Arthrographic Findings of Frozen Shoulder and Therapeutic Effect of Distension Arthrography.
- Author:
Eun Seok CHOI
1
;
Joon Sung KIM
;
Yeon Soo LEE
;
Byoung Soon SHIN
;
Young Jin KO
;
Se Hun PARK
Author Information
1. Department of Rehabilitation Medicine, 1Department of Radiology, College of Medicine, The Catholic University of Korea.
- Publication Type:Original Article
- Keywords:
Frozen shoulder;
Adhesive capsulitis;
Distension arthrography;
Infiltration brisement
- MeSH:
Arthrography*;
Bursitis*;
Humans;
Injections, Intra-Articular;
Joints;
Lidocaine;
Prednisolone;
Rupture;
Shoulder;
Tendons
- From:Journal of the Korean Academy of Rehabilitation Medicine
2001;25(2):278-283
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To define arthrographic findings in patients with frozen shoulder and to evaluate the therapeutic effect of arthrographic capsular distension and rupture. METHOD: Thirty patients who were clinically diagnosed as frozen shoulder were enrolled. During a trial of intra-articular injection of 35 mL of fluid which contained 8 mL of 1% lidocaine, 2 mL of prednisolone (80 mg) and 25 mL of radiocontrast material, arthrographic findings and the occurrence of iatrogenic capsular tear were observed. Passive range of shoulder motion (percent of normal, %) at flexion, abduction, internal rotation, and external rotation was measured at pre- and 1 week post-injection. The therapeutic effect of the procedure was statistically analyzed by paired Student's t-test. RESULTS: Mean age of the subjects was 57-years-old (range: 40~76 years) and mean duration of the symptom was 6 months (2~42 months). A decreased joint volume of less than 10 mL (100%), poor or absent filling of the axillary recess or subscapular bursa (75.9%), nonfill of the biceps tendon sheath (37.9%), and irregularity of capsular insertion (31.0%) were typical abnormal arthrographic findings. In one week after arthrographic distension and rupture, the passive range of shoulder motion was significantly (p<0.05) increased at flexion, abduction and external rotation, of which the range of external rotation was the most remarkably increased (mean, 23.9%). CONCLUSION: Distension arthrography was useful for increasing shoulder motion in frozen shoulder, especially at flexion, abduction and external rotation.
