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The Archives of Bone and Joint Surgery، جلد ۱۲، شماره ۴، صفحات ۲۷۵-۲۸۲
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عنوان انگلیسی Prevalence and Correlation between MRI Findings and Outcome of Conservative Treatment in Primary Idiopathic Frozen Shoulder
چکیده انگلیسی مقاله Objectives: Primary idiopathic frozen shoulder (FS) causes pain and stiffness in the shoulder joint. Over time, this disease causes restriction of shoulder motion. We undertook this study to evaluate possible correlation of MRI findings with outcome of conservative management in FS.Methods: A total of 65 cases participated in prospective cohort study. The correlation of MRI findings obtained before commencing the treatment with outcome of non-operative management (Mean of ROM, VAS, SST and OSS) was evaluated.Results: Anterior extracapsular edema significantly correlated with FF, EXR, VAS (a) and OSS. The effusion in humeral side of axillary recess significantly correlated with ROM restriction in ABD, EXR. Capsular thickness of glenoid portion showed good significance with FF, ABD, VAS (a) and OSS. Increased thickness of CHL showed negative correlation with improvement of EXR (P=0.049) (r=-0.617). Thickening of IGHL showed negative correlation with improvement of ABD (p=0.005 r=-0.862) and FF (p=0.007 r=-0.831). Mean Height of Axillary recess (HAR) was 7.2mm (3.5-11mm). HAR showed negative correlation with VAS pain scale (P=0.036) (r=-0.682) and OSS (P=0.038) (r=-0.668)Conclusion: Thickness of the joint capsule and effusion at the axillary fold are important factors for refractory frozen shoulder. We can recommend MRI for refractive cases and low threshold of expectation can be set for conservative management in patients with above findings. Level of evidence: III
کلیدواژه‌های انگلیسی مقاله Adhesive capsulitis, conservative treatment, MRI, Primary idiopathic frozen shoulder (FS), Range of motion
نویسندگان مقاله | Mohammad Reza Guity
Tehran University of Medical Sciences · Department of Orthopedics, Tehran, Iran


| Furqan Khan
Tehran University of Medical Sciences · Department of Orthopedics, Tehran, Iran


| Masoumeh Gity
Department of Radiology, Medical Imaging Center, Tehran University of Medical Sciences, Tehran, Iran


| Hossein Sheidaie
Department of Radiology, Imam hossein Hospital, Shahroud University of Medical Sciences, Shahroud, Iran


| Leila Aghaghazvini
Department of Radiology, Shariati Hospital, MIRC(Musculoskeletal Imaging Research Center) Tehran University of Medical Sciences, Tehran, Iran
نشانی اینترنتی https://abjs.mums.ac.ir/article_23899.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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