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AB0957 Distension Arthrography in the Treatment of Adhesive Capsulitis of the Shoulder
  1. M. Jguirim1,
  2. A. Mhenni1,
  3. W. Mnari2,
  4. M. Golli2,
  5. L. Mani1,
  6. M. Younes3,
  7. S. Zrour1,
  8. I. Béjia1,
  9. M. Touzi1,
  10. N. Bergaoui1
  1. 1Rheumatology Service
  2. 2Radiology Service, Hospital Fattouma Bourguiba, Monastir
  3. 3Rheumatology Service, Hospital Taher Sfar, Mahdia, Tunisia


Background Primary AC is characterized by spontaneous onset of shoulder pain accompanied by progressive loss of both active and passive range of motion. More than 2% of the general population is known to have the disease. Magnetic resonance imaging may show characteristic findings. Non surgical treatments include analgesics, oral prednisone, and intra-articular corticosteroid injections. Home exercise regimens and physical therapy are often prescribed. Surgical treatments include manipulation of the joint under anesthesia and capsular release.

Objectives To describe the technical approach of distension arthrography of the glenohumeral joint in the treatment of 50 adults with adhesive capsulitis of the shoulder.

Methods Between 2011 and 2013, we have explored and treated with capsular distension 50 patients with primary AC in only one shoulder. We excluded patients with rotator cuff tear of rheumatic disease and those who had received a steroid injection or undergone previous shoulder surgery in the affected shoulder.

Results Under fluoroscopic guidance with intra-articular contrast injection, the diagnosis of AC was confirmed in all cases. Capsular distension was obtained by intra-articular injection of a 25-ml mixture of 1% lidocaine, corticosteroid (Altim*), and saline solution. The rupture was confirmed by the leakage of contrast outside the capsule. The success rate of the procedure was 80%.

Conclusions Arthrography distension oh the constricted capsule appears to be excellent therapeutic intervention to achieve rapid symptomatic relief from AC.

Disclosure of Interest None declared

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