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Rotator cuff troublemakers: pitfalls of MRI and ultrasound

Christina M Chingkoe1, Jeremy H White2, Luck J Louis2

  • 1Faculty of Medicine, University of British Columbia, Vancouver BC, Canada.

Open Access Journal of Sports Medicine
|March 14, 2019
PubMed

Insights

Magnetic resonance imaging (MRI) and ultrasound are common for rotator cuff pathology. This essay highlights five common pitfalls in imaging interpretation to improve diagnostic accuracy for clinicians and radiologists.

Area of Science:

  • Radiology
  • Orthopedics
  • Medical Imaging

Background:

  • Rotator cuff pathology is frequently assessed using magnetic resonance imaging (MRI) and ultrasound.
  • Both modalities offer good diagnostic accuracy but have inherent limitations.

Purpose of the Study:

  • To describe five common diagnostic challenges in rotator cuff pathology.
  • To compare imaging findings between MRI and ultrasound for these challenges.

Main Methods:

  • Pictorial essay format.
  • Review of recurrent themes in rotator cuff pathology from a shoulder referral center.
  • Comparison of MRI and ultrasound imaging findings.

Main Results:

  • Identification and discussion of five specific "troublemakers" in rotator cuff imaging.
  • Detailed comparison of how these pathologies appear on both MRI and ultrasound.
  • Illustrative examples of potential diagnostic pitfalls.

Conclusions:

  • Awareness of these imaging pitfalls can enhance radiologists' diagnostic accuracy.
  • Improved interpretation optimizes clinical referral and reporting for rotator cuff pathology.
Keywords:
MRIcorrelationrotator cuffshoulderultrasound

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