EVALUATING SHOULDER JOINT PATHOLOGIES USING MRI: A PROSPECTIVE STUDY IN A TERTIARY CARE SETTING

Main Article Content

Ketan Joshi
Atish Komwad
Santosh kundgir

Keywords

Shoulder Pain, MRI, Rotator Cuff Disorders, Tendon Pathologies, Orthopedics, Diagnostic Imaging

Abstract

Background: Shoulder joint pain is a common musculoskeletal complaint, posing diagnostic challenges due to the complex anatomy and diverse pathologies of the shoulder. This study aims to evaluate the efficacy of Magnetic Resonance Imaging (MRI) in diagnosing various shoulder joint pathologies.
Methods: A prospective analysis was conducted at a tertiary care hospital, involving 100 patients with shoulder joint pain. The study spanned from January 2019 to December 2019. Patients aged 18 to 80 years, referred for shoulder MRI, were included, excluding those with metallic prostheses or known metabolic bone disorders. MRI examinations were performed using a GE Signa 1.5 Tesla system, and the data were analyzed using R software.
Results: The study group was predominantly male (78%), with the highest incidence of shoulder pathologies in the 21-30 age group (29%). The Supraspinatus tendon was most commonly affected (69% of cases). MRI findings included tendon tears, tendinosis, and joint effusions, with osteoarthritis of the acromioclavicular joint being the most common bone pathology (40%). Labral pathologies like Cartilaginous Bankart lesions were also significant.
Conclusion: MRI proves to be a crucial diagnostic tool in evaluating shoulder pathologies, offering detailed insights into soft tissue structures. The study highlights the prevalence of rotator cuff disorders, particularly in younger males. Future research with larger sample sizes and diverse populations is recommended for broader insights.
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