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. 2010 Oct;65(10):789-94.
doi: 10.1016/j.crad.2010.06.001. Epub 2010 Jul 21.

MRI findings in the painful hemiplegic shoulder

D G F Távora  1 , R L Gama, R C Bomfim, M Nakayama, C E P Silva
Affiliations

MRI findings in the painful hemiplegic shoulder

D G F Távora et al. Clin Radiol. 2010 Oct.

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.

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