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European Radiology

Erschienen in:

01.11.2012 | Musculoskeletal

Limited subacromial gliding of the supraspinatus tendon during dynamic ultrasonography can predict a decrease in capacity and MR arthrographic features of the shoulder joint

Erschienen in: European Radiology | Ausgabe 11/2012

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Abstract

Objectives

The aim of this prospective study was to compare the painful subacromial gliding limitation of the supraspinatus tendon (SGLS) during dynamic ultrasonography, the features of magnetic resonance arthrography (MRA), and the maximum intra-articular injection volume to predict decreased joint capacity of the shoulder joint.

Methods

Between January 2003 and August 2011, 67 patients prospectively underwent ultrasonography including dynamic examination and MRA. Ultrasonography and ultrasonography-guided injection of contrast medium was performed before MRA, and each SGLSdU was compared with injected contrast volume, which was assumed as the maximum joint capacity and MRA features.

Results

Forty-seven patients (70.1%) were revealed as SGLS-positive, and 20 patients (29.9%) were revealed as SGLS-negative by dynamic ultrasonography. Pearson’s correlation coefficient between SGLS and the injection volume was -0.764 (P < 0.001). The value between SGLS and MRA features was 0.711 (P < 0.001). The mean injected volume of the SGLS-positive (22.0 ml) and negative group (10.7 ml) was significantly different (P < 0.001).

Conclusions

SGLS at ultrasonography correlated well with MRA features and the maximum intra-articular injection volume. This sign could predict the decreased capacity of the shoulder joint, an important feature of adhesive capsulitis, and increase the usefulness of dynamic ultrasonography.

Key Points

• Dynamic ultrasound is increasingly used in the evaluation of the shoulder.

• This can assess subacromial gliding limitation of the supraspinatus tendon (SGLS)

• SGLS appeared inversely proportional to the maximum volume of intra-articular injection.

• Dynamic ultrasonography findings correlated well with MR arthrographic features of adhesive capsulitis.

Revel M, Ghanem N (1999) Adhesive capsulitis of the shoulder. Rev Prat 49(13 Suppl):1406–1408PubMed

Neviaser RJ, Neviaser TJ (1987) The frozen shoulder. Diagnosis and management. Clin Orthop Relat Res 223:59–64PubMed

Hulstyn MJ, Weiss AP (1993) Adhesive capsulitis of the shoulder. Orthop Rev 22:425–433PubMed

Binder AI, Bulgen DY, Hazleman BL, Tudor J, Wraight P (1984) Frozen shoulder: an arthrographic and radionuclear scan assessment. Ann Rheum Dis 43:365–369PubMedCrossRef

Carrillon Y, Noel E, Fantino O, Perrin-Fayolle O, Tran-Minh VA (1999) Magnetic resonance imaging findings in idiopathic adhesive capsulitis of the shoulder. Rev Rhum Engl Ed 66:201–206PubMed

Emig EW, Schweitzer ME, Karasick D, Lubowitz J (1995) Adhesive capsulitis of the shoulder: MR diagnosis. AJR Am J Roentgenol 164:1457–1459PubMed

Homsi C, Bordalo-Rodrigues M, da Silva JJ, Stump XM (2006) Ultrasound in adhesive capsulitis of the shoulder: is assessment of the coracohumeral ligament a valuable diagnostic tool? Skeletal Radiol 35:673–678PubMedCrossRef

Manton GL, Schweitzer ME, Weishaupt D, Karasick D (2001) Utility of MR arthrography in the diagnosis of adhesive capsulitis. Skeletal Radiol 30:326–330PubMedCrossRef

Mengiardi B, Pfirrmann CW, Gerber C, Hodler J, Zanetti M (2004) Frozen shoulder: MR arthrographic findings. Radiology 233:486–492PubMedCrossRef

10.

Neviaser TJ (1980) Arthrography of the shoulder. Orthop Clin North Am 11:205–217PubMed

11.

Connell D, Padmanabhan R, Buchbinder R (2002) Adhesive capsulitis: role of MR imaging in differential diagnosis. Eur Radiol 12:2100–2106PubMed

12.

Jung JY, Jee WH, Chun HJ, Kim YS, Chung YG, Kim JM (2006) Adhesive capsulitis of the shoulder: evaluation with MR arthrography. Eur Radiol 16:791–796PubMedCrossRef

13.

Lee JC, Sykes C, Saifuddin A, Connell D (2005) Adhesive capsulitis: sonographic changes in the rotator cuff interval with arthroscopic correlation. Skeletal Radiol 34:522–527PubMedCrossRef

14.

Lefevre-Colau MM, Drape JL, Fayad F et al (2005) Magnetic resonance imaging of shoulders with idiopathic adhesive capsulitis: reliability of measures. Eur Radiol 15:2415–2422PubMedCrossRef

15.

Zubler V, Mamisch-Saupe N, Pfirrmann CW, Jost B, Zanetti M (2011) Detection and quantification of glenohumeral joint effusion: reliability of ultrasound. Eur Radiol 21:1858–64PubMedCrossRef

16.

Ryu KN, Lee SW, Rhee YG, Lim JH (1993) Adhesive capsulitis of the shoulder joint: usefulness of dynamic sonography. J Ultrasound Med 12:445–449PubMed

17.

Cools AM, Cambier D, Witvrouw EE (2008) Screening the athlete’s shoulder for impingement symptoms: a clinical reasoning algorithm for early detection of shoulder pathology. Br J Sports Med 42:628–635PubMedCrossRef

18.

Mitchell C, Adebajo A, Hay E, Carr A (2005) Shoulder pain: diagnosis and management in primary care. BMJ 331:1124–1128PubMedCrossRef

19.

Neviaser JS (1962) Arthrography of the shoulder joint: study of the findings in adhesive capsulitis of the shoulder. Study of the findings in adhesive capsulitis of the shoulder. J Bone Joint Surg Am 44-A:1321–1359PubMed

20.

Tamai K, Yamato M (1997) Abnormal synovium in the frozen shoulder: a preliminary report with dynamic magnetic resonance imaging. J Shoulder Elbow Surg 6:534–543PubMedCrossRef

21.

Lee MH, Ahn JM, Muhle C et al (2003) Adhesive capsulitis of the shoulder: diagnosis using magnetic resonance arthrography, with arthroscopic findings as the standard. J Comput Assist Tomogr 27:901–906PubMedCrossRef

Titel: Limited subacromial gliding of the supraspinatus tendon during dynamic ultrasonography can predict a decrease in capacity and MR arthrographic features of the shoulder joint
Publikationsdatum: 01.11.2012
Erschienen in: European Radiology / Ausgabe 11/2012
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-012-2513-3

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Limited subacromial gliding of the supraspinatus tendon during dynamic ultrasonography can predict a decrease in capacity and MR arthrographic features of the shoulder joint

Abstract

Objectives

Methods

Results

Conclusions

Key Points

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Springer Medizin

Abstract

Objectives

Methods

Results

Conclusions

Key Points

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