickness of the rotator interval on the sagittal plane was 8.4±2.8 in AC shoulders and 0.6±0.8 mm in healthy shoulders. Interobserver reliability was good for the axillary recess, with ICC values of 0.84 for the coronal plane, and good for the rotator interval, with ICC values of 0.80 for the sagittal plane. MRI with IV Gd-chelate injection can show, with acceptable reliability, signal and thickness abnormalities of the shoulder joint capsule and synovial membrane in AC.
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Revel M, Ghanem N (1999) Adhesive capsulitis of the shoulder. Rev Prat 49:1406–1408
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) 66:201–206
Lundberg BJ (1969) The frozen shoulder. Clinical and radiographical observations. The effect of manipulation under general anesthesia. Structure and glycosaminoglycan content of the joint capsule. Local bone metabolism. Acta Orthop Scand Suppl 119:1–59 (Review)
Emig EW, Schweitzer ME, Karasick D, Lubowitz J (1995) Adhesive capsulitis of the shoulder: MR diagnosis. Am J Roentgenol 164:1457–1459
Neviaser JS (1980) Adhesive capsulitis and the stiff and painful shoulder. Orthop Clin North Am 11:327–331. Review
Mclaughlin HL (1961) The “frozen shoulder”. Clin Orthop 20:126–131
Wiley AM (1991) Arthroscopic appearance of frozen shoulder. Arthroscopy 7:138–143
Tamai K, Yamato M (1997) Abnormal synovium in the frozen shoulder: a preliminary report with dynamic magnetic resonance imaging. J Shoulder Elbow Surg 6:534–543
Connell D, Padmanabhan R, Buchbinder R (2002) Adhesive capsulitis: role of MR imaging in differential diagnosis. Eur Radiol 12:2100–2106
Huskisson EC (1974) Measurment of pain. Lancet 9:1127–1131
Gajdosik RL, Bohannon RW (1987) Clinical measurement of range of motion. Phys Ther 67:1867–1872
Constant CR, Murley AH (1987) A clinical method of functional assessment of the shoulder. Clin Orthop 214:160–164
Vahlensieck M (2000) MRI of the shoulder. Eur Radiol 10:242–249
Tetro AM, Bauer G, Hollstien SB, Yamaguchi K (2002) Arthroscopic release of the rotator interval and coracohumeral ligament: an anatomic study in cadavers. Arthroscopy 18:145–150
Merila M, Leibecke T, Gehl HB, Busch LC, Russlies M, Eller A, Haviko T, Kolts I (2004) The anterior glenohumeral joint capsule: macroscopic and MRI anatomy of the fasciculus obliquus or so-called ligamentum glenohumerale spirale. Eur Radiol 14:1421–1426
Zlatkin MB, Iannotti JP, Roberts MC, Esterhai JL, Dalinka MK, Kressel HY, Schwartz JS, Lenkinski RE (1989) Rotator cuff tears: diagnostic performance of MR imaging. Radiology 172:223–229
Schweitzer ME, Magbalon MJ, Fenlin JM, Frieman BG, Ehrlich S, Epstein RE (1995) Effusion criteria and clinical importance of glenohumeral joint fluid: MR imaging evaluation. Radiology 194:821–824
Shrout PE, Fleiss JL (1979) Intraclass correlations: uses in assessing rater reliability. Psychol Bull 86:420–428
Bland JM, Altmann DG (1986) Statistical methods for assessing agreement between two methods of clinical measurment. Lancet 1:307–310
Atkinson G, Nevill A (1997) Comment on the use of concordance correlation to assess the agreement between two variables. Biometrics 53:775–777
I-Kuei Lin L, Chinchilli V (1997) Rejoinder to the letter to the editor from Atkinson and Nevill. Biometrics 53:777–778
Ha’eri GB, Maitland A (1981) Arthroscopic findings in the frozen shoulder. J Rheumatol 8:149–152
Bunker TD, Anthony PP (1995) The pathology of frozen shoulder. A dupuytren-like disease. J Bone Jt Surg Br 77:677–683
Hannafin JA, Chiaia TA (2000) Adhesive capsulitis. A treatment approach. Clin Orthop 372:95–109 (Review)
Ozaki J (1996) Pathomechanics and operative management of chronic frozen shoulder. Ann Chir Gynaecol 85:156–158
Ozaki J, Nakagawa Y, Sakurai G, Tamai S (1989) Recalcitrant chronic adhesive capsulitis of the shoulder. Role of contracture of the coracohumeral ligament and rotator interval in pathogenesis and treatment. J Bone Joint Surg Am 71:1511–1515
Uitvlugt G, Detrisac DA, Johnson LL, Austin MD, Johnson C (1993) Arthroscopic observations before and after manipulation of frozen shoulder. Arthroscopy 9:181–185
Turnbull JR (1998) Acromioclavicular joint disorders. Med Sci Sports Exerc 30:S26–S32 (Review)
Sher JS, Uribe JW, Posada A, Murphy BJ, Zlatkin MB (1995) Abnormal findings on magnetic resonance images of asymptomatic shoulders. J Bone Joint Surg Am 77:10–15
Liou JT, Wilson AJ, Totty WG, Brown JJ (1993) The normal shoulder: common variations that simulate pathologic conditions at MR imaging. Radiology 186:435–341
Neumann CH, Holt RG, Steinbach LS, Jahnke AH Jr, Petersen SA (1992) MR imaging of the shoulder: appearance of the supraspinatus tendon in asymptomatic volunteers. Am J Roentgenol 158:1281–1287
Manton GL, Schweitzer ME, Weishaupt D, Karasick D (2001) Utility of MR arthrography in the diagnosis of adhesive capsulitis. Skelet. Radiol 30:326–330
Lee MH, Ahn JM, Muhle C, Kim SH, Park JS, Kim SH, Kim SM, Kang HS (2003) Adhesive capsulitis of the shoulder: diagnosis using magnetic resonance arthrography, with arthroscopic findings as the standard. J Comput Assist Tomogr 27:901–906
Mengiardi B, Pfirrmann CW, Gerber C, Hodler J, Zanetti M (2004) Frozen shoulder: MR arthrographic findings. Radiology 233:486–492
Kreitner KF, Loew R, Runkel M, Zollner J, Thelen M (2003) Low-field MR arthrography of the shoulder joint: technique, indications, and clinical results. Eur Radiol 13:320–329
Ryu KN, Lee SW, Rhee YG, Lim JH (1993) Adhesive capsulitis of the shoulder joint: usefulness of dynamic sonography. J Ultrasound Med 12:445–449
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We acknowledge the help provided by Alain Chevrot, MD; Geraldine Revelon, MD; and Fabienne Bach, MD.
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Lefevre-Colau, MM., Drapé, JL., Fayad, F. et al. Magnetic resonance imaging of shoulders with idiopathic adhesive capsulitis: reliability of measures. Eur Radiol 15, 2415–2422 (2005). https://doi.org/10.1007/s00330-005-2830-x
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DOI: https://doi.org/10.1007/s00330-005-2830-x