38 yr old male with 5 months pain and severely limited ROM.
There is marked capsular thickening and edema, most pronounced in the axillary capsule; this is adhesive capsulitis.There is diffuse thickening of the MGHL.
I understand the MGHL is routinely thickened and resected in arthroscopic capsular release, but I have not found that it is commonly visible.
There is no imaging abnormality of the cuff or labrum.
Although he is unusually young and male for this diagnosis, imaging features and clinical symptoms are diagnostic for adhesive capsulitis.
Nice case. I don't believe I'd ever noticed the MGHL thickening in adhesive capsulitis before. It seems the MGHL can be involved in adhesive capsulitis in dogs:
ReplyDeletehttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4943935/
I find the forth/back clicking to enlarge the images a limitation.
ReplyDeleteExactly. A gallery-like display would have been way better.
DeleteThis wasn't an issue before, as most email clients have that functionality and one could click through all images / attachments before returning to the message text.