[Capsular retraction of shoulder: prospective study of imaging benefits in 20 patients].
OBJECTIVE
To evaluate the contribution of principal imaging techniques in diagnosis and treatment in adhesive capsulitis of the shoulder.


METHODS
In 20 patients presenting adhesive capsulitis of shoulder since mean of 6,7 months, the following examinations were performed: radiographies, angioscintigraphy, MRI as well as an opaque arthrography and a bursography associated with corticosteroid injection. Patients were followed during one year.


RESULTS
The opaque arthrography was to affirm the adhesive capsulitis for the inclusion of the patients. Radiographies (patchy demineralization) and scintigraphy (hyperfixation) were often pathological. In MRI, T1 fat-saturated sequences after contrast injection almost always showed enhancement of the articular capsula, the synovia, the miscellaneous bone or the sub-acromial bursa. The latter was often modified and retracted at bursography. In 19 of 20 cases, a functional improvement was observed after the opacifications.


CONCLUSIONS
Therapeutic effect of both arthrography and bursography is almost proved. Post contrast MRI confirms presence of vascular troubles in all the shoulder structures even at this advanced stage.
Galy-Fourcade
D
D
Service de Radiologie Centrale, CHU Purpan, Toulouse.
Andrieu
V
V
Sans
N
N
Dromer
C
C
Fournié
B
B
Railhac
J J
JJ
D000328:Adult; D000368:Aged; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage / Q000627:therapeutic use; D001175:Arthrography; D002062:Bursitis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy; D003287:Contrast Media; D003952:Diagnostic Imaging; D005260:Female; D005500:Follow-Up Studies; D005938:Glucocorticoids / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D017746:Joint Capsule / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010248:Paramethasone / Q000008:administration & dosage / Q000627:therapeutic use; D011446:Prospective Studies; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D012785:Shoulder Joint / Q000187:drug effects / Q000473:pathology*; D013583:Synovial Membrane / Q000473:pathology
D000893:Anti-Inflammatory Agents; D003287:Contrast Media; D005938:Glucocorticoids; D019275:Radiopharmaceuticals; D010248:Paramethasone