Shoulder Review & Eval Flashcards
general indications for shoulder complex
trauma
bone involvement w/ metabolic diseases/systemic diseases/nutritional deficiencies
neoplasm
infxn
arthropathy
pre-op/post-op
suspected congenital/developmental abnormality
vascular lesions
foreign body/soft tissue lesion
pain
correlation w/ other studies
spatial relationships
coracoclavicular distance
AC joint space distance
radiographs typically first study with …
suspected bone & soft tissue injury
CT with ..
complex fx & to assist w/ surgical decisions
MRI when ..
results are anticipated to effect treatment decisions
general indications for CT of shoulder
severe trauma
assessing fx alignment / displacement
identifying loose bodies in GHJ
if MRI contraindicated, RTC path & other health conditions for which MRI is typically indicated
what will u see w a axial view CT
GH articulation
articular cartilage injury
avulsions at greater tubercle
bankart lesion
hill-sach’s lesion
what will u see w a oblique sagittal view CT
ACJ degeneration
subacromial space
acromion morphology
what will u see w a oblique coronal view CT
labrum
GH joint surfaces
glenoid rim
greater tub
subacromial space
acromion morphology
general indications for MRI
RTC lesion
long head bicep lesion
subacromial soft tissue
labral lesion
joint surface abnormalities
muscle / synovial disorders
marrow abnormalities
neoplasm
infxn
intra-articular bodies
congenital
vascular / neurologic conditions
traumatic shoulder pain
any etiology
initial imaging -
x-ray
traumatic shoulder pain
nonlocalized shoulder pain
negative radiographs
next imaging -
MRI
traumatic shoulder pain
radiographs normal
physical exam & hx consistent w/ dislocation event or instability
next imaging -
MRI arthrography
MRI shoulder
traumatic shoulder pain
radiographs normal
physical exam consistent w/ RTC tear
next imaging -
MRI shoulder
MRI arthrography
US shoulder
chronic shoulder pain
initial imaging -
radiography shoulder
