Ultrasound Features of Adhesive Capsulitis

被引:25
作者
Stella, Salvatore Massimo [1 ,2 ]
Gualtierotti, Roberta [3 ]
Ciampi, Barbara [2 ]
Trentanni, Cesare [2 ,4 ]
Sconfienza, Luca Maria [5 ]
Del Chiaro, Andrea [2 ,6 ]
Pacini, Patrizia [7 ]
Miccoli, Mario [8 ]
Galletti, Stefano [9 ]
机构
[1] Univ Pisa, Santa Chiara Univ Hosp, Postgrad Sch Sports Med, Dept Clin & Expt Med, Via Roma 67, I-56100 Pisa, Italy
[2] SIUMB Sch Pisa, Adv Musculoskeletal Ultrasound, Pisa, Italy
[3] Univ Milan, Fdn IRCCS Ca Granda Osped Maggiore Policlin, Internal Med Hemostasis & Thrombosis, Dept Pathophysiol & Transplantat, Milan, Italy
[4] Castel Goffredo Inst IRCCS, Diagnost Radiol Operat Unit, Mantua, Italy
[5] Galeazzi Orthoped Inst IRCCS, Diagnost & Intervent Radiol Operat Unit, Milan, Italy
[6] Univ Pisa, Orthoped & Traumatol Operating Unit, Pisa, Italy
[7] Univ Roma La Sapienza, Umberto Gen Hosp I, Dept Radiol Oncol & Anatomopathol Sci, Rome, Italy
[8] Univ Pisa, Dept Clin & Expt Med, Pisa, Italy
[9] Maggiore Hosp, SIUMB Sch Bologna, Adv Musculoskeletal Ultrasound, Bologna, Italy
关键词
Adhesive capsulitis; Frozen shoulder; Ultrasound; Coracohumeral ligament; Axillary pouch; FROZEN SHOULDER; ROTATOR INTERVAL; DIAGNOSIS; PAIN;
D O I
10.1007/s40744-021-00413-w
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction Adhesive capsulitis (AC), which is characterised by shoulder pain and a limited range of motion (ROM), is usually diagnosed on the basis of clinical suspicion, with imaging only being used to exclude other causes of similar symptoms. The aim of this study was to identify and describe the typical ultrasound (US) features of AC in a group of patients with shoulder pain and stiffness. Methods This was a cross-sectional study of 1486 patients with AC in which two experienced US specialists examined the axillary pouch (AP), the coracohumeral ligament (CHL), the superior glenohumeral ligament (SGHL), and the long head of the biceps tendon (LHBT), and dynamically visualised the infraspinatus tendon during passive external rotation (PER) during a US evaluation of shoulder ROM. Results AC was confirmed in 106 patients (7.1%). Thickening of the AP of more than 4 mm was observed in 93.4% of the patients, whereas 6.6% showed AP thickening of less than 4 mm but more than 60% of the thickening in the contralateral shoulder. Effusion within the LHBT sheath was detected in 71% of the patients, and thickening of the CHL or SGHL in 88%. The dynamic study of the infraspinatus tendon showed reduced sliding with folding towards the joint capsule in 73% of cases, thus changing the tendon's profile from flat to concave during PER. The reduced tendon sliding was associated with a bouncing movement that returned the tendon to its baseline resting position in 41.5% of cases. Conclusions We believe a sufficiently experienced US specialist can confirm a clinical diagnosis of AC by carrying out a comparative study of APs, evaluating the thickness of the CHL and SGHL, and detecting reduced sliding of the infraspinatus tendon.
引用
收藏
页码:481 / 495
页数:15
相关论文
共 36 条
[1]  
[Anonymous], 1934, SHOULDER RUPTURE SUP
[2]   FROZEN SHOULDER - A LONG-TERM PROSPECTIVE-STUDY [J].
BINDER, AI ;
BULGEN, DY ;
HAZLEMAN, BL ;
ROBERTS, S .
ANNALS OF THE RHEUMATIC DISEASES, 1984, 43 (03) :361-364
[3]   Entrapment of the long head of the biceps tendon: The hourglass biceps - A cause of pain and locking of the shoulder [J].
Boileau, P ;
Ahrens, PM ;
Hatzidakis, AM .
JOURNAL OF SHOULDER AND ELBOW SURGERY, 2004, 13 (03) :249-257
[4]  
Carrillon Y, 1999, REV RHUM, V66, P201
[5]  
Cicchetti DV., 1994, PSYCHOL ASSESSMENTS, V6, P284, DOI [10.1037/1040-3590.6.4.284, DOI 10.1037/1040-3590.6.4.284]
[6]   EULAR recommendations for the reporting of ultrasound studies in rheumatic and musculoskeletal diseases (RMDs) [J].
Costantino, Felicie ;
Carmona, Loreto ;
Boers, Maarten ;
Backhaus, Marina ;
Balint, Peter, V ;
Bruyn, George A. ;
Christensen, Robin ;
Conaghan, Philip G. ;
Ferreira, Ricardo J. O. ;
Garrido-Castro, Juan Luis ;
Guillemin, Francis ;
Hammer, Hilde Berner ;
van der Heijde, Desiree ;
Iagnocco, Annamaria ;
Kortekaas, Marion C. ;
Landewe, Robert B. M. ;
Mandl, Peter ;
Naredo, Esperanza ;
Schmidt, Wolfgang A. ;
Terslev, Lene ;
Terwee, Caroline B. ;
Thiele, Ralf ;
D'Agostino, Maria-Antonietta .
ANNALS OF THE RHEUMATIC DISEASES, 2021, 80 (07) :840-847
[7]   Comparison Between NSAID and Intra-articular Corticosteroid Injection in Frozen Shoulder of Diabetic Patients; a Randomized Clinical Trial [J].
Dehghan, A. ;
Pishgooei, N. ;
Salami, M. -A. ;
Zarch, S. M. M. ;
Nafisi-moghadam, R. ;
Rahimpour, S. ;
Soleimani, H. ;
Owlia, M. B. .
EXPERIMENTAL AND CLINICAL ENDOCRINOLOGY & DIABETES, 2013, 121 (02) :75-79
[8]  
Duplay E., 1872, Arch. Gen. Med, V20, P31
[9]   ADHESIVE CAPSULITIS OF THE SHOULDER - MR DIAGNOSIS [J].
EMIG, EW ;
SCHWEITZER, ME ;
KARASICK, D ;
LUBOWITZ, J .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1995, 164 (06) :1457-1459
[10]   Adhesive capsulitis: review of imaging findings, pathophysiology, clinical presentation, and treatment options [J].
Fields, Brandon K. K. ;
Skalski, Matthew R. ;
Patel, Dakshesh B. ;
White, Eric A. ;
Tomasian, Anderanik ;
Gross, Jordan S. ;
Matcuk, George R., Jr. .
SKELETAL RADIOLOGY, 2019, 48 (08) :1171-1184