Article

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.
CI - Copyright (c) 2017 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS