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Scholars Journal of Applied Medical Sciences | Volume-12 | Issue-12
Multimodality Evaluation of Shoulder Pathologies
Taori, Abhijeet, Malpani, Divya
Published: Dec. 31, 2024 |
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3
Pages: 1925-1927
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Abstract
Introduction: A wide plethora of Shoulder Pathologies are frequently encountered in patients presenting with shoulder pain. They are routinely evaluated using High Resolution Ultrasonography, Magnetic Resonance Imaging and Arthrography. Despite good diagnostic accuracy in using each of these modalities, certain limitations persist. Aims and Objectives: To recognize common pathologies of the Shoulder on Ultrasonography and Magnetic Resonance Imaging. Correlate Ultrasonography and Magnetic Resonance Imaging findings and establish the superiority and determine diagnostic modality of choice for various pathologies. Results: Overall detection rates (sensitivity) of any kind of rotator cuff tears using ultrasound were 78.38 %. This sensitivity difference was statistically very significant. US has a very high specificity rate of 90.91 %. Ultrasound suffers severe handicaps when it comes to study the labroligamentous complex injuries in patients with instability, Whereas MRI proved to be far superior in labroligamentous complex injuries. Conclusion: High Resolution Ultrasonography and Magnetic Resonance Imaging are excellent modalities with high efficiency in the detection of various shoulder pathologies, provided user is adequately experienced / trained and familiar with complex shoulder anatomy. MRI is a versatile investigation tool for studying all shoulder pathologies affording great soft tissue contrast and multi-planar imaging and ultrasound has significant clinical applications outside rotator cuff evaluation.