Volume 2, Issue 4, July 2014, Page: 83-91
The Value of MRI in Evaluation of Shoulder Pain
Safaa Aboelkaseem Mohamed, Radiology department Faculty of Medicine, Menoufia University, Shbine Elkoom, Egypt
Osama Mohamed Ebied, Radiology department Faculty of Medicine, Menoufia University, Shbine Elkoom, Egypt
Mohamed Shawky abdullah, Radiology department Faculty of Medicine, Menoufia University, Shbine Elkoom, Egypt
Hala Hafez Mohamed, Radiology department Faculty of Medicine, Menoufia University, Shbine Elkoom, Egypt
Hesham Mohamed Zaky Elmowafy, Orthopedic department, Faculty of Medicine, Menoufia University, Shbine Elkoom, Egypt
Received: May 21, 2014;       Accepted: Jun. 11, 2014;       Published: Jun. 30, 2014
DOI: 10.11648/j.ijmi.20140204.11      View  2559      Downloads  286
Objectives: To evaluate the role of MRI, MR Arthrography compared to arthroscopy in shoulder pain. Methods: This study was conducted on 100 patients complaining of shoulder pain. The patients were referred to the radiology department from the out patient clinics and the orthopedics department of Menoufia University Hospital. All patients were examined by conventional MRI while only 8 of them had additional MRA. Arthroscopy was performed to all patients. Results: There were fifty six males and forty four females, their ages ranged between 19 & 69 years (mean age, 31 years). There is significant positive correlation between MRI and arthroscopy with r = +0.9, 95% CI (0.82- 0.99) and p value = 0.003. MRI showed 100 % specificity for anterior labral tears, SS (supraspinatus) partial thickness tear and SS full thickness tear and 98.9 % specificity for SLAP (superior labrum anterior to posterior). MRI showed 76.9% sensitivity for anterior labral tears and SS partial thickness tear. Conventional MRI showed 54.5% sensitivity in diagnosis of SLAP tears and 83.3% sensitivity in diagnosis of supraspinatous full thickness tears. Conclusion: MRI of the shoulder is an accurate, useful and established technique for assessment of different shoulder lesions.
Magnetic Resonance Imaging, Magnetic Resonance Arthrography, Shoulder Pain
To cite this article
Safaa Aboelkaseem Mohamed, Osama Mohamed Ebied, Mohamed Shawky abdullah, Hala Hafez Mohamed, Hesham Mohamed Zaky Elmowafy, The Value of MRI in Evaluation of Shoulder Pain, International Journal of Medical Imaging. Vol. 2, No. 4, 2014, pp. 83-91. doi: 10.11648/j.ijmi.20140204.11
Ostler S. Imaging the shoulder. Imaging 2003; 15: 162-173.
Lambert A, Loffroy R, Guiu B, et al. Rotator cuff tears: value of 3.0T MRI. J Radiol. 2009; 90(5 Pt 1):583-8.
Liauger J, Palmer J, et al. Non septic monoarthritis: imaging features with clinical and histopathologic correlation. Radiographic 2000; 20: S 263–78.
Ruotolo C and Nottage WM. Surgical and nonsurgical management of rotator cuff tears. Arth-roscopy 2000; 18: 527–531.
Boenisch U, Lembcke O and Naumann T. Classification, clinical findings and operative treatment of degenerative and posttraumatic shoulder disease: what do we really need to know from an imaging report to establish a treatment strategy? Eur J Radiol 2000; 35: 103–118.
Cerynik DL, Ewald TJ, Sastry A, et al. Outcomes of isolated glenoid labral injuries in professional baseball pitchers. Clin J Sport Med. 2008; may18 (3):255-8.
Magee T, Williams D, Mani N. Shoulder MR arthrography: which patient group benefits most? AJR Am J Roentgenol 2004; 183: 969 -974.
Beltran J, Jbara M, Maimon R. Shoulder: labrum and bicipital tendon. Topics in J Magn Reson Imaging 2003 Feb; 14(1):35-49.
Thomas Magee. 3-T MRI of the Shoulder: Is MR Arthrography Necessary? AJR Am J Roentgenol 2009; 192:86-9.
Zlatkin MB, Iannotti JP, Roberts MC, et al. Rotator cuff tears: diagnostic performance of MR imaging. Radiology 2002; 172:223 -227.
Wnorowski DC, Levinsohn EM, Chamberlain BC, et al. Magnetic resonance Imaging assessment of the rotator cuff: is it really accurate? Arthroscopy 1997; 13:710-9.
Farber JM, Buckwalter KA. Sports related injuries of the shoulder: instability. Radiol Clin North Am 2002; 40:235 -249.
Jbara M, Marten P, Morcos M, et al. Shoulder MR Arthrography: How, Why, When Radiol Clin N Am 2005; 43: 683-692.
Al Hiari A (2008): Shoulder Instability: The Role of MR Arthrography in diagnosing Antero-Inferior Labroligamentous lesions our experience at King Hussein Medical Center. PAK J MED 2008; 24: 16-11.
Browse journals by subject