Volume 10, Issue 2, Pages (February 2018)

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Volume 10, Issue 2, Pages 137-145 (February 2018) Correlation of Joint Volume and Passive Range of Motion With Capsulo-Synovial Thickness Measured by Contrast-Enhanced Magnetic Resonance Imaging in Adhesive Capsulitis Yong-Taek Lee, MD, PhD, Kwang-Soo Chun, MD, Kyung Jae Yoon, MD, PhD, Hee-Jin Park, MD, PhD, So-Yeon Lee, MD, PhD, Eugene Kim, MD, PhD, Young Sook Park, MD, PhD, Kyoung-Ho Seo, MD, PhD PM&R Volume 10, Issue 2, Pages 137-145 (February 2018) DOI: 10.1016/j.pmrj.2017.06.023 Copyright © 2018 American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Figure 1 Thickness of enhancing portion of capsulo-synovium at the axillary recess and rotator interval. (A) The thickness of the enhancing portion of the axillary recess was measured at the widest portion of the humeral and glenoid aspects on oblique coronal image (double arrow). (B) Thickness of enhancing portion of the rotator interval was obtained by measuring the widest portion between the superior aspect of the subscapularis tendon and the anterior aspect of the supraspinatus tendon perpendicular to the adjacent humeral head cortex on oblique sagittal image (double arrow). Asterisk indicates coracoid process; white arrow indicates biceps long head tendon. PM&R 2018 10, 137-145DOI: (10.1016/j.pmrj.2017.06.023) Copyright © 2018 American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Figure 2 Flow chart for the selection of eligible study subjects. PM&R 2018 10, 137-145DOI: (10.1016/j.pmrj.2017.06.023) Copyright © 2018 American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Figure 3 Evaluation of passive range of motion. (A) Passive forward elevation. (B) Passive abduction. (C) Passive external rotation. PM&R 2018 10, 137-145DOI: (10.1016/j.pmrj.2017.06.023) Copyright © 2018 American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Figure 4 Correlation of the thickness of enhancing portion (TOE) of capsulo-synovium measured by CE-MRI with joint volume of shoulder. Thickness of enhancing portion at the axillary recess inversely correlated with GHJ volume (ρ = −0.444, P < .001), whereas at the rotator interval this finding was not observed. PM&R 2018 10, 137-145DOI: (10.1016/j.pmrj.2017.06.023) Copyright © 2018 American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Figure 5 Correlation of the thickness of enhancing portion (TOE) of capsulo-synovium measured by CE-MRI with passive ROM parameters of shoulder. The thickness of enhancing portion at the axillary recess inversely correlated with all passive ROM parameters of shoulder: forward elevation (ρ = −0.378, P <.001); abduction (ρ = −0.400, P <.001); and external rotation (ρ = −0.297, P <.01), but such statistically significant correlations were not shown at the rotator interval. PM&R 2018 10, 137-145DOI: (10.1016/j.pmrj.2017.06.023) Copyright © 2018 American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Figure 6 Graphic demonstration of linear trend of association between thickness of enhancing portion (TOE) and severity of obliterated joint volume. (A) At the axillary recess, mean thickness of enhancing portion gradually increased as the severity of obliterated joint volume increased showing a significant linear trend of association (P for trend < .001). (B) At the rotator interval, however, this trend was not statistically significant. Values represent mean ± SEM. PM&R 2018 10, 137-145DOI: (10.1016/j.pmrj.2017.06.023) Copyright © 2018 American Academy of Physical Medicine and Rehabilitation Terms and Conditions