Magnetic Resonance Arthrographic Findings of the Painful Hemiplegic Shoulder.
- Author:
Jin Young HONG
1
;
Po Sung JUN
;
Young Geun SON
;
Hyun Wook CHOI
;
Ji Heoung LEE
;
Seung Hoon KANG
;
In Taek KIM
Author Information
1. Department of Physical Medicine and Rehabilitation, Dong-Eui Medical Center, Korea. jyred@chol.com
- Publication Type:Original Article
- Keywords:
Hemiplegic shoulder pain;
MR arthrography;
SLAP lesion;
Adhesive capsulitis
- MeSH:
Arthrography;
Bursitis;
Humans;
Magnetic Resonance Spectroscopy;
Magnetics;
Magnets;
Physical Examination;
Prevalence;
Rotator Cuff;
Shoulder;
Shoulder Pain;
Stroke;
Tendinopathy
- From:Journal of the Korean Academy of Rehabilitation Medicine
2008;32(6):657-663
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To identify the etiology of hemiplegic shoulder pain by magnetic resonance (MR) arthrography. METHOD: The study included seventy-four hemiplegic patients with shoulder pain. After several physical examinations, all patients had fluoroscopically guided injection by a physiatrist with a maximum of 12~15 ml of contrast agent. Then T1-weighted, T2-weighted and fat-suppressed T1-weighted images were taken at the oblique coronal plane. In addition, fat-suppressed T1-weighted images were obtained at the oblique sagittal and oblique coronal plane. RESULTS: Except for the 9 patients who did not finish the study, the mean age of the participants was 61.5+/-8.9 years and mean duration of the cerebrovascular accident (CVA) was 15.7+/-9.7 weeks. The findings were as follows: 40% supraspinatus tendinitis, 30.8% superior labrum anterior to posterior (SLAP) lesion, 29.2% adhesive capsulitis, 24.6% supraspinatus partial tear, 23.1% biceps tendinitis, 13.8% supraspinatus full thickness tear, 7.7% infraspinatus partial tear. The SLAP lesion had significant statistic relationship with biceps tendinitis (p<0.05) but not with rotator cuff lesion. CONCLUSION: We found that causes of hemiplegic shoulder pain were various. The prevalence of the SLAP lesion was high (30.8%). We recommend the MR arthrography when the hemiplegic shoulder pain does not improve by conventional therapy or the cause of the pain is uncertain.
