Adhesive capsulitis shoulder

Case contributed by Dr Chris O'Donnell

Presentation

Prolonged restriction of movement and pain in the right shoulder without previous injury. No improvement with physiotherapy.

Patient Data

Age: 30
Gender: Male
MRI

Thickening of the axillary recess of the gleno-humeral joint (arrow) with further inflammation in the rotator cuff interval (arrow) and minor joint fluid.  No other cause for symptoms ie no rotator cuff tear or labral pathology.

Case Discussion

Adhesive capsulitis is a clinical diagnosis characterized by universal painful restriction of shoulder movement.  The MRI findings are ancillary and indicate capsular swelling and inflammation, especially in the axillary recess of the joint.  Treatment is distension arthrography and steroid injection combined with aggressive physical therapy.

PlayAdd to Share

Case information

rID: 50734
Published: 19th Jan 2017
Last edited: 22nd May 2019
Tag: mri
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.