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Clinico-radiological correlation of shoulder pain

Reddy KVK, Babu MML, Suresh A, Gupta S, Chalavadi DVKH

European Journal of Molecular and Clinical Medicine 2022 Summer;9(4):60-69

primary study

BACKGROUND: Shoulder pain is one of the commonest conditions encountered in our orthopedic department. Accurate diagnosis is a must before undertaking any treatment. Since clinical diagnosis cannot make an accurate diagnosis, radiological investigation is necessary to know the exact cause of shoulder pain. There are a wide range of invasive and noninvasive modalities that can be used to investigate these patients. Ultrasound examination is a highly specific and sensitive modality in comparison with MRI. High-resolution real-time USG has shown to be a cost-effective means of investigation of rotator cuff pathologies. With recent advances with USG, results of imaging of shoulder joint pathologies are as similar or in some cases more precise in the diagnosis than MRI. METHODS: Prospective analysis of 52 patients presenting with shoulder pain were included in our study. A pre-formed written consent is also taken. All patients underwent a thorough clinical examination, USG of the affected shoulder with comparison of the opposite side and MRI of the affected shoulder for comparison. RESULTS: Ultrasound is equivalent in detection of rotator cuff tears in comparison with MRI. MRI outscores ultrasound in detection of labral tears, cartilaginous lesions and subtle bony lesions. USG examination can be used as the first line of investigating a case of shoulder pain as it is inexpensive, real time and allows for comparison with the opposite side. MRI can be used as a confirmatory tool.

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