CT Shoulder Without and With IV Contrast There is insufficient evidence to support the use of CT shoulder without and with IV contrast in the evaluation of chronic shoulder pain with a history of prior rotator cuff repair when rotator cuff disorder or subacromial subdeltoid bursitis is suspected. CT Shoulder Without IV Contrast There is insufficient evidence to support the use of CT shoulder without IV contrast in the evaluation of chronic shoulder pain with a history of prior rotator cuff repair when rotator cuff disorder or subacromial subdeltoid bursitis is suspected. FDG-PET/CT Skull Base to Mid-Thigh There is insufficient evidence to support the use of FDG-PET/CT skull base to mid-thigh in the evaluation of chronic shoulder pain with a history of prior rotator cuff repair when a rotator cuff disorder or subacromial subdeltoid bursitis is suspected. Image-Guided Anesthetic +/- Corticosteroid Injection Shoulder or Surrounding Structures Image-guided corticosteroid injection may be useful for therapeutic purposes in patients with recurrent pain after rotator cuff repair. US-guided injection of corticosteroid into the glenohumeral joint has been found to improve pain and range of motion in patients with prior rotator cuff repair, without increasing the risk of recurrent rotator cuff tear [149]. There is insufficient evidence to support the use of image guided injection for diagnostic purposes in evaluation for recurrent cuff tear, but it may be of use for diagnosis in patients with suspected subacromial subdeltoid bursitis. MR Arthrography Shoulder MR arthrography is useful in the evaluation of the postoperative rotator cuff. MR arthrography can improve diagnostic accuracy over conventional MRI in patients who have had prior rotator cuff repair due to joint distention and improved signal-to-noise ratio [150].
Chronic Shoulder Pain PCAs. CT Shoulder Without and With IV Contrast There is insufficient evidence to support the use of CT shoulder without and with IV contrast in the evaluation of chronic shoulder pain with a history of prior rotator cuff repair when rotator cuff disorder or subacromial subdeltoid bursitis is suspected. CT Shoulder Without IV Contrast There is insufficient evidence to support the use of CT shoulder without IV contrast in the evaluation of chronic shoulder pain with a history of prior rotator cuff repair when rotator cuff disorder or subacromial subdeltoid bursitis is suspected. FDG-PET/CT Skull Base to Mid-Thigh There is insufficient evidence to support the use of FDG-PET/CT skull base to mid-thigh in the evaluation of chronic shoulder pain with a history of prior rotator cuff repair when a rotator cuff disorder or subacromial subdeltoid bursitis is suspected. Image-Guided Anesthetic +/- Corticosteroid Injection Shoulder or Surrounding Structures Image-guided corticosteroid injection may be useful for therapeutic purposes in patients with recurrent pain after rotator cuff repair. US-guided injection of corticosteroid into the glenohumeral joint has been found to improve pain and range of motion in patients with prior rotator cuff repair, without increasing the risk of recurrent rotator cuff tear [149]. There is insufficient evidence to support the use of image guided injection for diagnostic purposes in evaluation for recurrent cuff tear, but it may be of use for diagnosis in patients with suspected subacromial subdeltoid bursitis. MR Arthrography Shoulder MR arthrography is useful in the evaluation of the postoperative rotator cuff. MR arthrography can improve diagnostic accuracy over conventional MRI in patients who have had prior rotator cuff repair due to joint distention and improved signal-to-noise ratio [150].