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June 1, 1991Journal of Bone and Joint Surgery

Evaluation of the painful shoulder. A prospective comparison of magnetic resonance imaging, computerized tomographic arthrography, ultrasonography, and operative findings.

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Why the study?

Does magnetic resonance imaging improve diagnostic accuracy compared to computerized tomographic arthrography and ultrasonography in patients with chronic shoulder pain?

Population

21 patients who had had pain in the shoulder for more than three months

Comparison

Magnetic resonance imaging (MRI) vs Computerized tomographic arthrography and…

Design

Cohort

Authors

MNMichael C. NelsonQueens College, CUNYGLGP. LeatherGeorgetown UniversityRNRobert P. NirschlMACOM (United States)

Discussion

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Implication

May support MRI prioritization for chronic shoulder pain etiology; leaves open prospective validation trials.

Structured PICO

Does magnetic resonance imaging improve diagnostic accuracy compared to computerized tomographic arthrography and ultrasonography in patients with chronic shoulder pain?

P
Population
21 patients who had had pain in the shoulder for more than three months
I
Intervention
Magnetic resonance imaging (MRI)
C
Comparator
Computerized tomographic arthrography and ultrasonography
O
Outcome
Accuracy in establishing the etiology of shoulder pain compared with operative findingssurrogate

MRI is the most accurate non-invasive imaging modality for diagnosing the etiology of chronic shoulder pain, particularly for identifying partial-thickness rotator cuff tears.

Limitations

  • Accuracy decreased in extremely obese patients due to positioning difficulties
  • Accuracy decreased in patients who had had a previous operation

Cite This Study

Nelson et al. (1991) studied this question.

synapsesocial.com/papers/6a823bb570df46ce3ea20f1ahttps://doi.org/10.2106/00004623-199173050-00009
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Exploring shoulder joint pain: a comparative analysis of dynamic ultrasonography and magnetic resonance imaging2024 · 1 citations
  2. 2Evaluation of Shoulder Injuries: A Comparative Study of Imaging by Magnetic Resonance Imaging (MRI) and Magnetic Resonance Arthrography (MRA)2024 · 2 citations
  3. 3Magnetic Resonance Imaging of the Musculoskeletal System; Part 6. The Shoulder1997 · 4 citations
  4. 4Role of Ultrasonography and Magnetic Resonance Imaging in Diagnosing Shoulder Pathologies: A Prospective Observational Study2026
  5. 5Diagnostic Comparison of Ultrasound and Magnetic Resonance Imaging in Detecting Rotator Cuff Tears: A Study Conducted in the Population of Vijayapura2024 · 4 citations