MRI and Ultrasound Imaging of the Shoulder Using Positional Maneuvers

Beltrán, Luis; Adler, Ronald S.; Stone, Taylor; Surace, Joseph; Beltran, Javier; Bencardino, Jenny T.

doi:10.2214/ajr.15.14512

Cited by 12 publications

(6 citation statements)

References 34 publications

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“…MR arthrography is highly effective in the detection of labroligamentous lesions with sensitivities ranging from 88% to 96% [27,[49][50][51] and specificities ranging from 86% to 96% [40,50,51]. Provocative positioning maneuvers, including abduction external rotation, are important in improving detection of nondisplaced anteroinferior labral tears [52][53][54] and have been shown to be helpful in the evaluation of multidirectional instability [55]. Flexion-adduction internal rotation may improve assessment of the posterior labrum and capsule [52].…”

Section: Discussion Of Procedures By Variant Variant 1: Atraumatic Shmentioning

confidence: 99%

“…Provocative positioning maneuvers, including abduction external rotation, are important in improving detection of nondisplaced anteroinferior labral tears [52][53][54] and have been shown to be helpful in the evaluation of multidirectional instability [55]. Flexion-adduction internal rotation may improve assessment of the posterior labrum and capsule [52].…”

Section: Discussion Of Procedures By Variant Variant 1: Atraumatic Shmentioning

confidence: 99%

“…US Shoulder. In certain cases of dynamic instability, US may provide useful dynamic information as to a potential etiology, provided there is acoustic access [52]. It is of limited value in assessing the labroligamentous complex, articular surfaces, or subchondral bone.…”

Section: Discussion Of Procedures By Variant Variant 1: Atraumatic Shmentioning

confidence: 99%

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ACR Appropriateness Criteria® Shoulder Pain-Atraumatic

Small

Adler²,

Shah

et al. 2018

Journal of the American College of Radiology

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Shoulder pain is one of the most common reasons for musculoskeletal-related physician visits. Imaging plays an important role in identifying the specific cause of atraumatic shoulder pain. This review is divided into two parts. The first part provides a general discussion of various imaging modalities (radiographs, arthrography, nuclear medicine, ultrasound, CT, and MRI) and their usefulness in evaluating atraumatic shoulder pain. The second part focuses on the most appropriate imaging algorithms for specific shoulder conditions including: rotator cuff disorders, labral tear/ instability, bursitis, adhesive capsulitis, biceps tendon abnormalities, postoperative rotator cuff tears, and neurogenic pain.The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment. The American College of Radiology seeks and encourages collaboration with other organizations on the development of the ACR Appropriateness Criteria through society representation on expert panels. Participation by representatives from collaborating societies on the expert panel does not necessarily imply individual or society endorsement of the final document. Reprint requests to: publications@acr.org. Dr. Mintz helps to create the registry exam for radiology technologists for the ARRT; he is also the section editor for a journal. Dr. Subhas reports research support from Siemens Healthcare for CT techniques for metal artifact reduction. The other authors have no conflicts of interest related to the material discussed in this article.Disclaimer: The ACR Committee on Appropriateness Criteria and its expert panels have developed criteria for determining appropriate imaging examinations for diagnosis and treatment of specified medical condition(s). These criteria are intended to guide radiologists, radiation oncologists, and referring physicians in making decisions regarding radiologic imaging and treatment. Generally, the complexity and severity of a patient's clinical condition should dictate the selection of appropriate imaging procedures or treatments. Only those examinations generally used for evaluation of the patient's condition are ranked. Other imaging studies necessary to evaluate other co-existent diseases or other medical consequences of this condition are not considered in this document. The availability of equipment or personnel may influence the selection of appropriate imaging procedures or ...

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Section: Discussion Of Procedures By Variant Variant 1: Atraumatic Shmentioning

confidence: 99%

Section: Discussion Of Procedures By Variant Variant 1: Atraumatic Shmentioning

confidence: 99%

See 1 more Smart Citation

ACR Appropriateness Criteria® Shoulder Pain-Atraumatic

Small

Adler²,

Shah

et al. 2018

Journal of the American College of Radiology

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“…Both shoulders were evaluated in each individual scan and results were noted for both dominant and non-dominant arms. My Lab, 7 eSaote ultrasound Machine with, [8][9][10][11][12][13][14][15] MHz linear array probe was used. Ultrasound was done according to the decorum recommended by the European Society of Musculoskeletal Radiology.…”

Section: Methodsmentioning

confidence: 99%

“…The subscapularis tendon thickness was recorded just medial to the insertion site. The modified crass position was used to measure the thickness of supraspinatus tendon 12 . The supraspinatus tendon was visualized on the coronal view at the sulcus between greater tuberosity and articular cartilage in the modified crass position.…”

Section: Methodsmentioning

confidence: 99%

Ultrasound Measurements of Rotator Cuff Tendons in Male Adults

Hassan

Slehria

Hassan

et al. 2021

PAFMJ

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Objective: To establish the normative ultrasound values of tendons of rotator cuff muscles in local healthy male population. Study Design: Cross sectional study. Place and Duration of Study: Department of Radiology, Combined Military Hospital Malir, from Oct 2019 to Mar 2020. Methodology: The sample of study was 456 shoulders of 228 patients. All the patients went under ultrasound shoulder in standard positions. Data analyzed with statistical analysis program (‘Statistical Package for the Social Sciences” version 23). Results: In right dominance the mean thickness of the supraspinatus, infraspinatus, subscapularis and biceps tendons were tendon 4.63 ± 0.45 mm, 3.90 ± 0.73 mm, 4.55 ± 0.74 mm and 3.55 ± 0.54 mm respectively. The acromio-humeral interval was 12.63 ± 2.005 mm. In left dominance the mean thickness of the supraspinatus, infraspinatus, subscapularis and biceps tendons were 4.88 ± 0.69 mm, 4.17 ± 0.63 mm, 5.04 ± 0.26 mm and 3.62 ± 0.45 mm respectively. The acromio-humeral interval was 13.65 ± 2.98mm. Conclusion: The study showed that there was insignificant difference between the dominant and non-dominant shoulders.

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