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Can magnetic resonance imaging distinguish clinical stages of frozen shoulder? A state-of-the-art review.
Tamai, Kazuya; Hamada, Junichiro; Nagase, Yuichi; Morishige, Masahiko; Naito, Masashi; Asai, Hideaki; Tanaka, Sakae.
Afiliación
  • Tamai K; Department of Orthopedic Surgery, Tohto Bunkyo Hospital, Tokyo, Japan.
  • Hamada J; Department of Orthopaedic Surgery, Kuwano Kyoritsu Hospital, Koriyama, Fukushima, Japan.
  • Nagase Y; Department of Rheumatology Surgery, Tokyo Metropolitan Tama Medical Center, Fuchu, Tokyo, Japan.
  • Morishige M; Zenshin Orthopedic Clinic, Tachikawa, Tokyo, Japan.
  • Naito M; Department of Orthopedic Surgery, National Hospital Organization Sagamihara National Hospital, Sagamihara, Kanagawa, Japan.
  • Asai H; Department of Orthopedic Surgery, Yashio Central General Hospital, Yashio, Saitama, Japan.
  • Tanaka S; Department of Orthopaedic Surgery, The University of Tokyo Hospital, Tokyo, Japan.
JSES Rev Rep Tech ; 4(3): 365-370, 2024 Aug.
Article en En | MEDLINE | ID: mdl-39157226
ABSTRACT

Background:

Frozen shoulder (FS) is a common disorder causing shoulder pain and limited motion. Magnetic resonance imaging (MRI) is expected to help diagnose FS and realize the disease stage if stage-specific features are present. We aimed to survey stage-related MRI findings of FS in the literature.

Methods:

MEDLINE, SCOPUS, and Google Scholar databases were searched with search terms "frozen shoulder" or "adhesive capsulitis" combined with "magnetic resonance imaging." Studies that discussed MRI findings in relation to FS stages were retrieved. The course of FS was divided into stages 1 to 4 according to Hannafin and Chiaia.

Results:

Two of the noncontrast-enhanced MRI findings were stage-related. T2 signal hyperintensity of the joint capsule was more frequent in stages 1 and 2. The axillary capsule thickness was greater in stages 1 and 2. However, these findings were also seen in the later stages to a lesser degree. Effusion around the long head of biceps, subcoracoid fat obliteration, and coracohumeral ligament thickening were common in FS but their relation to the stages was not evident. Signal enhancement on contrast-enhanced MRI was not consistently linked to stages.

Conclusion:

T2 signal hyperintensity and axillary capsule thickening are characteristic of the early stages of FS, although MRI alone cannot completely define the disease stage.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: JSES Rev Rep Tech Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: JSES Rev Rep Tech Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Países Bajos