How Frozen shoulder looks on MRI
In this week's video I show you how a frozen shoulder, a painful shoulder syndrome with reduced range of motion, can look on MRI and which findings are consistent with the clinical diagnosis of a frozen shoulder. Frozen shoulder is also known as adhesive caspulitis. Both terms were introduced way before MRI (frozen shoulder 1934 by Codman, adhesive capsulitis 1945 by Neviaser). It is important to realize that Frozen Shoulder is a clinical diagnosis and not an imaging diagnosis.
References:
Typical alterations of frozen shoulder in MRI examinations:
www.ncbi.nlm.nih.gov/pubmed/3...
Adhesive capsulitis: review of imaging findings, pathophysiology, clinical presentation, and treatment options
link.springer.com/article/10....
www.ncbi.nlm.nih.gov/pubmed/3...
Systematic review and meta-analysis of magnetic resonance imaging features for diagnosis of adhesive capsulitis of the shoulder
link.springer.com/article/10....
Anterior capsular abnormality: another important MRI finding for the diagnosis of adhesive capsulitis of the shoulder
link.springer.com/content/pdf...
Axillary pouch measurement
link.springer.com/content/pdf...
www.ncbi.nlm.nih.gov/pubmed/2...
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Пікірлер: 31
Thank you for citing our article!
@DrChristophAgten
4 жыл бұрын
Thanks your for that excellent article!
Great summary of these findings! It's always interesting to learn the history of nomenclature for these things and how not-so-accurate clinical descriptors which arose before some of the more modern imaging and pathology findings tend to persist. I appreciate your resistance to the Latin terminology (periarthritis humeroscapularis) which is quite a mouthful and probably unnecessary in most situations.
@DrChristophAgten
3 жыл бұрын
Thanks again!
Excellent video. Very good teaching points on good, clear images. Thx!
@DrChristophAgten
3 жыл бұрын
Glad you like it. Thx for the comment
Thanks
thankyou sir ,very good video
awesome teacher
@DrChristophAgten
2 жыл бұрын
Thanks again!
I see your cat was enjoying the teaching as well :-)
@DrChristophAgten
4 жыл бұрын
Haha close. Twin babies with mom😉
Great video. Would a sagittal PD be better to visualise coraco humeral lig. ?
@DrChristophAgten
3 жыл бұрын
yes, but without fat saturation (btw better compared to what?)
Hi doc, I am a huge fan of yours. I love your work. I have a few questions for you. i see a lot of patients with a frozen shoulder. I have heard that GHJ capsule contracture is hard to identify at early stage unless it is severe. Is it true? As it is a clinical diagnosis and if I see someone with limited AROM and PROM of the affected shoulder and normal-looking images, is it more likely an idiopathic frozen shoulder? but we suspect that there may be a joint capsule tightness although it is not seen on images. ?? please let me know. Thanks
@DrChristophAgten
2 жыл бұрын
We can see signs of capsulitis on MRI also early on. Might be subtle and not specific. Ultimately it's a clinical diagnosis in my opinion. Direct arthrography can reveal reduced capsule volume, which can be helpful
@1703bk
2 жыл бұрын
@@DrChristophAgten thanks for your reply. 1. Can u explain what the reduced volume of capsule? What does it have to do with frozen shoulder? 2. How do u clinically diagnose a frozen shoulder apart from images?
Great video. Thank you! My shoulder has been killing me for the past two months and I suspect frozen shoulder. Just had an MRI this morning in Berlin. Do you perform MRI evaluations if a patient can provide you with the imaging performed somewhere else?
@DrChristophAgten
2 жыл бұрын
yes I do, see here: aristra.com/second-opinion/
Dr. Idriss- I am suffering from hormonal acne in jaw lines since I stopped birth control pills and trying to get pregnant. So dr prescribed 15% Azeleic acid AM and PM for last 7 weeks- some improvements but not fully cleared. I just learned from your other videos to not avoid moisturizer and got Aveeno calm+restore. My skin now has lots of scars and dull and I wonder If I can introduce AHA serums?
I've never heard the term "indirect arthrogram". That's just referring to an IV contrast injection vs. an intra-articular contrast injection, correct?
@DrChristophAgten
4 жыл бұрын
You administer gado before the exam, then move the joint to facilitate the gado to "sweat" into the joint. Only then your go into the MR. So your have gado already injected on all sequences. Instead of only gado before the last t1fs sequence for example. It's not my favourite technique though. Probably controversial. It's been done also in the hip.
@GoodByeSkyHarborLive
9 ай бұрын
@@DrChristophAgtenis there an advantage of an arthogram directly into joint vs iv contrast into hand?
I want to get mri for my frozen shoulder. What should I tell the mri scan cente? Is there a medical terminology for such scans ?
@DrChristophAgten
2 жыл бұрын
If you tell them you are suspecting frozen shoulder they will know what to do
@flyhigh5066
2 жыл бұрын
@@DrChristophAgten none of the painkillers or spray are working 🙄. During day not much issue ,even going to bed no issues but I wake up with pain at around 3-4 am every day. It's hard to not roll on the side.
@flyhigh5066
2 жыл бұрын
@@DrChristophAgten is it harmful if I continue weight training, with lower weights or avoid it altogether?
CAN YOU TALK BETTER THAN THAT ?
@DrChristophAgten
2 жыл бұрын
I GUESS NOT!!
Thanks