Orthopaedic Surgeon
Using shear-wave elastography, we have demonstrated that patients with frozen shoulder exhibit marked thickening of the joint capsule, and a 60% increase in supraspinatus tendon stiffness compared with the unaffected side.
These findings provide a biological explanation for our previously documented clinical observation that patients with shoulder loss of motion tend to have lower rotator cuff re-tear rates after surgery.
Rather than stiffness being harmful, elastography suggests it reflects increased collagen deposition and a heightened healing response at the tendon–bone interface.
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