Adhesive capsulitis of shoulder with edema or fluid at the rotator interval, a space in the shoulder joint normally containing fat between the supraspinatus and subscapularis tendons, medial to the rotator cuff. Shoulders with adhesive capsulitis also characteristically fibrose and thicken at the axillary pouch and rotator interval, best seen as dark signal on T1 sequences with edema and inflammation on T2 sequences. A finding on ultrasound associated with adhesive capsulitis is hypoechoic material surrounding the long head of the biceps tendon at the rotator interval, reflecting fibrosis. In the painful stage, such hypoechoic material may demonstrate increased vascularity with Doppler ultrasound. To prevent
Rotator cuff tear which they use grafted tissues rather than stitching to reconnect tendon segments. This can result in a complete repair. Other options are a partial repair, and reconstruction involving a bridge of biologic or synthetic substances. Partial repairs typically are performed on patients with retracted cuff tears. Two methods of promoting rotator cuff healing are injecting patients' own stem cells (or other growth factors) into the site of the repair, and installing scaffolds (natural or artificial supports that maintain tissue contour). The results of using PRP (platelet rich plasma) to augment the healing of rotator cuff repair at the time of