The Value of MRI in Evaluation of Shoulder Pain

Safaa Aboelkaseem Mohamed; Osama Mohamed Ebied; Mohamed Shawky abdullah; Hala Hafez Mohamed; Hesham Mohamed Zaky Elmowafy

doi:doi:10.11648/j.ijmi.20140204.11

The Value of MRI in Evaluation of Shoulder Pain

Safaa Aboelkaseem Mohamed, Osama Mohamed Ebied, Mohamed Shawky abdullah, Hala Hafez Mohamed, Hesham Mohamed Zaky Elmowafy

Published in International Journal of Medical Imaging (Volume 2, Issue 4)

Received: 21 May 2014 Accepted: 11 June 2014 Published: 30 June 2014

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Abstract

Objectives: To evaluate the role of MRI, MR Arthrography compared to arthroscopy in shoulder pain. Methods: This study was conducted on 100 patients complaining of shoulder pain. The patients were referred to the radiology department from the out patient clinics and the orthopedics department of Menoufia University Hospital. All patients were examined by conventional MRI while only 8 of them had additional MRA. Arthroscopy was performed to all patients. Results: There were fifty six males and forty four females, their ages ranged between 19 & 69 years (mean age, 31 years). There is significant positive correlation between MRI and arthroscopy with r = +0.9, 95% CI (0.82- 0.99) and p value = 0.003. MRI showed 100 % specificity for anterior labral tears, SS (supraspinatus) partial thickness tear and SS full thickness tear and 98.9 % specificity for SLAP (superior labrum anterior to posterior). MRI showed 76.9% sensitivity for anterior labral tears and SS partial thickness tear. Conventional MRI showed 54.5% sensitivity in diagnosis of SLAP tears and 83.3% sensitivity in diagnosis of supraspinatous full thickness tears. Conclusion: MRI of the shoulder is an accurate, useful and established technique for assessment of different shoulder lesions.

Published in	International Journal of Medical Imaging (Volume 2, Issue 4)
DOI	10.11648/j.ijmi.20140204.11
Page(s)	83-91
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Magnetic Resonance Imaging, Magnetic Resonance Arthrography, Shoulder Pain

References

[1]	Ostler S. Imaging the shoulder. Imaging 2003; 15: 162-173.
[2]	Lambert A, Loffroy R, Guiu B, et al. Rotator cuff tears: value of 3.0T MRI. J Radiol. 2009; 90(5 Pt 1):583-8.
[3]	Liauger J, Palmer J, et al. Non septic monoarthritis: imaging features with clinical and histopathologic correlation. Radiographic 2000; 20: S 263–78.
[4]	Ruotolo C and Nottage WM. Surgical and nonsurgical management of rotator cuff tears. Arth-roscopy 2000; 18: 527–531.
[5]	Boenisch U, Lembcke O and Naumann T. Classification, clinical findings and operative treatment of degenerative and posttraumatic shoulder disease: what do we really need to know from an imaging report to establish a treatment strategy? Eur J Radiol 2000; 35: 103–118.
[6]	Cerynik DL, Ewald TJ, Sastry A, et al. Outcomes of isolated glenoid labral injuries in professional baseball pitchers. Clin J Sport Med. 2008; may18 (3):255-8.
[7]	Magee T, Williams D, Mani N. Shoulder MR arthrography: which patient group benefits most? AJR Am J Roentgenol 2004; 183: 969 -974.
[8]	Beltran J, Jbara M, Maimon R. Shoulder: labrum and bicipital tendon. Topics in J Magn Reson Imaging 2003 Feb; 14(1):35-49.
[9]	Thomas Magee. 3-T MRI of the Shoulder: Is MR Arthrography Necessary? AJR Am J Roentgenol 2009; 192:86-9.
[10]	Zlatkin MB, Iannotti JP, Roberts MC, et al. Rotator cuff tears: diagnostic performance of MR imaging. Radiology 2002; 172:223 -227.
[11]	Wnorowski DC, Levinsohn EM, Chamberlain BC, et al. Magnetic resonance Imaging assessment of the rotator cuff: is it really accurate? Arthroscopy 1997; 13:710-9.
[12]	Farber JM, Buckwalter KA. Sports related injuries of the shoulder: instability. Radiol Clin North Am 2002; 40:235 -249.
[13]	Jbara M, Marten P, Morcos M, et al. Shoulder MR Arthrography: How, Why, When Radiol Clin N Am 2005; 43: 683-692.
[14]	Al Hiari A (2008): Shoulder Instability: The Role of MR Arthrography in diagnosing Antero-Inferior Labroligamentous lesions our experience at King Hussein Medical Center. PAK J MED 2008; 24: 16-11.

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APA Style

Safaa Aboelkaseem Mohamed, Osama Mohamed Ebied, Mohamed Shawky abdullah, Hala Hafez Mohamed, Hesham Mohamed Zaky Elmowafy. (2014). The Value of MRI in Evaluation of Shoulder Pain. International Journal of Medical Imaging, 2(4), 83-91. https://doi.org/10.11648/j.ijmi.20140204.11

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ACS Style

Safaa Aboelkaseem Mohamed; Osama Mohamed Ebied; Mohamed Shawky abdullah; Hala Hafez Mohamed; Hesham Mohamed Zaky Elmowafy. The Value of MRI in Evaluation of Shoulder Pain. Int. J. Med. Imaging 2014, 2(4), 83-91. doi: 10.11648/j.ijmi.20140204.11

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AMA Style

Safaa Aboelkaseem Mohamed, Osama Mohamed Ebied, Mohamed Shawky abdullah, Hala Hafez Mohamed, Hesham Mohamed Zaky Elmowafy. The Value of MRI in Evaluation of Shoulder Pain. Int J Med Imaging. 2014;2(4):83-91. doi: 10.11648/j.ijmi.20140204.11

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@article{10.11648/j.ijmi.20140204.11,
  author = {Safaa Aboelkaseem Mohamed and Osama Mohamed Ebied and Mohamed Shawky abdullah and Hala Hafez Mohamed and Hesham Mohamed Zaky Elmowafy},
  title = {The Value of MRI in Evaluation of Shoulder Pain},
  journal = {International Journal of Medical Imaging},
  volume = {2},
  number = {4},
  pages = {83-91},
  doi = {10.11648/j.ijmi.20140204.11},
  url = {https://doi.org/10.11648/j.ijmi.20140204.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20140204.11},
  abstract = {Objectives: To evaluate the role of MRI, MR Arthrography compared to arthroscopy in shoulder pain. Methods: This study was conducted on 100 patients complaining of shoulder pain. The patients were referred to the radiology department from the out patient clinics and the orthopedics department of Menoufia University Hospital. All patients were examined by conventional MRI while only 8 of them had additional MRA. Arthroscopy was performed to all patients. Results: There were fifty six males and forty four females, their ages ranged between 19 & 69 years (mean age, 31 years). There is significant positive correlation between MRI and arthroscopy with r = +0.9, 95% CI (0.82- 0.99) and p value = 0.003. MRI showed 100 % specificity for anterior labral tears, SS (supraspinatus) partial thickness tear and SS full thickness tear and 98.9 % specificity for SLAP (superior labrum anterior to posterior). MRI showed 76.9% sensitivity for anterior labral tears and SS partial thickness tear. Conventional MRI showed 54.5% sensitivity in diagnosis of SLAP tears and 83.3% sensitivity in diagnosis of supraspinatous full thickness tears. Conclusion: MRI of the shoulder is an accurate, useful and established technique for assessment of different shoulder lesions.},
 year = {2014}
}

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TY - JOUR
T1 - The Value of MRI in Evaluation of Shoulder Pain
AU - Safaa Aboelkaseem Mohamed
AU - Osama Mohamed Ebied
AU - Mohamed Shawky abdullah
AU - Hala Hafez Mohamed
AU - Hesham Mohamed Zaky Elmowafy
Y1 - 2014/06/30
PY - 2014
N1 - https://doi.org/10.11648/j.ijmi.20140204.11
DO - 10.11648/j.ijmi.20140204.11
T2 - International Journal of Medical Imaging
JF - International Journal of Medical Imaging
JO - International Journal of Medical Imaging
SP - 83
EP - 91
PB - Science Publishing Group
SN - 2330-832X
UR - https://doi.org/10.11648/j.ijmi.20140204.11
AB - Objectives: To evaluate the role of MRI, MR Arthrography compared to arthroscopy in shoulder pain. Methods: This study was conducted on 100 patients complaining of shoulder pain. The patients were referred to the radiology department from the out patient clinics and the orthopedics department of Menoufia University Hospital. All patients were examined by conventional MRI while only 8 of them had additional MRA. Arthroscopy was performed to all patients. Results: There were fifty six males and forty four females, their ages ranged between 19 & 69 years (mean age, 31 years). There is significant positive correlation between MRI and arthroscopy with r = +0.9, 95% CI (0.82- 0.99) and p value = 0.003. MRI showed 100 % specificity for anterior labral tears, SS (supraspinatus) partial thickness tear and SS full thickness tear and 98.9 % specificity for SLAP (superior labrum anterior to posterior). MRI showed 76.9% sensitivity for anterior labral tears and SS partial thickness tear. Conventional MRI showed 54.5% sensitivity in diagnosis of SLAP tears and 83.3% sensitivity in diagnosis of supraspinatous full thickness tears. Conclusion: MRI of the shoulder is an accurate, useful and established technique for assessment of different shoulder lesions.
VL - 2
IS - 4
ER -

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Author Information

Safaa Aboelkaseem Mohamed

Radiology department Faculty of Medicine, Menoufia University, Shbine Elkoom, Egypt
Osama Mohamed Ebied

Radiology department Faculty of Medicine, Menoufia University, Shbine Elkoom, Egypt
Mohamed Shawky abdullah

Radiology department Faculty of Medicine, Menoufia University, Shbine Elkoom, Egypt
Hala Hafez Mohamed

Radiology department Faculty of Medicine, Menoufia University, Shbine Elkoom, Egypt
Hesham Mohamed Zaky Elmowafy

Orthopedic department, Faculty of Medicine, Menoufia University, Shbine Elkoom, Egypt

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APA Style

Safaa Aboelkaseem Mohamed, Osama Mohamed Ebied, Mohamed Shawky abdullah, Hala Hafez Mohamed, Hesham Mohamed Zaky Elmowafy. (2014). The Value of MRI in Evaluation of Shoulder Pain. International Journal of Medical Imaging, 2(4), 83-91. https://doi.org/10.11648/j.ijmi.20140204.11

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ACS Style

Safaa Aboelkaseem Mohamed; Osama Mohamed Ebied; Mohamed Shawky abdullah; Hala Hafez Mohamed; Hesham Mohamed Zaky Elmowafy. The Value of MRI in Evaluation of Shoulder Pain. Int. J. Med. Imaging 2014, 2(4), 83-91. doi: 10.11648/j.ijmi.20140204.11

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AMA Style

Safaa Aboelkaseem Mohamed, Osama Mohamed Ebied, Mohamed Shawky abdullah, Hala Hafez Mohamed, Hesham Mohamed Zaky Elmowafy. The Value of MRI in Evaluation of Shoulder Pain. Int J Med Imaging. 2014;2(4):83-91. doi: 10.11648/j.ijmi.20140204.11

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@article{10.11648/j.ijmi.20140204.11,
  author = {Safaa Aboelkaseem Mohamed and Osama Mohamed Ebied and Mohamed Shawky abdullah and Hala Hafez Mohamed and Hesham Mohamed Zaky Elmowafy},
  title = {The Value of MRI in Evaluation of Shoulder Pain},
  journal = {International Journal of Medical Imaging},
  volume = {2},
  number = {4},
  pages = {83-91},
  doi = {10.11648/j.ijmi.20140204.11},
  url = {https://doi.org/10.11648/j.ijmi.20140204.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20140204.11},
  abstract = {Objectives: To evaluate the role of MRI, MR Arthrography compared to arthroscopy in shoulder pain. Methods: This study was conducted on 100 patients complaining of shoulder pain. The patients were referred to the radiology department from the out patient clinics and the orthopedics department of Menoufia University Hospital. All patients were examined by conventional MRI while only 8 of them had additional MRA. Arthroscopy was performed to all patients. Results: There were fifty six males and forty four females, their ages ranged between 19 & 69 years (mean age, 31 years). There is significant positive correlation between MRI and arthroscopy with r = +0.9, 95% CI (0.82- 0.99) and p value = 0.003. MRI showed 100 % specificity for anterior labral tears, SS (supraspinatus) partial thickness tear and SS full thickness tear and 98.9 % specificity for SLAP (superior labrum anterior to posterior). MRI showed 76.9% sensitivity for anterior labral tears and SS partial thickness tear. Conventional MRI showed 54.5% sensitivity in diagnosis of SLAP tears and 83.3% sensitivity in diagnosis of supraspinatous full thickness tears. Conclusion: MRI of the shoulder is an accurate, useful and established technique for assessment of different shoulder lesions.},
 year = {2014}
}

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