Skip to main content

Imaging Diagnosis of Shoulder Arthropathy

  • Chapter
  • First Online:
The Shoulder

Abstract

Shoulder is a highly mobile joint that maintains an exquisite balance. In fact, two of the most common disorders of the shoulder (adhesive capsulitis and instability) are demonstrative of alterations in balance. Articular disorder may also be the end result of this loss of stability regulation.

We first discuss how shoulder osteoarthritis presents on imaging, differently than other large joints such as knee or hip. Since secondary osteoarthritis is much common in the shoulder, which can be related to cuff tear or instability. Next, we discuss infections of the shoulder. As with any monoarthropathy, we clinicians should keep this diagnosis in mind. Following this, we discuss the interrelationship of rheumatoid of the glenohumeral, acromioclavicular joints with each other and with the rotator cuff. Perhaps the most interesting of the articular disorders of the shoulder are those related to crystals. Some of these are overwhelmingly more common in the shoulder (HADD), and others present with complex and unique imaging appearances, such as the Milwaukee shoulder.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 129.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Lawrence RC, Felson DT, Helmick CG, et al. Estimates of the prevalence of arthritis and other rheumatic conditions in the United States. II. Arthritis Rheum. 2008;58(1):26–35.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Altman R, Asch E, Block D, Bole G, Borenestein D, Brankt K, et al. Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Diagnostic and therapeutic criteria committee of the American Rheumatism Association. Arthritis Rheum. 1986;29(8):1039–49.

    Article  CAS  PubMed  Google Scholar 

  3. Philips WC Jr, Kattapuram SV. Osteoarthritis: with emphasis on primary osteoarthritis of the shoulder. Del Med J. 1991;63(10):609–13.

    Google Scholar 

  4. Kerr R, Resnick D, Pineda C, Haghighi P. Osteoarthritis of the glenohumeral joint: a radiologic-pathologic study. AJR. 1985;144:967–72.

    Article  CAS  PubMed  Google Scholar 

  5. dePalma AF. Surgery of the shoulder. 3rd ed. Philadelphia: Lippincott; 1983. p. 211–41.

    Google Scholar 

  6. Kernwein GA. Roentgenographic diagnosis of shoulder dysfunction. JAMA. 1965;194:179–83.

    Article  Google Scholar 

  7. Neer CS. Replacement arthroplasty for glenohumeral osteoarthritis. J Bone Joint Surg Am. 1974;56:1–13.

    Article  PubMed  Google Scholar 

  8. Green A, Norris TR. Imaging techniques for glenohumeral arthritis and glenohumeral arthroplasty. Clin Orthop Rel Res. 1994;307:7–17.

    Google Scholar 

  9. Walch G, Boulahia A, Boileau P, Kempf JF. Primary glenohumeral osteoarthritis: clinical and radiographic classification. The Aequalis Group. Acta Orthop Belg. 1998;64(Suppl 2):46–52.

    PubMed  Google Scholar 

  10. Graichen J, Jakob J, von Eisenhart-Rothe R, et al. Validation of cartilage volume and thickness measurements in the human shoulder with quantitative magnetic resonance imaging. Osteoarthr Cartil. 2003;11:475–82.

    Article  CAS  Google Scholar 

  11. Vasnawala SS, Pauly JM, Nishimura DG, Gold GE. MR imaging of knee cartilage with FEMR. Skelet Radiol. 2002;31:574–80.

    Article  Google Scholar 

  12. Hargreaves BA, Gold GE, Beaulieu CF, et al. Comparison of new sequences for high-resolution cartilage imaging. Magn Reson Med. 2003;49:700–9.

    Article  PubMed  Google Scholar 

  13. Bashir A, Gray ML, Boutin RD, Burstein D. Glycosaminoglycan in articular cartilage: in vivo assessment with delayed Gd (DTPA) (2-)-enhanced MR imaging. Radiology. 1997;205:551–8.

    Article  CAS  PubMed  Google Scholar 

  14. Bashir A, Gray ML, Harke J, Burstein D. Non-destructive imaging of human cartilage glycosaminoglycan concentration by MRI. Magn Reson Med. 1999;41:857–65.

    Article  CAS  PubMed  Google Scholar 

  15. Reddy R, Insko EK, Noyszewski EA, et al. Sodium MRI of human articular cartilage in vivo. Magn Reson Med. 1998;39:697–701.

    Article  CAS  PubMed  Google Scholar 

  16. Regatte RR, Akella SV, Borthakur A, Kneeland JB, Reddy R. In vivo proton MR three-dimensional T1ρ mapping of human articular cartilage: initial experience. Radiology. 2003;229(1):269–74.

    Article  PubMed  Google Scholar 

  17. Brossmann J, Frank LR, Pauly JM, et al. Short echo time projection reconstruction MR imaging of cartilage: comparison with fat-suppressed spoiled GRASS and magnetization transfer contrast MR imaging. Radiology. 1997;203:501–7.

    Article  CAS  PubMed  Google Scholar 

  18. Bianchi S, Martinoli C. Detection of loose bodies in joint. Radiol Clin N Am. 1999;37:679–90.

    Article  CAS  PubMed  Google Scholar 

  19. Neer CS 2nd, Craig EV, Fukuda H. Cuff-tear arthropathy. J Bone Joint Surg Am. 1983;65(9):1232–44.

    Article  PubMed  Google Scholar 

  20. Collins DN, Harryman DT 2nd. Arthroplasty for arthritis and rotator cuff deficiency. Orthop Clin North Am. 1997;28(2):225–39.

    Article  CAS  PubMed  Google Scholar 

  21. Macaulay AA, Greiwe RM, Bigliani LU. Rotator cuff deficient arthritis of the glenohumeral joint. Clin Orthop Surg. 2010;2(4):196–202.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Ecklund JK, Lee TQ, Tibone J, Gupta R. Rotator cuff tear arthropathy. J Am Acad Orthop Surg. 2007;15(6):340–9.

    Article  PubMed  Google Scholar 

  23. Feeley BT, Gallo RA, Craig EV. Cuff tear arthropathy: current trends in diagnosis and surgical management. J Shoulder Elb Surg. 2009;18(3):484–94.

    Article  Google Scholar 

  24. Jensen KL, Williams GR Jr, Russell IJ, Rockwood CA Jr. Rotator cuff tear arthropathy. J Bone Joint Surg Am. 1999;81(9):1312–24.

    Article  CAS  PubMed  Google Scholar 

  25. Zeman CA, Arcand MA, Cantrell JS, Skedros JG, Burkhead WZ Jr. The rotator cuff-deficient arthritic shoulder: diagnosis and surgical management. J Am Acad Orthop Surg. 1998;6(6):337–48.

    Article  CAS  PubMed  Google Scholar 

  26. Visotsky JL, Basamania C, Seebauer L, Rockwood CA, Jensen KL. Cuff tear arthropathy: pathogenesis, classification, and algorithm for treatment. J Bone Joint Surg Am. 2004;86(Suppl 2):35–40.

    Article  PubMed  Google Scholar 

  27. Nam D, Maak TG, Raphael BS, Kepler CK, Cross MB, Warren RF. Rotator cuff tear arthropathy: evaluation, diagnosis, and treatment: AAOS exhibit selection. J Bone Joint Surg Am. 2012;94(6):e24.

    Article  Google Scholar 

  28. Hamada K, Fukuda H, Mikasa M, Kobayashi Y. Roentgenographic findings in massive rotator cuff tears: a long-term observation. Clin Orthop Relat Res. 1990;254:92–6.

    Google Scholar 

  29. Sirveaux F, Favard L, Oudet D, Huquet D, Walch G, Molé D. Grammont inverted total shoulder arthroplasty in the treatment of glenohumeral osteoarthritis with massive rupture of the cuff. Results of a multicentre study of 80 shoulders. JBJS. 2004;86(3):388–95.

    CAS  Google Scholar 

  30. Saupe N, Pfirrmann CW, Schmid MR, Jost B, Werner CM, Zanetti M. Association between rotator cuff abnormalities and reduced acromiohumeral distance. AJR. 2006;187(2):376–82.

    Article  PubMed  Google Scholar 

  31. Klinger HM, Baums MH, Freche S, et al. Septic arthritis of the shoulder joint: an analysis of management and outcome. Acta Orthop Belg. 2010;76(5):598–603.

    PubMed  Google Scholar 

  32. Mehta P, Schnall SB, Zalavras CG. Septic arthritis of the shoulder, elbow, and wrist. Clin Orthop Relat Res. 2006;451:42–5.

    Article  PubMed  Google Scholar 

  33. Cleeman E, Auerbach JD, Klingenstein GG, et al. Septic arthritis of the glenohumeral joint: a review of 23 cases. J Surg Orthop Adv. 2005;14(2):102–7.

    PubMed  Google Scholar 

  34. Leslie BM, Harris JM III, Driscoll D. Septic arthritis of the shoulder in adults. J Bone Joint Surg Am. 1989;71(10):1516–22.

    Article  CAS  PubMed  Google Scholar 

  35. Peiffenberger J, Meiss L. Septic conditions of the shoulder- an up-dating of treatment strategies. Arch Orthop Trauma Surg. 1996;115(6):325–31.

    Article  Google Scholar 

  36. Sussmann AR, Cohen J, Nomikos GC, Schweitzer ME. Magnetic resonance imaging of shoulder arthropathies. Magn Reson Imaging Clin N Am. 2012;29(2):349–71.

    Article  Google Scholar 

  37. Resnick D, Niwayama G. Osteomyelitis, septic arthritis, and soft tissue infection. In: Resnick D, Niwayama G, editors. Diagnosis of bone and joint disorders, vol. 3. 4th ed. Philadelphia: WB Saunders; 2002. p. 2419–35.

    Google Scholar 

  38. Cofield RH. The shoulder: results of complications. In: Morey BF, Cooney WPI, editors. Joint replacement arthroplasty. New York: Churchill Livingstone; 1991. p. 437–53.

    Google Scholar 

  39. Silliman JF, Hawkins RJ. Complications following shoulder arthroplasty. In: Friedman RJ, editor. Arthroplasty of the shoulder. New York: Thieme; 1994. p. 242–53.

    Google Scholar 

  40. Mohana-Borges AV, Chung CB, Resnick D. Monoarticular arthritis. Radiol Clin N Am. 2004;42(1):135–49.

    Article  PubMed  Google Scholar 

  41. Shirtliff ME, Mader JT. Acute septic arthritis. Clin Microbiol Rev. 2002;15(4):527–44.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Dubost JJ, Soubrier M, De Champs C, et al. No changes in the distribution of organisms responsible for septic arthritis over a 20 year period. Ann Rheum Dis. 2002;61(3):267–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  43. Ho G Jr. Bacterial arthritis. Curr Opin Rheumatol. 2001;13(4):310–4.

    Article  PubMed  Google Scholar 

  44. Stimmler MM. Infectious arthritis: tailoring initial treatment to clinical findings. Postgrad Med. 1996;99(4):127–31.. (discussion 135-9)

    Article  CAS  PubMed  Google Scholar 

  45. Swan A, Amer H, Dieppe P. The value of synovial fluid assays in the diagnosis of joint disease: a literature survey. Ann Rheum Dis. 2002;61:493–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  46. Yoshikawa TT. Antimicrobial resistance and aging: beginning of the end of the antibiotic era? J Am Geriatr Soc. 2002;50(7 suppl):S226–9.

    Article  PubMed  Google Scholar 

  47. Greenspan A, Tehranzadeh J. Imaging of infectious arthritis. Radiol Clin N Am. 2001;39(2):267–76.

    Article  CAS  PubMed  Google Scholar 

  48. Rutten MJ, van den Berg JC, van den Hoogen FH, et al. Nontuberculous mycobacterial bursitis and arthritis of the shoulder. Skelet Radiol. 1998;27(1):33–5.

    Article  CAS  Google Scholar 

  49. Kapukaya A, Subasi M, Burke Y, et al. Tuberculosis of the shoulder joint. Joint Bone Spine. 2006;73(2):177–81.

    Article  PubMed  Google Scholar 

  50. Recht MP, Kramer J, Petersilge CA, et al. Distribution of normal and abnormal fluid collections in the glenohumeral joint: implications for MR arthrography. J Magn Reson Imaging. 1994;4(2):173–7.

    Article  CAS  PubMed  Google Scholar 

  51. Schweitzer ME, Magbalon MJ, Fenlin JM, et al. Effusion criteria and clinical importance of glenohumeral joint fluid: MR imaging evaluation. Radiology. 1995;194(3):821–4.

    Article  CAS  PubMed  Google Scholar 

  52. Bremell T, abdelnour A, Tarkowski A. Histopathological and serological progression of experimental Staphylococcus aureus arthritis. Infect Immun. 1992;60(7):2976–85.

    CAS  PubMed  PubMed Central  Google Scholar 

  53. Karchevsky M, Schweitzer ME, Morrison WB, et al. MRI findings of septic arthritis and associated osteomyelitis in adults. AJR Am J Roentgenol. 2004;182(1):119–22.

    Article  PubMed  Google Scholar 

  54. Graif M, Schweitzer ME, Deely D, Matteucci T. The septic versus nonseptic inflamed joint: MRI characteristics. Skelet Radiol. 1999;28(11):616–20.

    Article  CAS  Google Scholar 

  55. Bierry G, Huang AJ, Chang CY, Torriani M, Bredella MA. MRI findings of treated bacterial septic arthritis. Skelet Radiol. 2012;41(12):1509–16.

    Article  Google Scholar 

  56. Lutz AM, Seemayer C, Corot C, et al. Detection of synovial macrophages in an experimental rabbit model of antigen-induced arthritis: ultrasmall superparamagnetic iron oxide-enhanced MR imaging. Radiology. 2004;233(1):149–57.

    Article  PubMed  Google Scholar 

  57. Bierry G, Jehl F, Neuville A, et al. MRI of macrophages in infectious knee synovitis. AJR Am J Roentgenol. 2010;194(6):W521–6.

    Article  PubMed  Google Scholar 

  58. Lutz AM, Weishaupt D, Persohn E, et al. Imaging of macrophages in soft-tissue infection in rats: relationship between ultrasmall superparamagnetic iron oxide dose and MR signal characteristics. Radiology. 2005;234(3):765–75.

    Article  PubMed  Google Scholar 

  59. Heale JP, Speert DP. Macrophages in bacterial infection. In: Burke B, Lewis CE, editors. The macrophage. 2nd ed. Oxford: Oxford University Press; 2002. p. 210–52.

    Google Scholar 

  60. Sigovan M, Boussel L, Sulaiman A, et al. Rapid-clearance iron nanoparticles for inflammation imaging of atherosclerotic plaque: initial experience in animal model. Radiology. 2009;252(2):401–9.

    Article  PubMed  Google Scholar 

  61. Hyafil F, Laissy JP, Mazighi M, et al. Ferumoxtran-10-enhanced MRI of the hypercholesterolemic rabbit aorta: relationship between signal loss and macrophage infiltration. Arterioscler Thromb Vasc Biol. 2006;26(1):176–81.

    Article  CAS  PubMed  Google Scholar 

  62. Lefevre S, Ruimy D, Neuville A, et al. Septic arthritis: monitoring with USPIO-enhanced macrophage MR imaging. Radiology. 2011;258(3):722–8.

    Article  PubMed  Google Scholar 

  63. Richter R, Hahn H, Nubling W, et al. Shoulder girdle and shoulder joint tuberculosis. Z Rheumatol. 1985;44(2):87–92.. (in German)

    CAS  PubMed  Google Scholar 

  64. Griffith JF, Peh WC, Evans NS, et al. Multiple rice body formation in chronic subacromial/subdeltoid bursitis: MR appearances. Clin Radiol. 1996;51(7):511–4.

    Article  CAS  PubMed  Google Scholar 

  65. Hayter CL, Koff MF, Shah P, et al. MRI after arthroplasty: comparison of MAVRIC and conventional fast spin-echo techniques. AJR Am J Roentgenol. 2011;197(3):W405–11.

    Article  PubMed  Google Scholar 

  66. Chen CA, Chen W, Goodman SB, et al. New MR imaging methods for metallic implants in the knee: artifact correction and clinical impact. J Magn Reson Imaging. 2011;33(5):1121–7.

    Article  PubMed  PubMed Central  Google Scholar 

  67. Koch KM, Brau AC, Chen W, et al. Imaging near metal with a MAVRIC-SEMAC hybrid. Magn Reson Med. 2011;65(1):71–82.

    Article  CAS  PubMed  Google Scholar 

  68. Widman DS, Craig JG, van Holsbeeck MT. Sonographic detection, evaluation and aspiration of infected acromioclavicular joints. Skelet Radiol. 2001;30:388–92.

    Article  CAS  Google Scholar 

  69. Garcia-De La Torre I. Advances in the management of septic arthritis. Infect Dis Clin N Am. 2006;20(4):773–88.

    Article  Google Scholar 

  70. Gordon JE, Huang M, Dobbs M, et al. Causes of false-negative ultrasound scans in the diagnosis of septic arthritis of the hip in children. J Pediatr Orthop. 2002;22:312–6.

    PubMed  Google Scholar 

  71. Zubler V, Mamisch-Saupe N, Pfirrmann CW, et al. Detection and quantification of glenohumeral joint effusion: reliability of ultrasound. Eur Radiol. 2011;21(9):1858–64.

    Article  PubMed  Google Scholar 

  72. Michel BA, Bloch DA, Wolfe F, Fries JF. Fractures in rheumatoid arthritis: an evaluation of associated risk factors. J Rheumatol. 1993;20:1666–9.

    CAS  PubMed  Google Scholar 

  73. Kirwan JR, Silman AJ. Epidemiological, sociological and environmental aspects of rheumatoid arthritis and osteoarthrosis. Baillieres Clin Rheumatol. 1987;1(3):467–89.

    Article  CAS  PubMed  Google Scholar 

  74. Kirwan JR. Rheumatology out-patient workload increases inexorably. Br J Rheumatol. 1997;36(4):481–6.

    Article  CAS  PubMed  Google Scholar 

  75. Arnett FC. Goldman: Cecil text-book of medicine. In: Rheumatoid arthritis. 21st ed. Philadelphia: W. B. Saunders Co; 2000.

    Google Scholar 

  76. McInnes IB, Schett G. The pathogenesis of rheumatoid arthritis. N Engl J Med. 2011;365(23):2205–19.

    Article  CAS  PubMed  Google Scholar 

  77. Felson DT, Klareskog L. The genetics of rheumatoid arthritis: new insights and implications. JAMA. 2015;313(16):1623–4.

    Article  PubMed  PubMed Central  Google Scholar 

  78. Cooles FA, Isaacs JD. Pathophysiology of rheumatoid arthritis. Curr Opin Rheumatol. 2011;23(3):233–40.

    Article  CAS  PubMed  Google Scholar 

  79. Hitchon CA, Chandad F, Ferucci ED, et al. Antibodies to porphyromonas gingivalis are associated with anticitrullinated protein antibodies in patients with rheumatoid arthritis and their relatives. J Rheumatol. 2010;37(6):1105–12.

    Article  CAS  PubMed  Google Scholar 

  80. van den Berg WB. Lessons from animal models of osteoarthritis. Curr Opin Rheumatol. 2001;13(5):452–6.

    Article  PubMed  Google Scholar 

  81. Tak PP, Bresnihan B. The pathogenesis and prevention of joint damage in rheumatoid arthritis: advances from synovial biopsy and tissue analysis. Arthritis Rheum. 2000;43(12):2619–33.

    Article  CAS  PubMed  Google Scholar 

  82. Philippe L, Alsaleh G, Suffert G, Meyer A, Georgel P, Sibilia J, Wachsmann D, Pfeffer S. TLR2 expression is regulated by microRNA miR-10 in rheumatoid fibroblast-like synoviocytes. J Immunol. 2012;188(1):454–61.

    Article  CAS  PubMed  Google Scholar 

  83. Hämälainen N. Epidemiology of upper limb joint affections in rheumatoid arthritis. In: Baumgartner H, Dvorak J, Grob D, Munzinger U, Simmen B, editors. Rheumatoid arthritis: current trends in diagnostics, conservative treatment, and surgical reconstruction. Stuttgart: Georg Thieme Verlag; 1995. p. 158–61.

    Google Scholar 

  84. Lehtinen JT, Lehto MU, Kaarela K, Kautiainen HJ, Belt EA, Kauppi MJ. Radiographic joint space in rheumatoid glenohumeral joints. A 15-year prospective follow-up study in 74 patients. Rheumatology (Oxford). 2000;39:288–92.

    Article  CAS  Google Scholar 

  85. Cruess RL. Corticosteroid-induced osteonecrosis of the humeral head. Orthop Clin North Am. 1985;16(4):789–96.

    CAS  PubMed  Google Scholar 

  86. Ennevaara K. Painful shoulder joint in rheumatoid arthritis. A clinical and radiological study of 200 cases, with special reference to arthrography of the glenohumeral joint. Acta Rheumatol Scand. 1967;Suppl 11:11–116.

    Google Scholar 

  87. Smith AM, Sperling JW, Cofield RH. Arthroscopic rotator cuff debridement in patients with rheumatoid arthritis. J Shoulder Elb Surg. 2007;16(1):31–6.

    Article  Google Scholar 

  88. Chen AL, Joseph TN, Zuckerman JD. Rheumatoid arthritis of the shoulder. J Am Acad Orthop Surg. 2003;11:12–24.

    Article  PubMed  Google Scholar 

  89. van der Zwaal P, Pijls BG, Thomassen BJ, Lindenburg R, Nelissen RG, van de Sande MA. The natural history of the rheumatoid shoulder: a prospective long-term follow-up study. Bone Joint J. 2014;96-B(11):1520–4.

    Article  PubMed  Google Scholar 

  90. Petersson CJ. The acromioclavicular joint in rheumatoid arthritis. Clin Orthop Relat Res. 1987;223:86–93.

    Google Scholar 

  91. van der Heijde DM. Plain X-rays in rheumatoid arthritis: overview of scoring methods, their reliability and applicability. Baillieres Clin Rheumatol. 1996;10(3):435–53.

    Article  PubMed  Google Scholar 

  92. Arnett FC, Edworthy SM, Bloch DA, McShane DJ, Fries JF, Cooper NS, et al. The American rheumatism association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum. 1988;31(3):315–24.

    Article  CAS  PubMed  Google Scholar 

  93. Tugwell P, Boers M. OMERACT conference on outcome measures in rheumatoid arthritis clinical trials: introduction. J Rheumatol. 1993;20(3):528–30.

    CAS  PubMed  Google Scholar 

  94. Larsen A, Dale K, Eek M. Radiographic evaluation of rheumatoid arthritis and related conditions by standard reference films. Acta Radiol Diagn. 1977;18:481–91.

    Article  CAS  Google Scholar 

  95. Laine VAI, Vainio KJ, Pekanmäki K. Shoulder affections in rheumatoid arthritis. Ann Rheum Dis. 1954;13:157–60.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  96. Neer CS. The rheumatoid shoulder. In: Crubbs RL, Mitchell NS, editors. The surgical management of rheumatoid arthritis. Philadelphia: JB Lippincott; 1971. p. 117–27.

    Google Scholar 

  97. Levigne, Ranceschi F. Shoulder arthroplasty. In: Walch, Boileau, editors. Rheumatoid arthritis of the shoulder: radiological presentation and results of arthroplasty. Berlin, Heidelberg: Springer; 1999. p. 221–30.

    Google Scholar 

  98. Conaghan PG, McQueen FM, Bird P, et al. Update on research and future directions of the OMERACT MRI inflammatory arthritis group. J Rheumatol. 2011;38(9):2031–3.

    Article  PubMed  Google Scholar 

  99. McQueen FM. Magnetic resonance imaging in early inflammatory arthritis: what is its role? Rheumatology (Oxford). 2000;39(7):700–6.

    Article  CAS  Google Scholar 

  100. Narvaez JA, Narvaez J, De Lama E, et al. MR imaging of early rheumatoid arthritis. Radiographics. 2010;30(1):143–63.. (discussion:163-5)

    Article  PubMed  Google Scholar 

  101. Sugimoto H, Takeda A, Hyodoh K. MR imaging for evaluation of early rheumatoid arthritis. Semin Musculoskelet Radiol. 2001;5(2):159–65.

    Article  CAS  PubMed  Google Scholar 

  102. Cimmino MA, Innocenti S, Livrone F, et al. Dynamic gadolinium-enhanced magnetic resonance imaging of the wrists in patients with rheumatoid arthritis can discriminate active from inactive disease. Arthritis Rheum. 2003;48(5):1207–13.

    Article  PubMed  Google Scholar 

  103. Hodgson RJ, O’Connor P, Moots R. MRI of rheumatoid arthritis image quantitation for the assessment of disease activity, progression and response to therapy. Rheumatology (Oxford). 2008;47(1):13–21.

    Article  CAS  Google Scholar 

  104. McQueen FM, Stewart N, Crabbe J, Robinson E, Yeoman S, Tan PL, et al. Magnetic resonance imaging of the wrist in early rheumatoid arthritis reveals a high prevalence of erosions at four months after symptom onset. Ann Rheum Dis. 1998;57(6):350–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  105. McQueen FM, Stewart N, Crabbe J, Robinson E, Yeoman S, Tan PL, et al. Magnetic resonance imaging of the wrist in early rheumatoid arthritis reveals progression of erosions despite clinical improvement. Ann Rheum Dis. 1999;58(3):156–63.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  106. Foley-nolan D, Stack JP, Ryan M, Redmond U, Barry C, Ennis J, et al. Magnetic resonance imaging in the assessment of rheumatoid arthritis: a comparison with plain film radiographs. Br J Rheumatol. 1991;31:101–6.

    Article  Google Scholar 

  107. Lehtinen JT, Kaarela K, Belt EA, et al. Incidence of glenohumeral joint involvement in seropositive rheumatoid arthritis. A 15 year endpoint study. J Rheumatol. 2000;27(2):347–50.

    CAS  PubMed  Google Scholar 

  108. Alasaarela E, Suramo I, Tervonen O, et al. Evaluation of humeral head erosions in rheumatoid arthritis: a comparison of ultrasonography, magnetic resonance imaging, computed tomography and plain radiography. Br J Rheumatol. 1998;37(11):1152–6.

    Article  CAS  PubMed  Google Scholar 

  109. Lehtinen JT, Lehto MU, Kaarela K, et al. Acromioclavicular joint subluxation is rare in rheumatoid arthritis. A radiographic 15-year study. Rev Rhum Engl Ed. 1999;66(10):462–6.

    CAS  PubMed  Google Scholar 

  110. Cuende E, Vesga JC, Barrenengoa E, et al. Synovial cyst as differential diagnosis of supraclavicular mass in rheumatoid arthritis. J Rheumatol. 1996;23(8):1432–4.

    CAS  PubMed  Google Scholar 

  111. Gibbon WW, Wakefield RJ. Ultrasound in inflammatory disease. Radiol Clin N Am. 1999;37:633–51.

    Article  CAS  PubMed  Google Scholar 

  112. Wakefield RJ, Gibbon WW, Emery P. The current status of ultrasonography in rheumatology. Rheumatology (Oxford). 1999;38:195–8.

    Article  CAS  Google Scholar 

  113. Backhaus M, Kamradt T, Sandrock D, Loreck D, Fritz J, Wolf KJ, et al. Arthritis of the finger joints: a comprehensive approach comparing conventional radiography, scintigraphy, ultrasound, and contrast-enhanced magnetic resonance imaging. Arthritis Rheum. 1999;42:1232–45.

    Article  CAS  PubMed  Google Scholar 

  114. Backhaus M, Burmester G-R, Gerber T, et al. Guidelines for musculoskeletal ultrasound in rheumatology. Ann Rheum Dis. 2001;60(7):641–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  115. Alasaarela EM, Alasaarela EL. Ultrasound evaluation of painful rheumatoid shoulders. J Rheumatol. 1994;21:1642–8.

    CAS  PubMed  Google Scholar 

  116. Keysser P, Osthus H, Jacobi E. Ultrasound of the shoulder in patients with rheumatoid arthritis. Ann Rheum Dis. 2003;62:519.

    Article  Google Scholar 

  117. Sanja MR, Mirjana ZS. Ultrasonographic study of the painful shoulder in patients with rheumatoid arthritis and patients with degenerative shoulder disease. Acta Rheumatol Port. 2010;35(1):50–8.

    Google Scholar 

  118. Nevien EL, Heba K, et al. Value of dynamic sonography in the management of shoulder pain in patients with rheumatoid arthritis. Egypt J Radiol Nucl Med. 2014;45(4):1171–82.

    Article  Google Scholar 

  119. Ottaviani S, Gill G, Palazzo E, Meyer O, Dieudé P. Ultrasonography of shoulders in spondyloarthritis and rheumatoid arthritis: a case-control study. Joint Bone Spine. 2014;81(3):247–9.

    Article  PubMed  Google Scholar 

  120. Richette P, Bardin T, Doherty M. An update on the epidemiology of calcium pyrophosphate dihydrate crystal deposition disease. Rheumatology (Oxford). 2009;48(7):711–5.

    Article  Google Scholar 

  121. McCarty DJ, Hogan JM, Gatter RA, et al. Studies on pathological calcifications in human cartilage. I. Prevalence and types of crystal deposits in the menisci of two hundred fifteen cadavers. J Bone Joint Surg. 1966;48A:309–25.

    Article  Google Scholar 

  122. Ryan LM, McCarty DJ. Calcium pyrophosphate crystal deposition disease, pseudogout and articular chondrocalcinosis. In: McCarty DJ, Koopman WJ, editors. Arthritis and allied conditions. 13th ed. Philadelphia: Lea and Febiger; 1997. p. 2103–25.

    Google Scholar 

  123. Resnick D, Niwayama G, Georgen TG, et al. Clinical, radiographic and pathologic abnormalities in calcium pyrophosphate dihydrate deposition disease (CPPD): pseudogout. Radiology. 1977;122:1–15.

    Article  CAS  PubMed  Google Scholar 

  124. Martel W, McCarter DK, Solsky MA, et al. Further observation of the arthropathy of calcium pyrophosphate dihydrate crystal deposition disease. Radiology. 1981;141:1–15.

    Article  CAS  PubMed  Google Scholar 

  125. Rosenthal AK. Crystals, inflammation, and osteoarthritis. Curr Opin Rheumatol. 2011;23(2):170–3.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  126. Ea HK, Liote F. Advances in understanding calcium-containing crystal disease. Curr Opin Rheumatol. 2009;21(2):150–7.

    Article  CAS  PubMed  Google Scholar 

  127. McCarty DJ. Calcium pyrophosphate dihydrate crystal deposition disease --1975. Arthritis Rheum. 1976;19(Suppl 3):275–85.

    Article  PubMed  Google Scholar 

  128. Doherty M, Dieppe P. Clinical aspects of calcium pyrophosphate dihydrate crystal deposition. Rheum Dis Clin N Am. 1998;14(2):395–414.

    Google Scholar 

  129. Resnick D, Utsinger PD. The wrist arthropathy of “pseudogout” occurring with and without chondrocalcinosis. Radiology. 1974;113:633–41.

    Article  CAS  PubMed  Google Scholar 

  130. Fisseler-Eckhoff A, Muller KM. Arthroscopy and chondrocalcinosis. Arthroscopy. 1992;8:98–104.

    Article  CAS  PubMed  Google Scholar 

  131. Kanterewicz E, Sanmarti R, Panella D, Brugures J. Tendon calcifications of the hip adductors in chondrocalcinosis: a radiological study of 75 patients. Br J Rheumatol. 1993;32:790–3.

    Article  CAS  PubMed  Google Scholar 

  132. Gerster JC, Baud CA, Lagier R, Boussina I, Fallet GH. Tendon calcifications in chondrocalcinosis: a clinical, radiologic, histologic and crystallographic study. Arthritis Rheum. 1977;20:717–22.

    Article  CAS  PubMed  Google Scholar 

  133. Foldes K, Lenchik L, Jaovisidha S, Clopton P, Sartoris DJ, Resnick D. Association of gastrocnemius tendon calcification with chondrocalcinosis of the knee. Skelet Radiol. 1996;25:621–4.

    Article  CAS  Google Scholar 

  134. Martel W, Champion CK, Thompson GR, Carter TL. A roentgenologically distinctive arthropathy in some patients with the pseudogout syndrome. AJR Am J Roentgenol. 1970;109:587–605.

    Article  CAS  Google Scholar 

  135. Ryan LM, McCarty DJ. Calcium pyrophosphate crystal deposition disease: pseudogout; articular chondrocalcinosis. In: McCarty DJ, editor. Arthritis and allied conditions. Philadelphia: Lea & Febiger; 1985. p. 1515–46.

    Google Scholar 

  136. Canhao H, Fonseca JE, Leandro MJ, et al. Cross-sectional study of 50 patients with calcium pyrophosphate dihydrate crystal arthropathy. Clin Rheumatol. 2001;20(2):119–22.

    Article  CAS  PubMed  Google Scholar 

  137. Ellman MH, Krieger MI, Brown N. Pseudogout mimicking synovial chondromatosis. J Bone Joint Surg. 1975;57:863–5.

    Article  CAS  PubMed  Google Scholar 

  138. Steinbach LS. Calcium pyrophosphate dihydrate and calcium hydroxyapatite crystal deposition diseases: imaging perspectives. Radiol Clin N Am. 2004;42(1):185–205.. vii

    Article  PubMed  Google Scholar 

  139. Schumacher HR Jr, Klippel JH, Koopman WJ. Calcium pyrophosphate dihydrate crystal deposition disease. In: Schumacher HR Jr, Klippel JH, Koopman WJ, Primer on the rheumatic disease. Atlanta Arthritis Foundation; 1993 219–222.

    Google Scholar 

  140. Resnick D, Williams G, Weisman MH, et al. Rheumatoid arthritis and pseudo-rheumatoid arthritis in calcium pyrophosphate dihydrate crystal deposition disease. Radiology. 1981;140(3):615–21.

    Article  CAS  PubMed  Google Scholar 

  141. Mizutani H, Ohba S, Mizutani M, et al. Tumoral calcium pyrophosphate dihydrate deposition disease with bone destruction in the shoulder. CT and MR findings in two cases. Acta Radiol. 1998;39(3):269–72.

    CAS  PubMed  Google Scholar 

  142. Richards AJ, Hamilton EBD. Destructive arthropathy in chondrocalcinosis articularis. Ann Rheum Dis. 1973;33:196.

    Article  Google Scholar 

  143. Jacobelli S, McCarty DJ, Silcox DC, et al. Calcium pyrophosphate dihydrate crystal deposition in neuropathic joints: four cases of polyarticular involvement. Ann Intern Med. 1973;79:340–7.

    Article  CAS  PubMed  Google Scholar 

  144. Beltran J, Marty-Delfaut E, Bencardino J, et al. Chondrocalcinosis of the hyaline cartilage of the knee: MRI manifestations. Skelet Radiol. 1998;27(7):369–74.

    Article  CAS  Google Scholar 

  145. Dufauret-Lombard C, Vergne-Salle P, Simon A, Bonnet C, Treves R, Bertin P. Ultrasonography in chondrocalcinosis. Joint Bone Spine. 2010;77(3):218–21.

    Article  PubMed  Google Scholar 

  146. Fodor D, Albu A, Gherman C. Crystal-associated synovitis-ultrasonographic feature, clinical correlation. Orthop Trumatol Rehabil. 2008;10(2):99–110.

    Google Scholar 

  147. Filippucci E, Sedie AD, Riente L, et al. Ultrasound imaging for the rheumatologist. XLVII. Ultrasound of the shoulder in patients with gout and calcium pyrophosphate deposition disease. Clin Exp Rheumatol. 2013;31(5):659–64.

    PubMed  Google Scholar 

  148. Frediani B, Filippou G, Falsetti P, et al. Diagnosis of calcium pyrophosphate dihydrate crystal deposition disease: ultrasonographic criteria proposed. Ann Rheum Dis. 2005;64:638–40.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  149. Hayes CW, Conway WF. Calcium hydroxyapatite deposition disease. Radiographics. 1990;10:1031–48.

    Article  CAS  PubMed  Google Scholar 

  150. Codman EA. The shoulder. Boston: Todd; 1934.

    Google Scholar 

  151. Uhthoff HK, Loehr JW. Calcific tendinopathy of the rotator cuff: pathogenesis, diagnosis, and management. J Am Acad Orthop Surg. 1997;5(4):183–91.

    Article  CAS  PubMed  Google Scholar 

  152. Gordon B. Observations on periarthritis calcarea. AJR. 1957;77:93–108.

    Google Scholar 

  153. Bosworth BM. Calcium deposits in the shoulder and subacromial bursitis: a survey of 12,122 shoulders. JAMA. 1941;116:2477–82.

    Article  Google Scholar 

  154. Selby CL. Acute calcific tendinitis of the hand: an infrequently recognized and frequently misdiagnosed form of periarthritis. Arthritis Rheum. 1984;27:337–40.

    Article  CAS  PubMed  Google Scholar 

  155. Terkeltaub RA, Ginsberg MH. The inflammatory reaction to crystals. Rheum Dis Clin N Am. 1988;14:353–64.

    CAS  Google Scholar 

  156. Elferink JGR, Deiekauf M. A biochemical study of hydroxyapatite crystal induced enzyme release from neutrophils. Ann Rheum Dis. 1987;46:590–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  157. Cho Ns LBG, Rhee YG. Radiologic course of the calcific deposits in calcific tendinitis of the shoulder: does the initial radiologic aspect affect the final results? J Shoulder Elb Surg. 2010;19(2):267–72.

    Article  Google Scholar 

  158. Lee SY, Cheng B, Grimmer-Somers K. The midterm effectiveness of extracorporeal shockwave therapy in the management of chronic calcific shoulder tendinitis. J Shoulder Elb Surg. 2011;20(5):845–54.

    Article  Google Scholar 

  159. Mouzopoulos G, Stamatakos M, Mouzopoulos D, et al. Extracorporeal shock wave treatment for shoulder calcific tendonitis: a systematic review. Skelet Radiol. 2007;36(9):803–11.

    Article  CAS  Google Scholar 

  160. Marder RA, Heiden EA, Kim S. Calcific tendonitis of the shoulder: is subacromial decompression in combination with removal of the calcific deposit beneficial? J Shoulder Elb Surg. 2011;20(6):955–60.

    Article  Google Scholar 

  161. Bonavita JA, Dalinka MK, schumacher HR. Hydroxyapatite deposition disease. Radiology. 1980;134:621–5.

    Article  CAS  PubMed  Google Scholar 

  162. Bosworth BM. Calcium deposits in the shoulder and subacromial bursitis: a survey of 12,122 cases. J Am Med Assoc. 1941;116:2477–82.

    Article  Google Scholar 

  163. Depalma AF, Kruper JS. Long-term study of shoulder joints afflicted with and treated for calcific tendinitis. Clin Orthop. 1961;20:61–72.

    CAS  PubMed  Google Scholar 

  164. Mole D, Kempf JF, Gleyze P, Rio B, Bonnomet F, Walch G. Resultat du traitement arthroscopique des tendinopathies non rompues, Il: les calcifications. Rev Chir Orthop. 1993;79:532–41.

    CAS  PubMed  Google Scholar 

  165. Faure G, Daculsi G. Calcific tendinitis: a review. Ann Rheum Dis. 1983;42:49–53.

    Article  PubMed  PubMed Central  Google Scholar 

  166. Wainner RS, Hasz M. Management of acute calcific tendinitis of the shoulder. J Orthop Sports Phys Ther. 1998;27(3):231–7.

    Article  CAS  PubMed  Google Scholar 

  167. Loew M, Sabo D, Wehrle M, et al. Relationship between calcifying tendinitis and subacromial impingement: a prospective radiography and magnetic resonance imaging study. J Shoulder Elb Surg. 1996;5(4):314–9.

    Article  CAS  Google Scholar 

  168. Hurt G, Baker CL Jr. Calcific tendinitis of the shoulder. Orthop Clin North Am. 2003;34(4):567–75.

    Article  PubMed  Google Scholar 

  169. Cahir J, Saifuddin A. Calcific tendonitis of pectoralis major: CT and MRI findings. Skelet Radiol. 2005;34(4):234–8.

    Article  Google Scholar 

  170. Durr HR, Lienemann A, Silbernagl H, et al. Acute calcific tendinitis of the pectoralis major insertion associated with cortical bone erosion. Eur Radiol. 1997;7(8):1215–7.

    Article  CAS  PubMed  Google Scholar 

  171. Ikegawa S. Calcific tendinitis of the pectoralis major insertion. A report of two cases. Arch Orthop Trauma Surg. 1996;115(2):118–9.

    Article  CAS  PubMed  Google Scholar 

  172. Zubler C, Mengiardi B, Schmid MR, et al. MR arthrography in calcific tendinitis of the shoulder: diagnostic performance and pitfalls. Eur Radiol. 2007;17(6):1603–10.

    Article  PubMed  Google Scholar 

  173. Yang I, Hayes CW, Biermann JS. Calcific tendinitis of the gluteus medius tendon with bone marrow edema mimicking metastatic disease. Skelet Radiol. 2002;31:359–61.

    Article  Google Scholar 

  174. Hayes CW, Rosenthal DI, Plata MJ, Hudson ™. Calcific tendinitis in unusual site associated with cortical bone erosion. Am J Roentgenol. 1987;149:967–70.

    Article  CAS  Google Scholar 

  175. Flemming DJ, Murphey MD, Shekitka KM, Temple HT, Jelinek JJ, Kransdorf MJ. Osseous involvement in calcific tendinitis: a retrospective review of 50 cases. Am J Roentgenol. 2003;181:965–72.

    Article  Google Scholar 

  176. Chung CBm Gentili A, Chew FS. Calcific tendinosis and periarthritis: classic magnetic resonance imaging appearance and associated findings. J Comput Assist Tomogr. 2004;28:390–6.

    Article  Google Scholar 

  177. Farin PU, Jaroma H. Sonographic findings of rotator cuff calcifications. J Ultrasound Med. 1995;14(1):7–14.

    Article  CAS  PubMed  Google Scholar 

  178. Bureau NJ. Calcific tendinopathy of the shoulder. Semin Musculoskelet Radiol. 2013;17(1):80–4.

    Article  PubMed  Google Scholar 

  179. Le Goff B, Berthelot JM, Guilot P, Glemarec J, Maugars Y. Assessment of calcific tendonitis of rotator cuff by ultrasonography: comparison between symptomatic and asymptomatic shoulders. Joint Bone Spine. 2010;77(3):258–63.

    Article  PubMed  Google Scholar 

  180. McCarty DJ, Halverson PB, Carrera GF, et al. “Milwaukee shoulder”: association of microspheroids containing hydroxyapatite crystals, active collagenase, and neutral protease with rotator cuff defects. Arthritis Rheum. 1981;24:464–73.

    Article  CAS  PubMed  Google Scholar 

  181. Halverson PB, McCarty DJ, Cheung HS, et al. Milwaukee shoulder syndrome: eleven additional cases with involvement of the knee in seven (basic calcium phosphate crystal deposition disease). Semin Arthritis Rheum. 1984;14(1):36–44.

    Article  CAS  PubMed  Google Scholar 

  182. McCarty DJ. Arthritis associated with crystals containing calcium. Med Clin North Am. 1986;70(2):437–54.

    Article  CAS  PubMed  Google Scholar 

  183. McCarty DJ. Milwaukee shoulder syndrome. Trans Am Clin Climatol Assoc. 1991;102:271–83.. (discussion:283-4)

    CAS  PubMed  PubMed Central  Google Scholar 

  184. Garcia GM, McCord GC, Kumar R. Hydroxyapatite crystal deposition disease. Semin Musculoskelet Radiol. 2003;7(3):187–93.

    Article  PubMed  Google Scholar 

  185. Forster CJ, Oglesby RJ, Szkutnik AJ, Roberts JR. Positive alizarin red clumps in Milwaukee shoulder syndrome. J Rheumatol. 2009;36(12):2853.

    Article  PubMed  Google Scholar 

  186. Epis O, Caporali R, Scire CA, et al. Efficacy of tidal irrigation in Milwaukee shoulder syndrome. J Rheumatol. 2007;34(7):1545–50.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mingqian Huang .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Huang, M., Schweitzer, M. (2019). Imaging Diagnosis of Shoulder Arthropathy. In: Bencardino, J. (eds) The Shoulder. Springer, Cham. https://doi.org/10.1007/978-3-030-06240-8_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-06240-8_10

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-06239-2

  • Online ISBN: 978-3-030-06240-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics