D G F Távora1, R L Gama, R C Bomfim, M Nakayama, C E P Silva. 1. Department of Radiology, Sarah Network of Hospitals for Rehabilitation, Av. Juscelino Kubitschek 4500, Fortaleza, Brazil. dgtavora@gmail.com
Abstract
AIM: To evaluate the magnetic resonance imaging (MRI) findings in painful hemiplegic shoulder (PHS) in hemiplegic post-stroke patients. MATERIALS AND METHODS: Patients with hemiplegia following their first cerebrovascular accident who were admitted to the Sarah Network of Hospitals for Rehabilitation were studied. Forty-five patients with pain in the hemiplegic shoulder and 23 post-stroke patients without shoulder pain were investigated. MRI and radiographic findings of the hemiplegic and contralateral asymptomatic shoulders were evaluated. RESULTS: Some MRI findings were more frequent in PHS group, including synovial capsule thickening, synovial capsule enhancement, and enhancement in the rotator cuff interval. CONCLUSIONS: Adhesive capsulitis was found to be a possible cause of PHS. Copyright (c) 2010 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.
AIM: To evaluate the magnetic resonance imaging (MRI) findings in painful hemiplegic shoulder (PHS) in hemiplegic post-strokepatients. MATERIALS AND METHODS:Patients with hemiplegia following their first cerebrovascular accident who were admitted to the Sarah Network of Hospitals for Rehabilitation were studied. Forty-five patients with pain in the hemiplegic shoulder and 23 post-strokepatients without shoulder pain were investigated. MRI and radiographic findings of the hemiplegic and contralateral asymptomatic shoulders were evaluated. RESULTS: Some MRI findings were more frequent in PHS group, including synovial capsule thickening, synovial capsule enhancement, and enhancement in the rotator cuff interval. CONCLUSIONS: Adhesive capsulitis was found to be a possible cause of PHS. Copyright (c) 2010 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.