Hi, this is Sagar Wagle, one of the musculoskeletal radiology fellows at Stanford University. We have a case of a 45 year old woman with hypothyroidism and atriomatic shoulder pain and limited range of motion. There is clinical concern for adhesive capsulitis. This is our coronal t2 weighted fat set MRI and we see this increased signal, this edema signal around the inferior joint capsule and Here we're comparing this to a normal MRI. This finding is consistent with adhesive capsulitis. We're gonna look at another finding that we see in adhesive capsulitis. This is sagittal t2 fat set image of the shoulder. This is posterior. This is anterior. This is the scapula. This is supraspinatus, infraspinatus and subscapularis. We're gonna go more laterally now. As you keep going out more laterally, this is the glenoid. This is the coracoid process, supraspinatus and subscapularis. The space between supraspinatus, subscapularis and the coracoid process, this triangle, this is called the rotator interval. Increased signal in the rotator interval is also associated with adhesive capsulitis. Now let's compare the rotator interval in our case with a normal case and we can see the increased signal consistent with adhesive capsulitis. I have another case of a 45 year old female manicurist with shoulder pain and reduced movement and again, we see this edema around the inferior joint capsule that we do not see on the normal MRI and this is consistent with adhesive capsulitis. Thank you for watching the video.

3rd Edition, CASE 50

3rd Edition

Shoulder

adhesive capsulitis

MRI findings

shoulder pain

rotator interval

joint capsule edema