These authors prospectively evaluated 123 individuals from the community who had self reported unilateral shoulder pain with no signs of adhesive capsulitis, no substantial range-of-motion deficit, no history of upper-limb fractures, no repeated shoulder dislocations, and no neck-related pain.
Abnormal MRI findings were highly prevalent in both shoulders. The readings of musculoskeletal radiologists and shoulder surgeon were not in good agreement, ranging from slight to moderate.
Comment: The observation that almost all asymptomatic shoulders had MRI findings of rotator cuff pathology calls into question the value of MRI in identifying clinically relevant shoulder findings.
This study indicates that the foundation for diagnosis and management of shoulder pathology rests primarily on the history and physical examination; the MRI findings may or may not relate to the patient's symptoms.
Comment: The observation that almost all asymptomatic shoulders had MRI findings of rotator cuff pathology calls into question the value of MRI in identifying clinically relevant shoulder findings.
This study indicates that the foundation for diagnosis and management of shoulder pathology rests primarily on the history and physical examination; the MRI findings may or may not relate to the patient's symptoms.
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