Title: Imaging In Shoulder Joint Diseases
Authors: Dr Akhand Pratap Singh, Dr Dinesh Kumar, Dr Arvind Srivastav, Dr Ashish Verma, Dr Ramvilas Nag, Dr Suman Chaurasia
DOI: https://dx.doi.org/10.18535/jmscr/v5i1.21
Abstract
Background: MRI of the shoulder continues to develop as an important tool in the assessment of joint and soft tissue pathology. The aim of this study is a prospective descriptive compilation of the role of available imaging modalities in evaluation of different clinical syndromes referable to shoulder joint.
Material & Methods: The Prospective observational study was carried out on 50 patients in the Department of Radiodiagnosis and Imaging, Institute of Medical Sciences, Banaras Hindu University, Varanasi during period of July 2013 to July 2015. Ethical approval was obtained from the local ethics committee. Informed consent was obtained from each patient, prior to their enrolment in this study. Full history was taken especially about any previous operative procedure, any drug allergy or any absolute contraindication for MRI.
Results: The mean age was 24 years and maximum number of patients affected belong to the age group of 21-30 years. There was increased incidence of SLAP lesion in patients having Buford complex (50%) as compared to patients who were not having Buford complex. An initial suspicion of osteochondritis dissecans existed on MRI but was confirmed only with the visualization of bony fragment on MR arthrography. CT scan, which was performed for confirmation, showed the loose body as well.
Conclusion: MRI and MR Arthrography because of its excellent soft tissue contrast, imaging capability in any desired plane is an ideal modality of choice. In the present study, it could be deciphered that MRI was superior to ultrasound for diagnosing rotator cuff tendon tear. The MR Imaging has effectively replaced all other tests in evaluation of shoulder problems.
Key Words: Shoulder joint, MRI, Rotator cuff pathology, MR Arthrography.
