Ultrasonography in Adhesive Capsulitis of Shoulder. |
Kang, Tae Do , Hwang, Dae Hyun , Jung, Kwang Ik , Park, Dong Sik , Jang, Ki Eon |
1Department of Rehabilitation Medicine, Hallym Univercity College of Medicine. 2Department of Radiology, Hallym Univercity College of Medicine. |
견관절 유착성 관절낭염의 초음파 소견 |
강태도, 황대현1, 정광익, 박동식, 장기언 |
한림대학교 의과대학 재활의학교실 및 1방사선과학교실 |
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Abstract |
Object: To find out the anatomical changes of adhesive capsulitis of the shoulder by the ultrasonography. Method We examined 20 patients with a adhesive capsulitis of the shoulder. Ultrasonographic findings were analysed by a radiologist who measured the synovium thickness of anterior, posterior and axillary plane and coracohumeral ligament length of the shoulder. Results Synovium thickness of the shoulder was measured with a mean value of 1.4⁑0.3 mm in the anterior plane, 1.4⁑0.4 mm in posterior plane and 1.8⁑0.5 mm in axillary plane of the unaffected sides and a mean value of 1.7⁑0.5 mm in the anterior, 1.8⁑0.4 mm in posterior and 3.2⁑1.0 mm in axillary planes of the affected sides. Coracohumeral ligament length was measured with a mean value of 27.8⁑7.9 mm in the unaffected side and 26.3⁑8.1 mm in the affected side. Conclusion The characteristic appearance of the adhesive capsulitis of the shoulder by ultrasonography was an increased synovium thickness in the axillary plane compared to the unaffected side. This study demonstrates that the ultrasonography is a valuable tool for the evaluation and follow up for the adhesive capsulitis of shoulder. |
Key Words:
Ultrasonography, Adhesive capsulitis, Shoulder Myofascial pain syndrome, Thermography, Lidocaine injection, Dry needling |
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