Abstract
Objective
To investigate the correlation between arthrography, magnetic resonance imaging (MRI),
and ultrasonography (US) findings in patients with idiopathic adhesive capsulitis
(IAC) of the shoulder and their clinical presentation as well as functional impairment.
Design
Cross-sectional observational study.
Setting
Institutional practice.
Participants
Patients (N=75) with a clinical diagnosis of unilateral IAC.
Interventions
Contrast-enhanced MRI, single-contrast arthrography, and US were performed in all
patients.
Main Outcome Measures
The thickness of the axillary recess, coracohumeral ligament (CHL), and enhanced portion
in the rotator cuff interval was measured using MRI. Arthrography was used to calculate
the total score of shoulder arthrographic criteria. US was used to measure the thickness
of the inferior glenohumeral ligament (IGHL) and CHL, and the IGHL ratio and CHL ratio
were calculated by comparing those of the unaffected side.
Results
None of the MRI parameters was correlated with clinical assessment scores. The total
score of shoulder arthrographic criteria was negatively correlated with passive range
of motion of the total shoulder motion (P<.05), shoulder forward flexion (P<.05), and abduction (P<.05). The total Constant-Murley score was well correlated with the total score of
shoulder arthrographic criteria (P<.05). The total shoulder joint space capacity was positively correlated with passive
range of motion of the total shoulder motion (P<.05) and shoulder forward flexion (P<.05). The IGHL thickness, IGHL ratio, CHL thickness, and CHL ratio were negatively
correlated with shoulder external rotation (P<.05).
Conclusions
The findings of arthrography and US in patients with IAC of the shoulder were correlated
with clinical assessment scores, whereas all measuring parameters on MRI were not.
US is recommended as the preferred option for diagnosing IAC of the shoulder because
it is noninvasive, reflects the clinical features of IAC, and provides anatomical
accuracy.
Keywords
List of abbreviations:
CHL (coracohumeral ligament), CMS (Constant-Murley score), IAC (idiopathic adhesive capsulitis), IGHL (inferior glenohumeral ligament), MRI (magnetic resonance imaging), PROM (passive range of motion), US (ultrasonography), VAS (visual analog scale)To read this article in full you will need to make a payment
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Article Info
Publication History
Published online: July 04, 2017
Footnotes
Disclosures: none.
Identification
Copyright
© 2017 by the American Congress of Rehabilitation Medicine
