Utility of joint distension during arthrography in treatment of adhesive capsulitis of the shoulder in a study of 20 patients

The aim of our study is to evaluate the efficacy of joint distension during arthrography followed by an intra articular corticosteroid injection. This procedure associated to a physical therapy started immediately after joint distension and performed during 3 months in the treatment of 20 patients suffering from adhesive capsulitis of the shoulder were assessed. Patients were evaluated on D 90:90% of them have regression of pain, 70% have an improvement of deficiency and ranges of motion of the shoulder. Adhesive capsulitis of the shoulder is a disabling pathology but, generally, with good evolution. It is a clinical diagnosis. Joint distension associated to physical therapy has an interest in treatment because of therapeutic and antalgic effect and also restoration of range of movement

[MRI contribution in diagnosis of acute bone infarcts in children with sickle cell disease]

We analyse MRI findings of nine children with sickle cell disease having painful osseous attacks. The diagnosis of vaso-occlusive crisis was confirmed by negative bacteriology. MRI is useful for determining the anatomic site and the extent of acute infarcts. It gives a global view of osseous abnormalities, and contributes to differentiating acute infarcts from acute osteomyelitis