Shoulder

Question 1

shoulder pain - traumatic shoulder pain, any etiology, initial imaging

Answer 1

x-ray

Question 2

shoulder pain - traumatic shoulder pain, nonlocalized, negative radiographs, next imaging study

Answer 2

MRI

Question 3

shoulder pain - traumatic shoulder pain, radiographs normal, physical exam and history consistent w/ dislocation or instability, next imaging study

Answer 3

MR arthrography or MRI

Question 4

shoulder pain - traumatic shoulder pain, radiographs normal, physical exam findings consistent w. rotator cuff tear, next imaging study

Answer 4

MRI
MR arthrography
ultrasound

Question 5

chronic shoulder pain - initial imaging

Answer 5

radiography

Question 6

chronic shoulder pain - suspected rotator cuff or subacromial subdeltoid bursitis (no prior surgery), initial radiographs normal, next imaging study

Answer 6

ultrasound
MR arthrography
MRI

Question 7

chronic shoulder pain - suspect labral pathology or shoulder instability, initial radiographs normal, next imaging study

Answer 7

MR arthrography
MRI

Question 8

chronic shoulder pain - suspect adhesive capsulitis, initial radiographs normal, next imaging study

Answer 8

• image-guided anesthetic block
• MRI

Question 9

chronic shoulder pain - suspect biceps tendon abnormality, initial radiographs normal, next imaging study

Answer 9

• ultrasound
• image-guided anesthetic block
• MR arthrography
• MRI

Question 10

chronic shoulder pain - history of prior rotator cuff repair, suspect rotator cuff disorders or subacromial subdeltoid bursitis, initial radiographs normal, next imaging study

Answer 10

• ultrasound
• MR arthrography
• MRI
• CT arthrography