OCAD MSK

History

16F runner with chronic pain limiting activities for 1 year

Figure 1 for case adhesive capsulitis — Figure 1

Figure 2 for case adhesive capsulitis — Figure 2

Figure 3 for case adhesive capsulitis — Figure 3

Figure 4 for case adhesive capsulitis — Figure 4

Discussion

Weve shared cases weve presumed were hip adhesive capsulitis, as in the shoulder, but it is difficult to find a reference with images or meaningful details. There is an abstract from RSNA 13 that describes capsule thickness of 4.3mm as abnormal and low joint volume on arthrography. In this case I injected my standard 12cc volume with no extravasation. The anterior labrum is tiny with a questionable small tear at the apex. The most striking finding is the anterior capsule thickening with fraying and increased signal most noticeable in the sagittal plane. Is this adhesive capsulitis? The attached article is a case series with literature review, but there are no images. Reference article.

Diagnosis

adhesive capsulitis

HIlary Umans, MD

Courtesy

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