3D volumetric MR arthrographic assessment of shoulder joint capacity in patients with primary adhesive capsulitis

Oğul, Hayri; Taş, Nurmuhammet; Tuncer, Kutsi; Polat, Gökhan; Ogul, Yasemin; Pirimoğlu, Berhan; Kantarcı, Mecit

doi:10.1259/bjr.20180496

Cited by 12 publications

(12 citation statements)

References 19 publications

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“…Ogul et al found that the mean GHJ volume was 22.52 cm 3 in patient with AC versus 26.01 cm 3 in the control group. 26 Accordingly, the mean volume of the injected solution in our study was 17.1 mL, ranging between 8 and 20 mL. Additionally, our decision to include a smaller amount of lidocaine (2 mL) compared with other studies was based on the suggestion that large volumes of intraarticularly injected local anesthetics may pose a chondrotoxic effect.…”

Section: Discussionmentioning

confidence: 98%

Ultrasound‐Guided Hydrodistension for Adhesive Capsulitis

Pimenta

Vassalou

Dimitri-Pinheiro

et al. 2022

J of Ultrasound Medicine

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Objectives To compare the additive value of immediate post‐procedural manipulation versus physiotherapy, following ultrasound (US)‐guided hydrodistention of the glenohumeral joint (GHJ) in patients with adhesive capsulitis (AC) and define predictors of outcome. Methods Within a 19‐month period, 161 consecutive patients with AC were prospectively enrolled and allocated to two groups according to treatment, based on patients' individual preferences: 1) group‐I, US‐guided hydrodistension plus immediate post‐procedural manipulations and 2) group‐II, US‐guided hydrodistension plus supervised physiotherapy program. The Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire and a visual analog scale (VAS) were used for clinical assessment at baseline (immediately after treatment), 1, 3, and 6 months. Comparisons were performed with Mann–Whitney U test and Kolmogorov–Smirnov test. Linear regression was used to identify predictors of outcome. P value <.05 defined significance. Results GHJ hydrodistension with manipulation or physiotherapy was linked to clinical improvement at all follow‐up time‐points. DASH scores of group‐I remained constantly lower than DASH scores of group‐II at all time‐points (P < .001). VAS scores were lower in group‐I than group‐II at 1 and 3 months (P < .001 and P = .0019, respectively). Both groups had improved to a similar degree with respect to pain at 6 months (P = .29). The performance of post‐interventional manipulations was predictive of improved shoulder functionality (as assessed with DASH scores) at all time‐points, while low‐grade disease and milder symptoms at presentation were associated with improved short‐term pain. Conclusions Immediate post‐procedural manipulations appeared to be superior to physiotherapy following GHJ hydrodistension for AC in terms of shoulder functionality during a 6‐month follow‐up period. Post‐interventional manipulations, the stage of AC and lower DASH and VAS scores at presentations were predictive of improved outcome.

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Section: Discussionmentioning

confidence: 98%

Ultrasound‐Guided Hydrodistension for Adhesive Capsulitis

Pimenta

Vassalou

Dimitri-Pinheiro

et al. 2022

J of Ultrasound Medicine

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“…Decreased total joint volume in a primary stiff shoulder is well documented in previous studies. [22,24,25] However, previous studies used comparative analyses and reported decreased joint volume in the stiff group. Therefore, the relation between joint volume and ROM could not be evaluated.…”

Section: Discussionmentioning

confidence: 99%

“…[11,14] Several investigators tried to quantitatively measure pathologic regions in MRI images for evaluating capsular contracture; the width, depth, and height of the axillary recess, dimension of rotator interval and the glenohumeral distance. [20][21][22] However, these studies evaluated pathologic regions in 2D images, which may not accurately re ect the status of the capsular contracture. Other authors measured the capsular volume of the glenohumeral joint according to the volume of uid injected into the capsule with or without pressure measurement.…”

Section: Discussionmentioning

confidence: 99%

Influence of Joint Volume on Range of Motion after Arthroscopic Rotator Cuff Repair

Kim

Min

Kim

et al. 2022

Preprint

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Background: Capsular contracture is a well-known etiology in the primary stiff shoulder; thus capsular contracture and resultant decreased joint volume could lead to postoperative stiffness, which is a commonly reported morbidity after arthroscopic rotator cuff repair (ARCR). The purpose of this study was (1) to quantify the joint volume (total joint volume and each half compartmental volume) using computed tomography arthrography (CTA) and (2) to demonstrate the relationship between joint volume and postoperative range of motion (ROM) after ARCR Materials and Methods: Eighty-three patients (60 ± 5.11 years, men=26, women=57) who had undergone ARCR between January 2015 to December 2020 due to small to medium full-thickness tear and followed by CTA 6 months postoperatively were retrospectively reviewed. An image reconstruction program (3D Slicer, version 4.11.2 software) was used to calculate the joint volume (total joint volume and four half compartment joint volumes; anterior, posterior, superior, and inferior). For shoulder ROM, data including scaption (Sc), external rotation on side (ERs), external rotation at 90° (ER90), and internal rotation on back (IRb) were collected 6 months postoperatively. An evaluation of the correlation between joint volume and each shoulder motion was performed. Results: There were moderate correlations between the total joint volume and each motion (Sc: Pearson coefficient, 0.32, p=0.0047; ERs: Pearson coefficient, 0.24, p=0.0296; ER90: Pearson coefficient, 0.33, p=0.0023; IRb: Pearson coefficient, 0.23, p=0.0336). Among the half compartments, the posterior half (Sc: Pearson coefficient, 0.34, p=0.0016; ERs: Pearson coefficient, 0.21, p=0.0493; ER90: Pearson coefficient, 0.37, p=0.0006; IRb: Pearson coefficient, 0.25,p=0.0217) and inferior half (Sc: Pearson coefficient, 0.31, p=0.0038; ERs: Pearson coefficient, 0.21, p=0.0483; ER90: Pearson coefficient, 0.31, p=0.0047; IRb: Pearson coefficient, 0.25, p=0.0254) showed moderate correlations with each shoulder motion. Conclusion: Total joint volume, posterior half compartment joint volume, and inferior half compartment joint volume were related to postoperative ROM after ARCR. Perioperative methods to increase the joint volume, especially the posterior part and inferior part of the capsule may prevent postoperative stiffness after ARCR. Level of Evidence: Level III; Retrospective Case-Control Study

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“…First, the appropriate volume of dilation fluid is unclarified. Ogul et al [ 23 ] found that the mean total glenohumeral joint volume was 22.52 ± 1.1 cm 3 in the patient group and 26.01 ± 1.2 cm 3 in the control group. If the joint dilator volume is too large, the joint capsule is likely to rupture.…”

Section: Discussionmentioning

confidence: 99%

The Efficacy of Manipulation with Distension Arthrography to Treat Adhesive Capsulitis: A Multicenter, Randomized, Single-Blind, Controlled Trial

Zhang

Xue

Tong

et al. 2022

BioMed Research International

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Objective. To determine whether arthrographic distention combined with manipulation for frozen shoulder provides additional benefits. Methods. A total of 180 participants from five clinical centers with pain and stiffness in predominantly 1 shoulder for >3 months entered the study, and 165 completed the study. The control group was treated with arthrographic distention alone, and the treatment group underwent manipulation after resting for 5 minutes following arthrographic distention. Patients were followed up at the one and two weeks and at three and six months. For the clinical evaluation, shoulder-specific disability measure (SPADI) score, the visual analog scales (VASs) for pain, and range of active motion were used. Results. 83 patients out of 90 in the treatment group and 82 out of 90 in the control finished the entire study period. SPADI, VAS, Constant-Murley (CM), and range of motion (ROM) were improved after treatments in both groups. The statistical differences were not observed in the CM, adduction, internal rotation, and posterior extension function between groups ( P > .05 ) after the first treatment. And the statistical differences were not observed in the internal rotation, the extorsion, and posterior extension function ( P > .05 ) after the second treatment. Conclusion. Distention arthrography plus manual therapy provided faster pain relief, a higher level of patient satisfaction, and an earlier improvement in AROM of the shoulder than distention arthrography alone in patients with frozen shoulder.

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3D volumetric MR arthrographic assessment of shoulder joint capacity in patients with primary adhesive capsulitis

Cited by 12 publications

References 19 publications

Ultrasound‐Guided Hydrodistension for Adhesive Capsulitis

Ultrasound‐Guided Hydrodistension for Adhesive Capsulitis

Influence of Joint Volume on Range of Motion after Arthroscopic Rotator Cuff Repair

The Efficacy of Manipulation with Distension Arthrography to Treat Adhesive Capsulitis: A Multicenter, Randomized, Single-Blind, Controlled Trial

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