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Adhesive capsulitis of the wrist
E A Brandser1, D L Renfrew, R R Schenck
1Department of Radiology, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Ill, USA.
Summary
Adhesive capsulitis of the wrist can be diagnosed using arthrography, especially after prolonged immobilization. Key arthrographic signs include pain, early lymphatic filling, and reduced joint capacity.
Area of Science:
- Orthopedics
- Radiology
- Sports Medicine
Background:
- Adhesive capsulitis, or frozen shoulder, is a common condition affecting the shoulder joint.
- Prolonged immobilization of the wrist can lead to stiffness and pain.
- Arthrography is an imaging technique used to visualize joint structures.
Observation:
- The study observed arthrographic features in a patient with wrist adhesive capsulitis following immobilization.
- Pain during contrast injection was a noted symptom.
- Early filling of lymphatic vessels was observed during the procedure.
Findings:
- The arthrographic findings included reduced joint capacity.
- Early lymphatic vessel filling during arthrography is a significant indicator.
- These features aid in diagnosing wrist adhesive capsulitis.
Implications:
- Arthrography can be a valuable diagnostic tool for adhesive capsulitis of the wrist.
- Understanding these features can improve diagnosis and treatment planning.
- Further research may explore the prevalence and specific mechanisms of wrist adhesive capsulitis.