Sindrome spalla-mano nell'ictus - formazionesostenibile.it

Enhanced-MRI and ultrasound evaluation ofpainful shoulder in patients after stroke: a pilotstudy.• METHODS:Pompa A. et alt. 2011• One hundred and fifty-three first-time stroke patients, ….Twenty-five stroke patients with HSP …... An ultrasoundevaluation and enhanced shoulder MRI were performed for allthe patients.• RESULTS:• Among the shoulder abnormalities detected by both imagingstudies, only capsulitis, which was detected by enhancedshoulder MRI in 88% of the HSP patients, was independentlyassociated with pain• CONCLUSION:• Adhesive capsulitis was found to be a possible cause of HSP.However, MRI, which is more expensive than other diagnostictools, may be considered the gold standard tool forunderstanding the etiology of HSP.