What is the role of arthrography in the diagnosis of frozen shoulder syndrome (FSS) (adhesive capsulitis)?

Updated: Nov 12, 2020
  • Author: Jefferson R Roberts, MD; Chief Editor: S Ashfaq Hasan, MD  more...
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Arthrography, which involves intra-articular injection of diluted iodinated contrast medium, can aid in both the diagnosis and treatment of FSS. The following findings are suggestive of FSS [42] :

  • Reduced capsular distention, with irregular internal profile and internal septa (medial leakage of contrast)
  • Lack of distention of subscapular bursa
  • Atypical contrast leakage in the biceps sheath

Milena et al report that the findings on computed tomography (CT) arthrography are comparable to those on magnetic resonance imaging (MRI). Diagnostic signs are decreased width of the axillary recess and thickening of the lateral wall. [44]

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