Diagnostic evaluation of magnetic resonance imaging in shoulder pathologies
Journal Title: International Journal of Medical Science and Public Health - Year 2018, Vol 7, Issue 9
Abstract
Background: Magnetic resonance imaging (MRI) is a sensitive and accurate non-invasive tool in investigating shoulder pathology, because of its multiplanar capability and excellent soft tissue resolution. Objective: The present study is undertaken to study usefulness, advantages, and pitfalls of MRI in patients presenting with symptoms of glenohumeral joint pathologies. Materials and Methods: The study included 50 patients referred for MRI shoulder after a detailed clinical workup. Images were acquired using various non-contrast-enhanced sequences and were analyzed for pathologies. Results: Among the 50 patients included in the study, the various pathologies were detected on MRI. Rotator cuff disease is the most common pathology of glenohumeral joint, for which MRI was done. Involvement of supraspinatus muscle or tendon was 74% in all the pathologies. Associated involvement of subscapularis and infraspinatus muscles does not show much difference. Of 42 patients diagnosed with supraspinatus tear, partial tear was seen in 34 patients (81%) and complete tear was seen in 8 (19%) patients. Involvement of supraspinatus muscle is the same in traumatic and non-traumatic injuries. Conclusion: MRI is the preferred test for evaluating impingement syndrome and rotator cuff pathology. We recommend that state-of-the-art conventional MRI, including fat-suppression sequences, be performed as the first MRI evaluation in shoulder pathologies.
Authors and Affiliations
Hari Ram, Ravinder Kumar
Keywords
Related Articles
- EP ID EP485317
- DOI 10.5455/ijmsph.2018.0514013052018
- Views 73
- Downloads 0
Diabetes and depression: Impact of depression on self-care among patients with type 2 diabetes
Background: Diabetes is one of the many chronic medical conditions, which is adversely affected by comorbid depression. Research so far suggests an association between clinically significant levels of depression and...
“Troublesome tumors” of the skin: Spectrum of skin adnexal tumors at a tertiary care center in Malwa region
Background: Skin adnexal tumors are uncommon in routine practice and usually cause diagnostic problems because of their rarity. Objective: The aim of this study was to find the prevalence of skin adnexal tumors among all...
Sanfilippo syndrome may go un diagnosed if not picked up during well health visit
Sanfilippo syndrome type B (Mucopolysaccharidosis IIIB) is a lysosomal storage disease resulting from deficiency of N-acetyl-glucosaminidase activity. A 12-month-old Saudi boy was presented to outpatient department in A...
A study to estimate the prevalence of gestational diabetes mellites in an urban block of Kashmir valley (North India)
Effect of water-soluble gummy fiber, water-insoluble neutral detergent fiber isolated from Syzygium cumini seeds on biliary and fecal bile acids and sterols in rats fed a high
Background: Highly viscous water-soluble fi bers present in plant materials have been shown to reduce serum levels of blood cholesterol and lipid levels in animals and human beings. The water-insoluble neutral deterg...