Post Traumatic Shoulder Pathology – Is conventional Magnetic Resonance Imaging still useful..?
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 12
Abstract
Objective: Non –invasive conventional Magnetic resonance imaging is a routine diagnostic investigation carried out in patients of gleno-humeral pathology; however, the gold standard modality to evaluate these lesions is still Arthroscopy. In recent times, MRI has revolutionized to become the ideal modality to diagnose shoulder pathology with increased accuracy. The purpose of this prospective study was to determine the diagnostic ability of conventional Magnetic resonance imaging (MRI) in present day scenario as compared with a reference standard, Arthroscopy, in patients of post traumatic shoulder pathology. Materials and Methods: Fifty patients of post traumatic shoulder pathology of either sex, and between 18 to 50 years of age who has undergone pre-operative MRI evaluation and subsequent Arthroscopy were included in the study. The MRI findings were compared with the findings of operative Arthroscopy. Statistical analysis of the data was compared with the help of statistical package for the social science system version SPSS 17.0. Results: The sensitivity/ specificity of bony lesions detected in both the modalities varied between 1/1 to 1/0.94; that of rotator cuff lesions varied between 1/1 to 1/0.89; and that of capsulolabral lesions varied between 1/0.93 to 0.58/0.86 respectively. Conclusion: The study showed moderately high diagnostic accuracy of conventional MRI towards diagnosing osseous and rotator cuff shoulder pathology. The result of capsulolabral lesions doesn’t show very high diagnostic accuracy but are still encouraging as compared with other previous similar studies.
Authors and Affiliations
Kavish Kapoor
Keywords
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