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Shoulder arthrography as a treatment modality.

L A Gilula, P L Schoenecker, W A Murphy

    AJR. American Journal of Roentgenology
    |December 1, 1978
    PubMed
    Summary
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    Shoulder arthrography can be therapeutic for frozen shoulder cases with an intact rotator cuff. Joint distention during the procedure may restore normal shoulder function, as seen in four presented cases.

    Area of Science:

    • Orthopedic Surgery
    • Radiology
    • Sports Medicine

    Background:

    • Frozen shoulder (adhesive capsulitis) causes significant shoulder stiffness and pain.
    • Shoulder arthrography is a diagnostic imaging procedure involving joint injection.

    Observation:

    • Some patients with stiff, painful shoulders undergoing arthrography present with a small joint capsule or frozen shoulder.
    • The rotator cuff integrity was assessed in these patients.

    Findings:

    • In four specific cases with an intact rotator cuff, the shoulder arthrography procedure itself was therapeutic.
    • Joint distention during arthrography led to a return to normal shoulder function in these patients.

    Implications:

    • Shoulder arthrography may offer a therapeutic benefit beyond diagnosis for select frozen shoulder cases.

    Related Experiment Videos

  • This suggests joint distention could be a treatment modality for adhesive capsulitis when the rotator cuff is intact.