A common complaint found in a sports medicine office is shoulder pain.
A common complaint found in a sports medicine office is shoulder pain. It is difficult to differentiate rotator cuff impingement and the early stages of adhesive capsulitis . Both conditions present with shoulder pain and a decrease in shoulder range of motion is sometimes not present on initial examination.
The loss of motion typically occurs in the later stages of adhesive capsulitis. Adhesive capsulitis is characterized by glenohumeral capsular inflammation and fibrosis. Stages of adhesive capsulitis Diagnosis is typically made with a thorough clinical exam.
However, radiology studies are used to help assist in diagnosing adhesive capsulitis. Standard radiographs are performed and they are usually not diagnostic for adhesive capsulitis. In certain cases, a decrease in bone mineral density can be seen.
An MRI can be used to visualize capsular thickening, thickening of the coracohumeral ligament, and enhancement of the rotator interval. Ultrasound has been studied as a way to assist in diagnosing adhesive capsulitis. Measuring the thickness of the coracohumeral ligament has been found to aid in diagnosis of adhesive capsulitis.
The image below shows the positioning and measurement of the ultrasound of the coracohumeral ligament. This view shows the coracohumeral ligament in an oblique axial view. An abnormal thickness is estimated to be greater than 2.2mm.
If you are experiencing symptoms that may be related to ultrasound findings of adhesive capsulitis, it is important to see a sports medicine physician. Early evaluation and treatment typically lead to better outcomes. Do not ignore pain or symptoms that are limiting your activity.
*This article is for educational purposes only and does not substitute for professional medical advice. Always consult a qualified healthcare provider.*
Connect with a doctor, physical therapist, or imaging center near you.
Find a Provider Near You โ