Magnetic resonance imaging of adhesive capsulitis: correlation with clinical staging.
Magnetic resonance imaging of adhesive capsulitis: correlation with clinical staging.
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DOI：
10.1007/s11420-008-9088-1
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发表时间：
2008-09-01
期刊：
影响因子：
--
通讯作者：
Potter, Hollis G
中科院分区：
文献类型：
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作者：
Sofka, Carolyn M;Ciavarra, Gina A;Potter, Hollis G
本研究的目的是评价非对比磁共振成像（MRI）的结果，粘连性关节囊炎，并将其与临床分期的粘连性关节囊炎。这将有希望确定一个角色，肩关节磁共振成像在诊断粘连性关节囊炎，以及在潜在的指导适当的治疗。回顾性分析46例临床诊断为粘连性关节囊炎的患者的47次连续非增强磁共振成像检查，并与临床分期进行相关性分析。与粘连性关节囊炎临床分期相关的特定MRI标准包括关节囊和滑膜的厚度和信号强度以及肩袖间隙瘢痕的存在和严重程度。常规MRI肩关节没有钆的关节内管理，可用于诊断所有阶段的粘连性关节囊炎，包括阶段1，其中发现可能是微妙的临床检查。我们认为，未来的研究评估的作用，磁共振成像在指导开始适当的治疗应进行。
The purpose of this study was to evaluate non-contrast magnetic resonance imaging (MRI) findings of adhesive capsulitis and correlate them with clinical stages of adhesive capsulitis. This will hopefully define a role for shoulder MR imaging in the diagnosis of adhesive capsulitis as well as in potentially directing appropriate treatment. Forty-seven consecutive non-contrast magnetic resonance imaging examinations of 46 patients with a clinical diagnosis of adhesive capsulitis were retrospectively reviewed and correlated with clinical staging. Specific MRI criteria correlated with the clinical stage of adhesive capsulitis, including the thickness and signal intensity of the joint capsule and synovium as well as the presence and severity of scarring in the rotator interval. Routine MRI of the shoulder without intraarticular administration of gadolinium can be used to diagnose all stages of adhesive capsulitis, including stage 1, where findings may be subtle on clinical examination. We believe that future studies assessing the role of MRI in guiding the initiation of appropriate treatment should be undertaken.