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Adhesive capsulitis: sonographic changes in the rotator cuff interval with arthroscopic correlation.

J C Lee·C Sykes·A Saifuddin·D Connell
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Abstract

OBJECTIVE: To evaluate the sonographic findings of the rotator interval in patients with clinical evidence of adhesive capsulitis immediately prior to arthroscopy. DESIGN AND PATIENTS: We prospectively compared 30 patients with clinically diagnosed adhesive capsulitis (20 females, 10 males, mean age 50 years) with a control population of 10 normal volunteers and 100 patients with a clinical suspicion of rotator cuff tears. Grey-scale and colour Doppler sonography of the rotator interval were used. RESULTS: Twenty-six patients (87%) demonstrated hypoechoic echotexture and increased vascularity within the rotator interval, all of whom had had symptoms for less than 1 year. Three patients had hypoechoic echotexture but no increase in vascularity, and one patient had a normal sonographic appearance. All patients were shown to have fibrovascular inflammatory soft-tissue changes in the rotator interval at arthroscopy commensurate with adhesive capsulitis. None of the volunteers or the patients with a clinical diagnosis of rotator cuff tear showed such changes. CONCLUSIONS: Sonography can provide an early accurate diagnosis of adhesive capsulitis by assessing the rotator interval for hypoechoic vascular soft tissue.

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AdultArthroscopyBursitisFemaleHumansImage EnhancementMaleMiddle AgedProspective StudiesRotator CuffSensitivity and SpecificitySeverity of Illness IndexUltrasonography, Doppler, ColorComparative StudyJournal Article

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J C Lee, C Sykes, A Saifuddin, D Connell. 2005-07-06. Adhesive capsulitis: sonographic changes in the rotator cuff interval with arthroscopic correlation.. https://doi.org/10.1007/s00256-005-0957-0

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