Volume 34, Issue 1, March 2023

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Mediterr J Rheumatol 2023;34(1):7-15
The role of MRI and Ultrasonography in Diagnosis and Treatment of Glenohumeral Joint Adhesive Capsulitis
Authors Information

1Department of Radiology, Armed Forces Hospital, D. Pedro V Universitary Clinical Centre, Porto, Portugal

2Hospital Cuf Porto, Porto, Portugal

3Faculdade de Medicina, Porto, Portugal

4Department of Radiology, General District Hospital, Sitia, Greece

5Portugal Football School, Portuguese Football Federation, Oeiras, Portugal

6Research Center in Sports Sciences, CIDESD, University of Maia, Portugal

7Portuguese Institute of Sports and Youth, IPDJ, Sports Medicine Center, Porto, Portugal

8Department of Radiology, School of Medicine, University of Crete, Heraklion, Greece

9Department of Medical Imaging, University Hospital, Heraklion, Greece

10Foundation for Research and Technology Hellas (FORTH), Computational Biomedicine Laboratory (CBML), Heraklion, Greece

11Biomedicine Department, Faculty of Medicine, University of Porto, Porto, and I3S-Institute for Innovation and Health Research, University of Porto, Porto, Portugal

M Pimenta, EE Vassalou, B Cardoso-Marinho, ME Klontzas, S Dimitri-Pinheiro, AH Karantanas


Adhesive capsulitis is a common disorder of the glenohumeral joint. Delay in diagnosis is common and is the result of overlapping signs and symptoms with other disorders affecting the shoulder. Typically, the disease shows gradual progression of pain and loss of the range of motion. The hallmark of the physical examination is limitation of both passive and active motion without any associated degenerative changes on plain radiographs. Conservative and/or surgical treatments have shown conflicting results. Poor outcome may be related to co-morbid factors mainly including prolonged immobilization, rotator cuff pathology and diabetes mellitus among others. This review will present the current literature data on the natural history and pathophysiology of the disease, and will highlight the role of imaging in the prompt and accurate diagnosis as well as in the imaged-guided treatment with emphasis on ultrasonography.

Cite this article as: Pimenta M, Vassalou EE, Cardoso-Marinho B, Klontzas ME, Dimitri-Pinheiro S, Karantanas AH. The role of MRI and Ultrasonography in Diagnosis and Treatment of Glenohumeral Joint Adhesive Capsulitis. Mediterr J Rheumatol 2023;34(1):7-15.


Article Submitted: 15 Jan 2023; Revised Form: 20 Feb 2023; Article Accepted: 25 Feb 2023; Available Online: 31 Mar 2023



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©2023 The Author(s).