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Measuring 3D In-vivo Shoulder Kinematics using Biplanar Videoradiography
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[Shoulder pain: imaging examinations].

Olivier Loustau1, Nicolas Sans, Marie-Line Despeyroux

  • 1Service de radiologie générale, hôpital Purpan, 31059 Toulouse. loustauolivier@hotmail.com

La Revue Du Praticien
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Summary

Diagnosing non-traumatic shoulder pain often requires imaging. Radiography is the initial step, with ultrasonography or MRI used if further detail is needed, highlighting the complementary roles of these non-invasive methods.

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Area of Science:

  • Radiology
  • Orthopedics
  • Medical Imaging

Background:

  • Non-traumatic shoulder pain presents a diagnostic challenge for clinicians.
  • Clinical examination is frequently supplemented by advanced imaging studies.
  • Radiography is the standard initial imaging examination for the shoulder.

Purpose of the Study:

  • To outline the diagnostic imaging approach for non-traumatic shoulder pain.
  • To evaluate the roles and complementarity of various imaging modalities.
  • To provide guidance on the appropriate use of invasive versus non-invasive imaging.

Main Methods:

  • Systematic review of imaging modalities for shoulder pain.
  • Analysis of radiography, ultrasonography, and magnetic resonance imaging (MRI) utility.
  • Evaluation of the combined use of radiography and ultrasonography.
  • Assessment of indications for invasive imaging like CT arthrography.

Main Results:

  • Radiography is the first-line imaging, assessing the entire scapular region.
  • Ultrasonography and MRI are non-invasive alternatives when radiography is insufficient, with MRI offering more comprehensive detail.
  • The combination of radiography and ultrasonography is highly effective, inexpensive, and accessible.
  • Invasive imaging, such as CT arthrography, should be reserved for specific conditions and presurgical assessments.

Conclusions:

  • A stepwise imaging approach is crucial for diagnosing non-traumatic shoulder pain.
  • The combination of radiography and ultrasonography offers a cost-effective and accessible diagnostic strategy.
  • Non-invasive imaging modalities should be prioritized, with invasive techniques reserved for specific indications.