The effect of shoulder magnetic resonance imaging on clinical decision making

Ultrasonographic findings of painful shoulders and correlation between physical examination and ultrasonographic rotator cuff tear

“…3 Although a complete history, physical examination, and review of plain radiographs by an experienced examiner were found to be suffi cient for establishing the diagnosis and treatment plan for common shoulder disorders, magnetic resonance imaging (MRI) still had a signifi cant impact on clinical decision making in a large subset of patients with shoulder pain. 4 Ultrasonographic evaluation is useful for diagnosing a variety of regional pain syndrome and soft tissue rheumatism, and has been increasingly employed in rheumatologic practice. 5 Given the great improvement in resolution achieved by high-frequency ultrasound, it is expected to serve as an important tool for the accurate evaluation of painful shoulder.…”

MRI Before Radiography for Patients With New Shoulder Conditions

“…Sher et al [4] studied 100 consecutive patients to determine the impact of MRI on clinical decision making. They found that with a thorough history and physical examination performed by an orthopedic surgeon and supplemented by radiographs, MRI changed the diagnosis or treatment in only 18% of cases.…”

“…MRI studies ordered by experienced consulting clinicians may yield more clinically relevant findings [4]. That is, a specific study such as an MR arthrogram may be preferred to a routine MRI for surgical planning; this is an example of a specifically focused study to potentially diminish the number of unnecessary repeat studies with modified parameters or protocols.…”

“…Effective treatment depends on accurate diagnosis of the specific underlying cause of shoulder pain. The diagnosis is often made with a focused history, physical examination, and radiography [2][3][4].…”

Sensitivity of Preoperative Magnetic Resonance Imaging and Magnetic Resonance Arthrography in Detection of Panlabral Tears of the Glenohumeral Joint

“…[5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] Sensitivities and specificities have been reported at greater than 90% in certain studies in detecting unidirectional tears of the glenoid labrum on noncontrast MRI, and even higher values have been reported with MR arthrography. [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] Little has been written, however, regarding the use and accuracy of MRI in identifying labral tears involving more than 1 location of the glenoid. 1,4 The purpose of this study was to evaluate the sensitivity of preoperative MRI, including both noncontrast MRI and MR arthrography, in detecting combined lesions of the anterior, posterior, and superior glenoid labrum.…”