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Diagnostic Imaging Pathways - Shoulder Pain/Instability

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Teaching Points

  • Plain radiography is the initial diagnostic modality for the evaluation of traumatic shoulder pain
  • If impingement syndrome is suspected due to rotator cuff insufficiency, ultrasound is recommended in addition to plain radiography
  • CT of the shoulder may be useful in complex fracture-dislocation injuries of the shoulder, as a pre-surgical tool
  • MRI is useful as an alternative in suspected rotator cuff insufficiency, when ultrasound is not available

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