Adhesive capsulitis: MRI correlation with clinical stages and proposal of MRI staging

Amarnath Chellathurai; Komalavalli Subbiah; Atchaya Elangovan; Sivakumar Kannappan

doi:10.4103/ijri.IJRI_116_18

Indian Journal of Radiology and Imaging, Table of Contents

CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2019; 29(01): 19-24
DOI: 10.4103/ijri.IJRI_116_18

Musculoskeletal Imaging

Adhesive capsulitis: MRI correlation with clinical stages and proposal of MRI staging

Authors

Amarnath Chellathurai

Department of Radio Diagnosis, Govt Stanley Medical College, Affiliated to The Tamilnadu Dr. MGR Medical University, No 69, Anna Salai, Guindy, Chennai, India
Komalavalli Subbiah

Department of Radio Diagnosis, Govt Stanley Medical College, Affiliated to The Tamilnadu Dr. MGR Medical University, No 69, Anna Salai, Guindy, Chennai, India
Atchaya Elangovan

Department of Radio Diagnosis, Govt Stanley Medical College, Affiliated to The Tamilnadu Dr. MGR Medical University, No 69, Anna Salai, Guindy, Chennai, India
Sivakumar Kannappan

Department of Radio Diagnosis, Govt Stanley Medical College, Affiliated to The Tamilnadu Dr. MGR Medical University, No 69, Anna Salai, Guindy, Chennai, India

Subject Editor:

Abstract

Objective: The purpose of this study was to correlate the magnetic resonance imaging (MRI) findings of adhesive capsulitis with clinical stages and thereby propose a MR staging system. Materials and Methods: This study consisted of 74 patients with clinically diagnosed adhesive capsulitis. The edema of the inferior glenohumeral ligament (IGHL), pericapsular edema, thickness of anterior band of IGHL, axillary pouch, thickness of coracohumeral ligament, and obliteration of fat in the subcoracoid triangle were evaluated by MRI. Results: Thickening of the anterior band of IGHL showed most significant correlation with the clinical stages. The distribution of edema of IGHL and pericapsular edema also showed significant correlation with the clinical stages of adhesive capsulitis. Pericapsular edema and IGHL edema was not observed in stage IV. Conclusion: MR is a useful tool for evaluation and prediction of clinical stage of adhesive capsulitis.

Keywords

Adhesive capsulitis - magnetic resonance imaging - MRI staging - shoulder

Full Text

References

References
1 Codman EA. Tendinitis of the Short Rotators in the Shoulder: Rupture of the Supraspinatus Tendon and other Lesions in or about the Subacromial Bursa. Boston, MA: Thomas Todd and Company; 1934
2 Neviaser J. Adhesive capsulitis of the shoulder: Study of pathologic findings in periarthritis of the shoulder. J Bone Joint Surg 1945; 27: 211-22
3 Ozaki J, Nakagawa Y, Sakurai G, Tamai S. Recalcitrant chronic adhesive capsulitis of the shoulder. Role of contracture of the coracohumeral ligament and rotator interval in pathogenesis and treatment. J Bone Joint Surg Am 1989; 71: 1511-5
4 Dias R, Cutts S, Massoud S. Frozen shoulder. BMJ 2005; 331: 1453-56
5 Hannafin JA, Chiaia TA. Adhesive capsulitis: A treatment approach. Clin Orthop 2000; 372: 95-109
6 Neviaser TJ. Adhesive capsulitis. In: McGinty JB, Caspari RB, Jackson RW, Poehling GG. editors Operative Arthroscopy. 2nd ed. Philadelphia: Lippincott-Raven; 1996
7 Rodeo SA, Hannafin JA, Tom J, Warren RF, Wickiewicz TL. Immunolocalization of cytokines and their receptors inadhesive capsulitis of the shoulder. J Orthop Res 1997; 15: 427-36
8 Grey RG. Brief note. The natural history of “idiopathic” frozen shoulder. J Bone Joint Surg Am 1978; 60-A: 564
9 Griggs SM, Ahn A, Green A. Idiopathic adhesive capsulitis. A prospective functional outcome study of nonoperative treatment. J Bone Joint Surg Am 2000; 82-A: 1398-407
10 Gondim Teixeira PA, Balaj C, Chanson A, Lecocq S, Louis M, Blum A. Adhesive capsulitis of the shoulder: Value of inferior glenohumeral ligamentsignal changes on T2-weighted fat-saturated images. AJR Am J Roentgenol 2012; 198: W589-96
11 Park S, Lee D-H, Yoon S-H, Lee HY, Kwack K-S. Evaluation of adhesive capsulitis of the shoulder with fat-suppressed T2-Weighted MRI: Association between clinical features and MRI findings. AJR Am J Roentgenol 2016; 207: 135-41
12 Sofka CM, Ciavarra GA, Hannafin JA, Cordasco FA, Potter HG. Magnetic resonance imaging of adhesive capsulitis: Correlation with clinical staging. HSS J 2008; 4: 164-9
13 Emig EW, Schweitzer ME, Karasick D, Lubowitz J. Adhesive capsulitis of the shoulder: MRI diagnosis. Am J Roentgenol 1995; 164: 145
14 Ahn KS, Kang CH, Oh YW, Jeong WK. Correlation between magnetic resonance imaging and clinical impairment in patients with adhesive capsulitis. Skeletal Radiol 2012; 41: 1301-08
15 Lee SY, Park J, Song SW. Correlation of MR arthrographic findings and range of shoulder motions in patients with frozen shoulder. AJR Am J Roentgenol 2012; 198: 173-9
16 Li JQ, Tang KL, Wang J, Li QY, Xu HT, Yang HF. et al. MRI findings for frozen shoulder evaluation: Is the thickness of the coracohumeral ligament a valuable diagnostic tool?. PLoS One 2011; 6: e28704
17 Kerimoglu U, Aydingoz U, Atay OA, Ergen FB, Kirkpantur A, Arici M. Magnetic resonance imaging of the rotator interval in patients on long term haemodialysis: Correlation with the range of shoulder motions. J Comput Assist Tomogr 2007; 31: 970-5