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Age / Sex : 51 / F
Age / Sex : 51 / F
Chief complaint : Right shoulder
pain, restricted active and passive motion of shoulder
1) What is your impression?
Two weeks later, you can see the final diagnosis with a brief discussion of
this case.
* Send Application Answers to In Sook Lee, MD (lis@pusan.ac.kr)
Courtesy : Hye Jung Choo, Inje University Pusan Paik Hospital
Diagnosis: Adhesive capsulitis (=Frozen shoulder)
Discussion
Findings: The
rotator interval is replaced by the low signal intense lesion on sagittal
T2-weighted image and intermediate signal intense lesion on sagittal fat-suppressed
T1-weighted image. Coronal T2-weighted image shows thickening of the joint
capsule of axillary pouch.
Differential Diagnosis: none
Diagnosis:
Adhesive capsulitis (=Frozen shoulder)
Discussion: Adhesive capsulitis
- An inflammatory condition
resulting in pain and restricted active and passive motion of the
glenohumeral joint
- Idiopathic, preceded by trauma, or
associated with diabetes mellitus
- 40~70 years old, predominantly female
- MR Findings
①
Signal
changes in the rotator interval
②
Thickening
of joint capsule of the axillary pouch
③
Signal
changes or enhancement of the joint capsule
- Treatment
: Physical therapy, intraarticular corticosteroid injection, closed
mobilization with anesthesia, and capsulotomy
References:
1. Mengiardi B, Pfirrmann CW, Gerber C, Hodler
J, Zanetti M. Frozen shoulder: MR arthrographic findings. Radiology 2004;233:486-92.
2. Polster JM, Schickendantz MS. Shoulder MRI:
what do we miss? AJR Am J Roentgenol 2010:195:577-84.
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