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[Imaging of the shoulder].

N Boutry1, A Cotten

  • 1Service de radiologie ostéo-articulaire CHRU de Lille.

La Revue Du Praticien
|October 20, 1999
PubMed
Summary

Diagnosing painful shoulder conditions requires a clinical exam and imaging. While advanced techniques like MRI and CT arthrography are useful, plain radiographs and ultrasonography remain essential for identifying causes like rotator cuff tears.

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Area of Science:

  • Orthopedics
  • Radiology
  • Sports Medicine

Background:

  • Shoulder pain has diverse etiologies beyond instability.
  • Clinical examination is crucial for initial diagnosis.
  • Modern imaging aids diagnosis but doesn't replace traditional methods.

Purpose of the Study:

  • To outline the diagnostic utility of various imaging modalities for shoulder pain.
  • To emphasize the role of clinical examination and radiography.
  • To guide the appropriate use of advanced imaging techniques.

Main Methods:

  • Review of clinical examination techniques for shoulder pain.
  • Analysis of the diagnostic capabilities of plain radiography, ultrasonography, CT arthrography, and MR imaging.
  • Correlation of imaging findings with specific shoulder pathologies.

Main Results:

  • Plain radiographs are fundamental for evaluating calcific tendinitis and general osseous findings.
  • Ultrasonography, performed by experienced radiologists, effectively assesses rotator cuff tears.
  • CT arthrography and MR imaging are primarily indicated for preoperative planning.
  • Arthrography is uniquely valuable for diagnosing adhesive capsulitis by measuring joint capacity.

Conclusions:

  • A comprehensive approach combining clinical assessment with judicious use of imaging is vital for accurate shoulder pain diagnosis.
  • Plain radiography and ultrasonography serve as essential initial diagnostic tools.
  • Advanced imaging modalities like CT arthrography and MR imaging are reserved for specific preoperative evaluations.

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