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Role of Magnetic Resonance Imaging and Ultrasonography in Evaluation of Chronic Non osseous Shoulder Pain.

Article

Last updated: 04 Jan 2025

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Tags

Internal Medicine

Abstract

Background: Chronic shoulder pain is a common clinical presentation. It is of osseous or non-osseous origin. In non-osseous shoulder pain, proper diagnosis is critical. Magnetic resonance imaging [MRI] is the standard diagnostic modality. However, it is expensive and not available in many medical centers. Thus, the availability of cheap alternative is crucial.
Aim of the work: The current research aimed to assess the diagnostic performance of ultrasonography versus conventional MRI in different causes of chronic non-osseous shoulder pain.
Patients and Methods: Fourty patients with chronic shoulder pain due to different causes were participated in the current work. They were selected from Al-Azhar University Hospital [Damietta]. All were assessed on clinical basis [history, physical examination and laboratory investigations]. Then, all were submitted to radiological investigations [Plain X-ray, shoulder ultrasound, and Magnetic resonance imaging]. The diagnostic value of ultrasound was estimated versus that of magnetic resonance imaging.
Results: by ultrasound, tendinosis was reported in 55.0%, partial thickness tear in 27.5%, articular surface in 20.0%, full thickness tear in 12.5%, bursal surface [7.5%], neoplastic [2.5%] and infraspinatus tendon full thickness tear [2.5%]. Ultrasound able to diagnose supraspinatus tendinopathy [91.7%], full thickness complete tear [83.3%], supraspinatus impingement [85.3%], subacromial subdeltoid bursitis [92.0%] and long head biceps tenosynovitis [84.2%]. Otherwise, ultrasound specificity is over its sensitivity power for partial thinness tear on articular [80.0%] or bursal surfaces [85.3%], full thickness complete tear [94.1%], shoulder joint effusion [92.3%], LHB tenosynovitis [85.7%] and labral tears [100.0%].
Conclusion: Shoulder ultrasound could be considered as a reasonable alternative to magnetic resonance imaging in the diagnosis of different causes of chronic shoulder pain. However, its value widely different from condition to another. Thus, it could be used as a rapid screening tool, and the use of MRI could be ascribed for specific conditions [cases with lower ultrasound sensitivity]. 

DOI

10.21608/ijma.2021.74120.1307

Keywords

Chronic shoulder pain, Ultrasound, tendinosis, bursa, Non-Osseous

Authors

First Name

Abdelrahman

Last Name

Hassan

MiddleName

Nabil Abdelati

Affiliation

Department of Radiology, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

ganna_050@hotmail.com

City

-

Orcid

-

First Name

Mostafa

Last Name

Shakweer

MiddleName

M

Affiliation

Department of Radiology, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

mshakweer1@domazhermedicine.edu.eg

City

-

Orcid

2974077209316470

First Name

Ahmed

Last Name

Ashour

MiddleName

Yahia Ahmed

Affiliation

Department of Radiology, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

dr_ahmed.ashour@domazhermedicine.edu.eg

City

New Damietta

Orcid

-

First Name

Ahmed

Last Name

Abo Rashid

MiddleName

Abdelfattah Mahmoud

Affiliation

Department of Radiology, Faculty of Medicine, Al-Azhar University, Egypt

Email

aama.radiology@gmail.com

City

Cairo

Orcid

-

Volume

3

Article Issue

3

Related Issue

27050

Issue Date

2021-07-01

Receive Date

2021-04-27

Publish Date

2021-07-01

Page Start

1,642

Page End

1,650

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 3_Issue 3_Pages 1642-1650.pdf

PDF . 1.8MB

Link

https://ijma.journals.ekb.eg/article_180982.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=180982

Order

20

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Role of Magnetic Resonance Imaging and Ultrasonography in Evaluation of Chronic Non osseous Shoulder Pain.

Details

Type

Article

Created At

22 Jan 2023