Distension Arthrography in Frozen Shoulder Syndrome

Marc Wybier; Caroline Parlier-Cuau; Marie-Christine Baqué; Pierre Champsaur; Albert Haddad; Jean-Denis Laredo

doi:10.1055/s-2008-1080145

Seminars in Musculoskeletal Radiology, Table of Contents

Semin Musculoskelet Radiol 1997; 1(2): 251-255
DOI: 10.1055/s-2008-1080145

Joint Treatments

Distension Arthrography in Frozen Shoulder Syndrome

Marc Wybier¹ , Caroline Parlier-Cuau¹ , Marie-Christine Baqué¹ , Pierre Champsaur² , Albert Haddad³ , Jean-Denis Laredo¹

¹Department of Bone and Joint Radiology, Hôpital Lariboisière, Assistance Publique des Hôpitaux de Paris, Paris, France
²Department of Radiology, Hôpital de la Timone, Marseille, France
³Rheumatologist, 17 rue Théodore de Banville, Paris, France

Abstract

ABSTRACT

Distension arthrography under fluoroscopic control may be useful in frozen shoulder syndrome. The technique consists of an intra-articular injection of 2 to 3 mL of contrast material, 3 mL of 2% lidocaine, 1.5 mL of cortivazol, and distension of the joint capsule with 30 to 40 mL of refrigerated sterile saline solution. This injection is immediately followed by a physiotherapy program. The authors report their experience of distension arthography in 30 shoulders. Results were good to very good in 90% of cases at 40-day follow-up. No recurrence of a frozen shoulder syndrome was observed and no complications were encountered in this series.

KEYWORDS

Shoulder abnormalities - shoulder arthrography - interventional procedures - therapeutic radiology - steroids

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