Question
43-year-old patient complaining of intense right shoulder pain suggestive of frozen shoulder (no trauma).
Ultrasound:
Moderate acromioclavicular osteoarthritis, no rotator cuff tear, minimal amount of fluid in the biceps sheath, consistent with the hypothesis of frozen shoulder.
What is the next steps?
ANSWER
Before proceeding with an intra-articular infiltration and distension, it is advisable to confirm the diagnosis with an MRI.
MRI findings:
Acromioclavicular joint arthropathy complicated by supraspinatus tendinopathy with accompanying bursitis. No evidence of capsulitis, ruling out frozen shoulder as the cause of the patient’s symptoms.
