Bone Scan Shoulder There is insufficient evidence to support the use of bone scan shoulder in the evaluation of chronic shoulder pain when radiographs demonstrate calcific tendinosis or calcific bursitis. Cases with intraosseous extension of calcium hydroxyapatite can potentially demonstrate increased radionuclide uptake due to bony inflammatory change, which can potentially be confused with a neoplastic process and result in diagnostic confusion. CT Arthrography Shoulder There is insufficient evidence to support the use of CT arthrography shoulder in the evaluation of chronic shoulder pain when radiographs demonstrate calcific tendinopathy or calcific bursitis. Hyperdense intratendinous calcium may resemble intratendinous contrast from a partial thickness articular-sided rotator cuff tear, which could potentially result in diagnostic confusion. The role of CT arthrography is limited to cases in which there is concern Chronic Shoulder Pain for a concomitant rotator cuff tear and, even in this situation, may be lacking in utility in cases of partial thickness interstitial or bursal surface tear [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 radiographs demonstrate calcific tendinopathy or calcific bursitis. CT Shoulder Without and With IV Contrast There is insufficient evidence to support the use of CT shoulder without and with contrast in the evaluation of chronic shoulder pain when radiographs demonstrate calcific tendinopathy or calcific bursitis. CT Shoulder Without IV Contrast Calcific hydroxyapatite deposition in the rotator cuff tendons is easily visualized by CT; however, the diagnosis of calcium hydroxyapatite is typically able to be made on radiographs alone.
Chronic Shoulder Pain PCAs. Bone Scan Shoulder There is insufficient evidence to support the use of bone scan shoulder in the evaluation of chronic shoulder pain when radiographs demonstrate calcific tendinosis or calcific bursitis. Cases with intraosseous extension of calcium hydroxyapatite can potentially demonstrate increased radionuclide uptake due to bony inflammatory change, which can potentially be confused with a neoplastic process and result in diagnostic confusion. CT Arthrography Shoulder There is insufficient evidence to support the use of CT arthrography shoulder in the evaluation of chronic shoulder pain when radiographs demonstrate calcific tendinopathy or calcific bursitis. Hyperdense intratendinous calcium may resemble intratendinous contrast from a partial thickness articular-sided rotator cuff tear, which could potentially result in diagnostic confusion. The role of CT arthrography is limited to cases in which there is concern Chronic Shoulder Pain for a concomitant rotator cuff tear and, even in this situation, may be lacking in utility in cases of partial thickness interstitial or bursal surface tear [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 radiographs demonstrate calcific tendinopathy or calcific bursitis. CT Shoulder Without and With IV Contrast There is insufficient evidence to support the use of CT shoulder without and with contrast in the evaluation of chronic shoulder pain when radiographs demonstrate calcific tendinopathy or calcific bursitis. CT Shoulder Without IV Contrast Calcific hydroxyapatite deposition in the rotator cuff tendons is easily visualized by CT; however, the diagnosis of calcium hydroxyapatite is typically able to be made on radiographs alone.