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MRI findings in the painful hemiplegic shoulder
D G F Távora1, R L Gama, R C Bomfim
1Department of Radiology, Sarah Network of Hospitals for Rehabilitation, Av. Juscelino Kubitschek 4500, Fortaleza, Brazil. dgtavora@gmail.com
Aim:
To evaluate the magnetic resonance imaging (MRI) findings in painful hemiplegic shoulder (PHS) in hemiplegic post-stroke patients.
Materials And Methods:
Patients with hemiplegia following their first cerebrovascular accident who were admitted to the Sarah Network of Hospitals for Rehabilitation were studied. Forty-five patients with pain in the hemiplegic shoulder and 23 post-stroke patients without shoulder pain were investigated. MRI and radiographic findings of the hemiplegic and contralateral asymptomatic shoulders were evaluated.
Results:
Some MRI findings were more frequent in PHS group, including synovial capsule thickening, synovial capsule enhancement, and enhancement in the rotator cuff interval.
Conclusions:
Adhesive capsulitis was found to be a possible cause of PHS.
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