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Related Experiment Video

Updated: Jun 26, 2025

Rat Model of Adhesive Capsulitis of the Shoulder
04:46

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The Association Between Cervical Foraminal Stenosis and Adhesive Capsulitis: An Imaging-based Case-Control Study.

Salvatore Russo1, Aadhar Sharma2, Robert Vardanyan3

  • 1Department of Neurosurgery, Imperial College NHS Healthcare Trust, London, United Kingdom.

Spine
|May 8, 2024
PubMed
Summary

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This summary is machine-generated.

Cervical foraminal stenosis, particularly at C5, is strongly linked to adhesive capsulitis (frozen shoulder). This suggests cervical radiculopathy may cause "neurogenic frozen shoulder," requiring multidisciplinary care.

Area of Science:

  • Orthopedics
  • Neurology
  • Radiology

Background:

  • Shoulder symptoms are common in cervical spondylosis.
  • Cervical radiculopathy, especially C5, can mimic adhesive capsulitis (frozen shoulder).
  • This study investigates the link between adhesive capsulitis and cervical radiculopathy.

Purpose of the Study:

  • To determine the association between cervical foraminal stenosis and adhesive capsulitis.
  • To explore the role of C5 radiculopathy in frozen shoulder development.

Main Methods:

  • Retrospective case-control study of 438 patients undergoing glenohumeral hydrodistension.
  • Cervical spine MRI analyzed for foraminal stenosis (C3/4, C4/5, C5/6, C6/7) ipsilateral and contralateral to frozen shoulder.
  • McNemar's exact test used to assess correlation strength.

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Last Updated: Jun 26, 2025

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Main Results:

  • Significant association found between ipsilateral frozen shoulder and C4/5 foraminal stenosis (P=0.00000008636).
  • Ipsilateral foraminal stenosis occurred in 57.3% of cases; 29.1% had bilateral stenosis.
  • 78% reported ipsilateral neck pain; 44% had radiating shoulder pain.

Conclusions:

  • Substantial association exists between C5 foraminal stenosis and ipsilateral frozen shoulder.
  • C5 radiculopathy may be a risk factor for "neurogenic frozen shoulder".
  • Coexistence of frozen shoulder and C5 radiculopathy should be recognized, necessitating a multidisciplinary approach.