Although these additional projections are used by some practitioners, they do not usually alleviate the need for advanced imaging. US Shoulder The posterior labrum can be reliably visualized with US, with posterior labral tears potentially visualized particularly if the joint is distended [101]. However, US is of limited benefit in assessing the anterior labroligamentous complex, superior labrum, articular surface, and subchondral bone. Variant 5: Chronic shoulder pain. Suspect adhesive capsulitis. 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 adhesive capsulitis is suspected. CT Arthrography Shoulder There is insufficient evidence to support the use of CT arthrography shoulder in the evaluation of chronic shoulder pain when adhesive capsulitis is suspected. 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 adhesive capsulitis is suspected. 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 when adhesive capsulitis 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 when adhesive capsulitis is suspected. FDG-PET/CT Skull Base to Mid-Thigh Increased PET uptake in the rotator interval and inferior joint capsule is moderately associated with adhesive capsulitis [102-104]. However, this is generally an incidental finding on PET examinations performed for other reasons, and PET/CT is not typically performed specifically for this indication. Chronic Shoulder Pain
Chronic Shoulder Pain PCAs. Although these additional projections are used by some practitioners, they do not usually alleviate the need for advanced imaging. US Shoulder The posterior labrum can be reliably visualized with US, with posterior labral tears potentially visualized particularly if the joint is distended [101]. However, US is of limited benefit in assessing the anterior labroligamentous complex, superior labrum, articular surface, and subchondral bone. Variant 5: Chronic shoulder pain. Suspect adhesive capsulitis. 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 adhesive capsulitis is suspected. CT Arthrography Shoulder There is insufficient evidence to support the use of CT arthrography shoulder in the evaluation of chronic shoulder pain when adhesive capsulitis is suspected. 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 adhesive capsulitis is suspected. 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 when adhesive capsulitis 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 when adhesive capsulitis is suspected. FDG-PET/CT Skull Base to Mid-Thigh Increased PET uptake in the rotator interval and inferior joint capsule is moderately associated with adhesive capsulitis [102-104]. However, this is generally an incidental finding on PET examinations performed for other reasons, and PET/CT is not typically performed specifically for this indication. Chronic Shoulder Pain