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Capsular Laxity and Adhesive Capsulitis
Julia R. Crim, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Abbreviations

              • AMBRI: Mnemonic for multidirectional instability due to capsular laxity
                • Atraumatic; multidirectional instability; bilateral; rehabilitation is usual therapy; inferior capsular shift for surgical treatment
              • TUBS: Mnemonic for unidirectional instability
                • Traumatic; unilateral; Bankart lesion; surgery indicated
            • Synonyms

              • Frozen shoulder: Alternate term for adhesive capsulitis

            IMAGING

            • General Features

              • Imaging Recommendations

                • MR Findings

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      CLINICAL ISSUES

                      • Presentation

                        • Treatment

                          DIAGNOSTIC CHECKLIST

                          • Consider

                            Selected References

                            1. Chi AS et al: Non-contrast MRI diagnosis of adhesive capsulitis of the shoulder. Clin Imaging. 44:46-50, 2017
                            2. Milena C et al: CT arthrography of adhesive capsulitis of the shoulder: Are MR signs applicable? Eur J Radiol Open. 4:40-44, 2017
                            3. Lee HJ et al: Multidirectional instability of the shoulder: rotator interval dimension and capsular laxity evaluation using MR arthrography. Skeletal Radiol. 42(2):231-8, 2013
                            4. Song KD et al: Indirect MR arthrographic findings of adhesive capsulitis. AJR Am J Roentgenol. 197(6):W1105-9, 2011
                            5. Neviaser AS et al: Adhesive capsulitis: a review of current treatment. Am J Sports Med. 38(11):2346-56, 2010
                            6. Dewing CB et al: An analysis of capsular area in patients with anterior, posterior, and multidirectional shoulder instability. Am J Sports Med. 36(3):515-22, 2008
                            7. Jung JY et al: Adhesive capsulitis of the shoulder: evaluation with MR arthrography. Eur Radiol. 16(4):791-6, 2006
                            8. Mengiardi B et al: Frozen shoulder: MR arthrographic findings. Radiology. 233(2):486-92, 2004
                            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

                                        • AMBRI: Mnemonic for multidirectional instability due to capsular laxity
                                          • Atraumatic; multidirectional instability; bilateral; rehabilitation is usual therapy; inferior capsular shift for surgical treatment
                                        • TUBS: Mnemonic for unidirectional instability
                                          • Traumatic; unilateral; Bankart lesion; surgery indicated
                                      • Synonyms

                                        • Frozen shoulder: Alternate term for adhesive capsulitis

                                      IMAGING

                                      • General Features

                                        • Imaging Recommendations

                                          • MR Findings

                                            DIFFERENTIAL DIAGNOSIS

                                              PATHOLOGY

                                              • General Features

                                                CLINICAL ISSUES

                                                • Presentation

                                                  • Treatment

                                                    DIAGNOSTIC CHECKLIST

                                                    • Consider

                                                      Selected References

                                                      1. Chi AS et al: Non-contrast MRI diagnosis of adhesive capsulitis of the shoulder. Clin Imaging. 44:46-50, 2017
                                                      2. Milena C et al: CT arthrography of adhesive capsulitis of the shoulder: Are MR signs applicable? Eur J Radiol Open. 4:40-44, 2017
                                                      3. Lee HJ et al: Multidirectional instability of the shoulder: rotator interval dimension and capsular laxity evaluation using MR arthrography. Skeletal Radiol. 42(2):231-8, 2013
                                                      4. Song KD et al: Indirect MR arthrographic findings of adhesive capsulitis. AJR Am J Roentgenol. 197(6):W1105-9, 2011
                                                      5. Neviaser AS et al: Adhesive capsulitis: a review of current treatment. Am J Sports Med. 38(11):2346-56, 2010
                                                      6. Dewing CB et al: An analysis of capsular area in patients with anterior, posterior, and multidirectional shoulder instability. Am J Sports Med. 36(3):515-22, 2008
                                                      7. Jung JY et al: Adhesive capsulitis of the shoulder: evaluation with MR arthrography. Eur Radiol. 16(4):791-6, 2006
                                                      8. Mengiardi B et al: Frozen shoulder: MR arthrographic findings. Radiology. 233(2):486-92, 2004