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Adhesive Capsulitis, Shoulder
Michael J. Tuite, MD; Soterios Gyftopoulos, MD, MSc; Kirkland W. Davis, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Abbreviations

              • Adhesive capsulitis (AdC)
            • Synonyms

              • Frozen shoulder, scapulohumeral periarthritis
            • Definitions

              • ↓ ROM from tight, fibrotic capsule and inflammation

            IMAGING

            • General Features

              • Radiographic Findings

                • CT Findings

                  • MR Findings

                    • Ultrasonographic Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Staging, Grading, & Classification

                              • Gross Pathologic & Surgical Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Consider

                                          • Image Interpretation Pearls

                                            • Reporting Tips

                                              Selected References

                                              1. Fields BKK et al: Adhesive capsulitis: review of imaging findings, pathophysiology, clinical presentation, and treatment options. Skeletal Radiol. 48(8):1171-84, 2019
                                              2. Kim SJ et al: Contrast dispersion pattern and efficacy of corticosteroid at the glenohumeral joint in adhesive capsulitis. Pain Physician. 18(5):E787-94, 2015
                                              3. Wu CH et al: Elasticity of the coracohumeral ligament in patients with adhesive capsulitis of the shoulder. Radiology. 150888, 2015
                                              4. Yoong P et al: Targeted ultrasound-guided hydrodilatation via the rotator interval for adhesive capsulitis. Skeletal Radiol. 44(5):703-8, 2015
                                              5. Carbone S et al: MRI of adhesive capsulitis of the shoulder: distension of the bursa in the superior subscapularis recess is a suggestive sign of the pathology. Eur J Radiol. 83(2):345-8, 2014
                                              6. Tamai K et al: Primary frozen shoulder: brief review of pathology and imaging abnormalities. J Orthop Sci. 19(1):1-5, 2014
                                              7. Harris G et al: Adhesive capsulitis: review of imaging and treatment. J Med Imaging Radiat Oncol. 57(6):633-43, 2013
                                              8. Gondim Teixeira PA et al: Adhesive capsulitis of the shoulder: value of inferior glenohumeral ligament signal changes on T2-weighted fat-saturated images. AJR Am J Roentgenol. 198(6):W589-96, 2012
                                              9. Kim KC et al: Adhesive capsulitis of the shoulder: dimensions of the rotator interval measured with magnetic resonance arthrography. J Shoulder Elbow Surg. 18(3):437-42, 2009
                                              10. Shaikh A et al: Adhesive capsulitis demonstrated on magnetic resonance imaging. Orthopedics. 32(1):2, 2009
                                              11. Sofka CM et al: Magnetic resonance imaging of adhesive capsulitis: correlation with clinical staging. HSS J. 4(2):164-9, 2008
                                              12. Lee JC et al: MRI of the rotator interval of the shoulder. Clin Radiol. 62(5):416-23, 2007
                                              13. Jung JY et al: Adhesive capsulitis of the shoulder: evaluation with MR arthrography. Eur Radiol. 16(4):791-6, 2006
                                              14. Hall FM: Frozen shoulder. Radiology. 235(2):713-4; author reply 714, 2005
                                              15. Lefevre-Colau MM et al: Magnetic resonance imaging of shoulders with idiopathic adhesive capsulitis: reliability of measures. Eur Radiol. 15(12):2415-22, 2005
                                              16. Mengiardi B et al: Frozen shoulder: MR arthrographic findings. Radiology. 233(2):486-92, 2004
                                              17. Lee MH et al: Adhesive capsulitis of the shoulder: diagnosis using magnetic resonance arthrography, with arthroscopic findings as the standard. J Comput Assist Tomogr. 27(6):901-6, 2003
                                              18. Connell D et al: Adhesive capsulitis: role of MR imaging in differential diagnosis. Eur Radiol. 12(8):2100-6, 2002
                                              Related Anatomy
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                                              Related Differential Diagnoses
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                                              References
                                              Tables

                                              Tables

                                              KEY FACTS

                                              • Terminology

                                                • Imaging

                                                  • Top Differential Diagnoses

                                                    • Pathology

                                                      • Clinical Issues

                                                        TERMINOLOGY

                                                        • Abbreviations

                                                          • Adhesive capsulitis (AdC)
                                                        • Synonyms

                                                          • Frozen shoulder, scapulohumeral periarthritis
                                                        • Definitions

                                                          • ↓ ROM from tight, fibrotic capsule and inflammation

                                                        IMAGING

                                                        • General Features

                                                          • Radiographic Findings

                                                            • CT Findings

                                                              • MR Findings

                                                                • Ultrasonographic Findings

                                                                  • Imaging Recommendations

                                                                    DIFFERENTIAL DIAGNOSIS

                                                                      PATHOLOGY

                                                                      • General Features

                                                                        • Staging, Grading, & Classification

                                                                          • Gross Pathologic & Surgical Features

                                                                            CLINICAL ISSUES

                                                                            • Presentation

                                                                              • Demographics

                                                                                • Natural History & Prognosis

                                                                                  • Treatment

                                                                                    DIAGNOSTIC CHECKLIST

                                                                                    • Consider

                                                                                      • Image Interpretation Pearls

                                                                                        • Reporting Tips

                                                                                          Selected References

                                                                                          1. Fields BKK et al: Adhesive capsulitis: review of imaging findings, pathophysiology, clinical presentation, and treatment options. Skeletal Radiol. 48(8):1171-84, 2019
                                                                                          2. Kim SJ et al: Contrast dispersion pattern and efficacy of corticosteroid at the glenohumeral joint in adhesive capsulitis. Pain Physician. 18(5):E787-94, 2015
                                                                                          3. Wu CH et al: Elasticity of the coracohumeral ligament in patients with adhesive capsulitis of the shoulder. Radiology. 150888, 2015
                                                                                          4. Yoong P et al: Targeted ultrasound-guided hydrodilatation via the rotator interval for adhesive capsulitis. Skeletal Radiol. 44(5):703-8, 2015
                                                                                          5. Carbone S et al: MRI of adhesive capsulitis of the shoulder: distension of the bursa in the superior subscapularis recess is a suggestive sign of the pathology. Eur J Radiol. 83(2):345-8, 2014
                                                                                          6. Tamai K et al: Primary frozen shoulder: brief review of pathology and imaging abnormalities. J Orthop Sci. 19(1):1-5, 2014
                                                                                          7. Harris G et al: Adhesive capsulitis: review of imaging and treatment. J Med Imaging Radiat Oncol. 57(6):633-43, 2013
                                                                                          8. Gondim Teixeira PA et al: Adhesive capsulitis of the shoulder: value of inferior glenohumeral ligament signal changes on T2-weighted fat-saturated images. AJR Am J Roentgenol. 198(6):W589-96, 2012
                                                                                          9. Kim KC et al: Adhesive capsulitis of the shoulder: dimensions of the rotator interval measured with magnetic resonance arthrography. J Shoulder Elbow Surg. 18(3):437-42, 2009
                                                                                          10. Shaikh A et al: Adhesive capsulitis demonstrated on magnetic resonance imaging. Orthopedics. 32(1):2, 2009
                                                                                          11. Sofka CM et al: Magnetic resonance imaging of adhesive capsulitis: correlation with clinical staging. HSS J. 4(2):164-9, 2008
                                                                                          12. Lee JC et al: MRI of the rotator interval of the shoulder. Clin Radiol. 62(5):416-23, 2007
                                                                                          13. Jung JY et al: Adhesive capsulitis of the shoulder: evaluation with MR arthrography. Eur Radiol. 16(4):791-6, 2006
                                                                                          14. Hall FM: Frozen shoulder. Radiology. 235(2):713-4; author reply 714, 2005
                                                                                          15. Lefevre-Colau MM et al: Magnetic resonance imaging of shoulders with idiopathic adhesive capsulitis: reliability of measures. Eur Radiol. 15(12):2415-22, 2005
                                                                                          16. Mengiardi B et al: Frozen shoulder: MR arthrographic findings. Radiology. 233(2):486-92, 2004
                                                                                          17. Lee MH et al: Adhesive capsulitis of the shoulder: diagnosis using magnetic resonance arthrography, with arthroscopic findings as the standard. J Comput Assist Tomogr. 27(6):901-6, 2003
                                                                                          18. Connell D et al: Adhesive capsulitis: role of MR imaging in differential diagnosis. Eur Radiol. 12(8):2100-6, 2002