0 400

Cited 7 times in

Do the Findings of Magnetic Resonance Imaging, Arthrography, and Ultrasonography Reflect Clinical Impairment in Patients With Idiopathic Adhesive Capsulitis of the Shoulder?

Authors
 Gi-Young Park  ;  Jung Hyun Park  ;  Dong Rak Kwon  ;  Dae Gil Kwon  ;  Jinyoung Park 
Citation
 ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, Vol.98(10) : 1995-2001, 2017 
Journal Title
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
ISSN
 0003-9993 
Issue Date
2017
MeSH
Adult ; Aged ; Aged, 80 and over ; Arthrography ; Bursitis/diagnostic imaging* ; Bursitis/physiopathology ; Contrast Media ; Cross-Sectional Studies ; Disability Evaluation* ; Female ; Fluoroscopy ; Humans ; Ligaments, Articular/diagnostic imaging ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Muscle Strength/physiology* ; Range of Motion, Articular/physiology* ; Rotation ; Rotator Cuff/diagnostic imaging ; Shoulder Joint/diagnostic imaging* ; Shoulder Joint/physiopathology ; Ultrasonography ; Visual Analog Scale
Keywords
Arthrography ; Magnetic resonance imaging ; Rehabilitation ; Ultrasonography
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.
Full Text
https://www.sciencedirect.com/science/article/pii/S0003999317304483
DOI
10.1016/j.apmr.2017.06.006
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Park, Jung Hyun(박중현) ORCID logo https://orcid.org/0000-0003-3262-7476
Park, Jinyoung(박진영) ORCID logo https://orcid.org/0000-0003-4042-9779
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/161082
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links