Magnetic Resonance Imaging of Adhesive Capsulitis: Correlation with Clinical Staging

Frank A. Cordasco, MD, MS
Frank A. Cordasco, MD, MS
Attending Orthopedic Surgeon, Hospital for Special Surgery
Professor of Orthopedic Surgery, Weill Cornell Medical College
Jo A. Hannafin, MD, PhD
Jo A. Hannafin, MD, PhD
Attending Orthopedic Surgeon, Hospital for Special Surgery
Senior Clinician Scientist, Research Division, Hospital for Special Surgery
Hollis G. Potter, MD
Hollis G. Potter, MD
Chairman, Division of Magnetic Resonance Imaging
Attending Radiologist, Hospital for Special Surgery
Carolyn M. Sofka, MD
Carolyn M. Sofka, MD
Attending Radiologist, Hospital for Special Surgery
Associate Professor of Radiology, Weill Cornell Medical College

Gina A. Ciavarra, MD
Department of Radiology and Imaging

Abstract
The purpose of this study was to evaluate non-contrast magnetic resonance imaging (MRI) findings of adhesive capsulitis and correlate them with clinical stages of adhesive capsulitis. This will hopefully define a role for shoulder MR imaging in the diagnosis of adhesive capsulitis as well as in potentially directing appropriate treatment. Forty-seven consecutive non-contrast magnetic resonance imaging examinations of 46 patients with a clinical diagnosis of adhesive capsulitis were retrospectively reviewed and correlated with clinical staging. Specific MRI criteria correlated with the clinical stage of adhesive capsulitis, including the thickness and signal intensity of the joint capsule and synovium as well as the presence and severity of scarring in the rotator interval. Routine MRI of the shoulder without intraarticular administration of gadolinium can be used to diagnose all stages of adhesive capsulitis, including stage 1, where findings may be subtle on clinical examination. We believe that future studies assessing the role of MRI in guiding the initiation of appropriate treatment should be undertaken.

This Article appears in HSS Journal: Volume 4, Number 2.
View the full article at springerlink.com.

About the HSS Journal
HSS Journal, an academic peer-reviewed journal, is published twice a year, February and September, and features articles by internal faculty and HSS alumni that present current research and clinical work in the field of musculoskeletal medicine performed at HSS, including research articles, surgical procedures, and case reports.

 

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