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The Use of Multiple Imaging Studies Before Shoulder Stabilization Surgery Is Increasing
Madeleine A Salesky1, Alan L Zhang2, C Benjamin Ma2
1School of Medicine, University of California San Francisco, San Francisco, California, USA.
Arthroscopy, Sports Medicine, and Rehabilitation
|June 24, 2022
Summary
Preoperative imaging, including MRI and CT scans, is increasingly used for shoulder stabilization surgery. Many patients now receive multiple imaging studies before their procedure, indicating a need for improved diagnostic technology.
Area of Science:
- Orthopedic Surgery
- Radiology
- Medical Imaging
Background:
- Preoperative imaging plays a crucial role in planning shoulder stabilization procedures.
- Understanding current imaging trends is essential for optimizing patient care and resource allocation.
Purpose of the Study:
- To determine the incidence of preoperative shoulder imaging for anterior and posterior stabilization.
- To explore the prevalence of multiple advanced imaging studies.
- To identify patient characteristics associated with specific imaging modalities.
Main Methods:
- Utilized the PearlDiver database for patient data from 2010-2019.
- Analyzed imaging studies obtained within one year of anterior or posterior shoulder stabilization surgery.
- Compared patient characteristics using ANOVA and chi-squared tests.
Main Results:
- Plain radiographs were common (69-70%), with MRI (43% anterior, 33% posterior) and CT (22% for both) also frequently used.
- 11% of anterior and 8% of posterior surgery patients received both MRI and CT preoperatively.
- A significant increase in combined MRI and CT use was observed over time for both surgical types.
Conclusions:
- Multiple preoperative imaging studies are increasingly utilized for shoulder stabilization.
- A growing number of patients undergo both MRI and CT scans before surgery.
- This trend suggests an opportunity for advanced imaging technologies to enhance preoperative assessment.
