Non-contrast MRI diagnosis of adhesive capsulitis of the shoulder

Abstract

Purpose: To investigate non-contrast MRI findings of clinical adhesive capsulitis.

Methods: 31 non-contrast, non-arthrographic, shoulder MRIs were evaluated for coracohumeral ligament thickness, rotator interval infiltration, and axillary recess thickening/edema.

Results: In detection of adhesive capsulitis, sensitivity is 76.7% and specificity is 53.3% for coracohumeral ligament thickening, sensitivity is 66.7% and specificity is 55.2% for coracohumeral ligament thickening and rotator interval infiltration, and sensitivity is 23.3% and specificity is 86.7% for coracohumeral ligament thickening, rotator interval infiltration, and axillary recess thickening/edema.

Conclusions: Adhesive capsulitis can be accurately diagnosed on non-contrast MRI shoulder examinations with appropriate clinical criteria without direct MR arthrography.

Keywords: Adhesive capsulitis; Frozen shoulder; MRI; Noncontrast.