nach oben

Erschienen in:

26.06.2020 | Musculoskeletal

Usefulness of intravenous contrast-enhanced MRI for diagnosis of adhesive capsulitis

verfasst von: Eric Pessis, Fadila Mihoubi, Antoine Feydy, Raphaël Campagna, Henri Guerini, Alexandra Roren, François Rannou, Jean-Luc Drapé, Marie-Martine Lefèvre-Colau

Erschienen in: European Radiology | Ausgabe 11/2020

Einloggen, um Zugang zu erhalten

Abstract

Objectives

We aimed to compare the reliability and performance of MRI measures enhanced with intravenous (IV) injection of gadolinium contrast versus non-enhanced MRI measures for the diagnosis of adhesive capsulitis (AC). We also aimed to examine the association between MRI findings and clinical features in patients with AC.

Methods

MRI of 42 patients with a clinical diagnosis of AC confirmed by arthrography and that of 42 patients in a control group were retrospectively studied by 2 blinded readers. Reliability and performance of MRI findings were compared between IV contrast-enhanced measures and non-enhanced MRI measures in T2-weighted fat-saturated and T1-weighted images. MRI findings were correlated with clinical stage, etiology, and pain.

Results

Sensitivity (97.6%) and specificity (97.6%) of axillary-recess capsule signal enhancement for AC diagnosis were significantly superior (p = 0.02) to hyperintense signals on T2-weighted fat-suppressed images (sensitivity 90.5%, specificity 92.7%). Measures of the intensity signal in the area of the rotator interval were less performant for AC diagnosis but could be improved with joint capsule enhancement. Moreover, we found very high specificity (100%) of enhancement of the coracohumeral ligament signal for AC diagnosis. The early stage of adhesive capsulitis was positively correlated with joint capsule enhancement in the rotator interval. Secondary etiology of capsulitis was correlated with joint capsule hyperintensity signals of the rotator interval on T2-weighted fat-suppressed images.

Conclusion

IV contrast injection with MRI can be helpful for AC diagnosis in difficult cases. The stage of AC seems related to joint capsule enhancement in the rotator interval.

Key Points

• IV gadolinium-enhanced MRI can improve the analysis of signal changes in the shoulder synovium and capsule of the shoulder that are related to adhesive capsulitis.

• As an original finding, we observed that coracohumeral ligament enhancement had a 100% specificity for the diagnosis of adhesive capsulitis.

• The intensity of enhanced signals in the rotator interval seems to be related to the early stage of frozen shoulder.

Nur mit Berechtigung zugänglich

Zappia M, Di Pietto F, Aliprandi A et al (2016) Multi-modal imaging of adhesive capsulitis of the shoulder. Insights Imaging 7:365–371CrossRef

Shaffer B, Tibone JE, Kerlan RK (1992) Frozen shoulder. A long-term follow-up. J Bone Joint Surg Am 74:738–746CrossRef

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

Vastamaki H, Kettunen J, Vastamaki M (2012) The natural history of idiopathic frozen shoulder: a 2- to 27-year followup study. Clin Orthop Relat Res 470:1133–1143CrossRef

Hall FM (2005) Frozen shoulder. Radiology 235:713–714 author reply 714CrossRef

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:1321–1359CrossRef

Reeves B (1966) Arthrographic changes in frozen and post-traumatic stiff shoulders. Proc R Soc Med 59:827–830PubMedPubMedCentral

Wybier M, Parlier-Cuau C, Baque MC, Champsaur P, Haddad A, Laredo JD (1997) Distension arthrography in frozen shoulder syndrome. Semin Musculoskelet Radiol 1:251–256CrossRef

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

10.

Zuckerman JD, Rokito A (2011) Frozen shoulder: a consensus definition. J Shoulder Elbow Surg 20:322–325CrossRef

11.

Janda DH, Hawkins RJ (1993) Shoulder manipulation in patients with adhesive capsulitis and diabetes mellitus: a clinical note. J Shoulder Elbow Surg 2:36–38CrossRef

12.

Ogilvie-Harris DJ, Biggs DJ, Fitsialos DP, MacKay M (1995) The resistant frozen shoulder. Manipulation versus arthroscopic release. Clin Orthop Relat Res:238–248

13.

Pollock RG, Duralde XA, Flatow EL, Bigliani LU (1994) The use of arthroscopy in the treatment of resistant frozen shoulder. Clin Orthop Relat Res:30–36

14.

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

15.

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

16.

Sofka CM, Ciavarra GA, Hannafin JA, Cordasco FA, Potter HG (2008) Magnetic resonance imaging of adhesive capsulitis: correlation with clinical staging. HSS J 4:164–169CrossRef

17.

Walmsley S, Osmotherly PG, Rivett DA (2014) Clinical identifiers for early-stage primary/idiopathic adhesive capsulitis: are we seeing the real picture? Phys Ther 94:968–976CrossRef

18.

Ahn KS, Kang CH, Oh YW, Jeong WK (2012) Correlation between magnetic resonance imaging and clinical impairment in patients with adhesive capsulitis. Skeletal Radiol 41:1301–1308CrossRef

19.

Gokalp G, Algin O, Yildirim N, Yazici Z (2011) Adhesive capsulitis: contrast-enhanced shoulder MRI findings. J Med Imaging Radiat Oncol 55:119–125CrossRef

20.

Yoon JP, Chung SW, Lee BJ et al (2017) Correlations of magnetic resonance imaging findings with clinical symptom severity and prognosis of frozen shoulder. Knee Surg Sports Traumatol Arthrosc 25:3242–3250CrossRef

21.

Buchbinder R, Green S, Forbes A, Hall S, Lawler G (2004) Arthrographic joint distension with saline and steroid improves function and reduces pain in patients with painful stiff shoulder: results of a randomised, double blind, placebo controlled trial. Ann Rheum Dis 63:302–309CrossRef

22.

Buchbinder R, Green S, Youd JM, Johnston RV, Cumpston M (2008) Arthrographic distension for adhesive capsulitis (frozen shoulder). Cochrane Database Syst Rev. https://doi.org/10.1002/14651858.CD007005:CD007005

23.

Buchbinder R, Youd JM, Green S et al (2007) Efficacy and cost-effectiveness of physiotherapy following glenohumeral joint distension for adhesive capsulitis: a randomized trial. Arthritis Rheum 57:1027–1037CrossRef

24.

Carette S, Moffet H, Tardif J et al (2003) Intraarticular corticosteroids, supervised physiotherapy, or a combination of the two in the treatment of adhesive capsulitis of the shoulder: a placebo-controlled trial. Arthritis Rheum 48:829–838CrossRef

25.

Gondim Teixeira PA, Balaj C, Chanson A, Lecocq S, Louis M, Blum A (2012) Adhesive capsulitis of the shoulder: value of inferior glenohumeral ligament signal changes on T2-weighted fat-saturated images. AJR Am J Roentgenol 198:W589–W596CrossRef

26.

Page MJ, Green S, Kramer S et al (2014) Manual therapy and exercise for adhesive capsulitis (frozen shoulder). Cochrane Database Syst Rev. https://doi.org/10.1002/14651858.CD011275:CD011275

27.

Ranalletta M, Rossi LA, Bongiovanni SL, Tanoira I, Elizondo CM, Maignon GD (2016) Corticosteroid injections accelerate pain relief and recovery of function compared with oral NSAIDs in patients with adhesive capsulitis: a randomized controlled trial. Am J Sports Med 44:474–481CrossRef

28.

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

29.

Neviaser JS (1962) Adhesive capsulitis of the shoulder (the frozen shoulder). Med Times 90:783–807PubMed

30.

Uppal HS, Evans JP, Smith C (2015) Frozen shoulder: a systematic review of therapeutic options. World J Orthop 6:263–268CrossRef

31.

Kelley MJ, Shaffer MA, Kuhn JE et al (2013) Shoulder pain and mobility deficits: adhesive capsulitis. J Orthop Sports Phys Ther 43:A1–A31

32.

Guyver PM, Bruce DJ, Rees JL (2014) Frozen shoulder - a stiff problem that requires a flexible approach. Maturitas 78:11–16CrossRef

33.

Rizk TE, Christopher RP, Pinals RS, Higgins AC, Frix R (1983) Adhesive capsulitis (frozen shoulder): a new approach to its management. Arch Phys Med Rehabil 64:29–33PubMed

34.

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

35.

Cicchetti DV (1994) Multiple comparison methods: establishing guidelines for their valid application in neuropsychological research. J Clin Exp Neuropsychol 16:155–161CrossRef

36.

Landis JR, Koch GG (1977) The measurement of observer agreement for categorical data. Biometrics 33:159–174CrossRef

37.

DeLong ER, DeLong DM, Clarke-Pearson DL (1988) Comparing the areas under two or more correlated receiver operating characteristic curves: a nonparametric approach. Biometrics 44:837–845CrossRef

38.

Suh CH, Yun SJ, Jin W et al (2019) Systematic review and meta-analysis of magnetic resonance imaging features for diagnosis of adhesive capsulitis of the shoulder. Eur Radiol 29:566–577CrossRef

39.

Park S, Lee DH, Yoon SH, Lee HY, Kwack KS (2016) Evaluation of adhesive capsulitis of the shoulder with fat-suppressed T2-weighted MRI: association between clinical features and MRI findings. AJR Am J Roentgenol 207:135–141CrossRef

40.

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

41.

Okuno Y, Oguro S, Iwamoto W, Miyamoto T, Ikegami H, Matsumura N (2014) Short-term results of transcatheter arterial embolization for abnormal neovessels in patients with adhesive capsulitis: a pilot study. J Shoulder Elbow Surg 23:e199–e206CrossRef

42.

Yang HF, Tang KL, Chen W et al (2009) An anatomic and histologic study of the coracohumeral ligament. J Shoulder Elbow Surg 18:305–310CrossRef

43.

Zhao W, Zheng X, Liu Y et al (2012) An MRI study of symptomatic adhesive capsulitis. PLoS One 7:e47277CrossRef

Titel: Usefulness of intravenous contrast-enhanced MRI for diagnosis of adhesive capsulitis
verfasst von: Eric Pessis
Fadila Mihoubi
Antoine Feydy
Raphaël Campagna
Henri Guerini
Alexandra Roren
François Rannou
Jean-Luc Drapé
Marie-Martine Lefèvre-Colau
Publikationsdatum: 26.06.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: European Radiology / Ausgabe 11/2020
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-020-07003-4

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Usefulness of intravenous contrast-enhanced MRI for diagnosis of adhesive capsulitis