MRI-Based Assessment of Shoulder Bones in Patient of Rotator Cuff Pathology: An Institutional Based Study
DOI:
https://doi.org/10.21276/2a9p5k98Keywords:
Rotary Cuff Pathologies, Shoulder, Magnetic Resonance ImagingAbstract
Background: Shoulder pain is a common cause of morbidity in the general adult population. Magnetic resonance imaging (MRI) is a sensitive and accurate non-invasive tool in investigating rotator cuff pathology and adjacent bone, because of its Multiplanar capability and excellent soft tissue resolution. Hence; the present study was undertaken for assessing MRI imaging of adjacent bone in patients of rotary cuff tendon.
Methods: A total of 112 patients were enrolled. A Performa was made and complete demographic and clinical details of all the patients were recorded. MRI procedure was carried out in all the patients. All the MRI procedures were carried out by skilled and experienced radiologists. The acromial shapes were classified into type I (flat), type II (curved), type III (hooked) and type IV (convex). All the results were recorded in Microsoft excel sheet excel sheet and were analysed by SPSS software.
Results: Type I acromion was found to be present in 21 patients, while type II acromion was found to be present in 65 patients. After analysing joint effusion on MRI in patients with rotator cuff tendon pathologies, it was seen that tear was found to be present in 62.5 percent of the patients while Tendinosis was present in 17.86 percent of the patients. While analyzing the association of acromio-humeral distance and supraspinatus tendon pathology, significant results were obtained. While adjacent bone changes associated with rotator cuff pathologies, it was seen that edema/contusion of humeral head was present in 33.04 percent of the patients. Subchondral cyst/ geode was present in 16.96 percent of the patients.
Conclusions: MRI is the preferred test and significantly efficacious in evaluating shoulder bones in patient with rotator cuff pathology. We recommend that state-of-the-art conventional MRI, including fat-suppression sequences.
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