MRI Shoulder Without IV Contrast There is insufficient evidence to support the use of MRI shoulder without IV contrast in the initial evaluation of chronic shoulder pain. US Shoulder The literature suggests that radiographic evaluation should generally be the first imaging study ordered in patients with shoulder pain [1,10-14]. Some practitioners may use ultrasound (US) as an initial imaging study when rotator cuff disease/impingement is suggested by the clinical examination. Chronic Shoulder Pain Variant 2: Chronic shoulder pain. Suspect rotator cuff disorders or subacromial subdeltoid bursitis (no prior surgery). Initial radiographs normal or inconclusive. Next imaging study. Bone Scan Shoulder There is insufficient evidence to support the use of bone scan shoulder in the evaluation of chronic shoulder pain when rotator cuff disorder or subacromial subdeltoid bursitis is suspected. CT Arthrography Shoulder CT arthrography has shown good diagnostic performance for depicting rotator cuff tendon tears with a reported respective sensitivity and specificity of 99% and 100% for the supraspinatus tendon, 97.4% and 99.5% for the infraspinatus tendon, and 64.7% and 98.2% for the subscapularis tendon [15]. CT arthrography provides a comparable alternative to MR arthrography in the evaluation of rotator cuff tendon tears [16,17]. CT arthrography is able to detect very subtle articular surface cuff defects, but, because of lack of contrast extension from the glenohumeral joint space, it is less effective at demonstrating bursal surface or intrasubstance tears, which are typically well seen with MRI or US [18]. CT Shoulder With IV Contrast There is insufficient evidence to support the use of CT shoulder with IV contrast in the evaluation of chronic shoulder pain when rotator cuff disorder or subacromial subdeltoid bursitis is suspected.
Chronic Shoulder Pain PCAs. MRI Shoulder Without IV Contrast There is insufficient evidence to support the use of MRI shoulder without IV contrast in the initial evaluation of chronic shoulder pain. US Shoulder The literature suggests that radiographic evaluation should generally be the first imaging study ordered in patients with shoulder pain [1,10-14]. Some practitioners may use ultrasound (US) as an initial imaging study when rotator cuff disease/impingement is suggested by the clinical examination. Chronic Shoulder Pain Variant 2: Chronic shoulder pain. Suspect rotator cuff disorders or subacromial subdeltoid bursitis (no prior surgery). Initial radiographs normal or inconclusive. Next imaging study. Bone Scan Shoulder There is insufficient evidence to support the use of bone scan shoulder in the evaluation of chronic shoulder pain when rotator cuff disorder or subacromial subdeltoid bursitis is suspected. CT Arthrography Shoulder CT arthrography has shown good diagnostic performance for depicting rotator cuff tendon tears with a reported respective sensitivity and specificity of 99% and 100% for the supraspinatus tendon, 97.4% and 99.5% for the infraspinatus tendon, and 64.7% and 98.2% for the subscapularis tendon [15]. CT arthrography provides a comparable alternative to MR arthrography in the evaluation of rotator cuff tendon tears [16,17]. CT arthrography is able to detect very subtle articular surface cuff defects, but, because of lack of contrast extension from the glenohumeral joint space, it is less effective at demonstrating bursal surface or intrasubstance tears, which are typically well seen with MRI or US [18]. CT Shoulder With IV Contrast There is insufficient evidence to support the use of CT shoulder with IV contrast in the evaluation of chronic shoulder pain when rotator cuff disorder or subacromial subdeltoid bursitis is suspected.