Comparative Study of Ultrasound and Magnetic Resonance Imaging in Evaluation of Non-Traumatic Shoulder Pain in Adult Patients | ||
| The Egyptian Journal of Hospital Medicine | ||
| Volume 101, Issue 1, October 2025, Pages 5416-5422 PDF (650.3 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2025.463879 | ||
| Abstract | ||
| Background: The 3rd most predominant source of musculoskeletal discomfort is the shoulder joint, which affects 7–26% of the general population. Aim: This study aimed to evaluate the role of high-resolution ultrasonography in comparison to magnetic resonance imaging in adult patients presented with non-traumatic shoulder pain. Methods: This was descriptive observational cross-sectional research done on 72 cases presented with symptoms of shoulder pain at Menoufia University Hospital. Results: MRI findings revealed tendinosis in 69.4% of patients with biceps tendon abnormalities, primarily in the infraspinatus tendon and 56.9% in the teres minor tendon. Joint abnormalities included osteoarthritis in 44.4% of acromioclavicular joints, 50% in the glenohumeral joint/bony margins, subacromion and subdeltoid bursitis in 27.8%, and subcoracoid bursitis in 11.1%. Ultrasound findings revealed tendinosis in 65.3% of biceps tendon abnormalities, 43.1% of supraspinatus, 41.7% of subscapularis, and 11.1% of infraspinatus tendon abnormalities. Agreement between MRI and ultrasound was substantial for supraspinatus tendon and acromioclavicular joint abnormalities, moderate for infraspinatus, and fair for subscapularis and glenohumeral joint abnormalities. Conclusion: MRI is the preferred imaging modality for non-traumatic shoulder pain due to its detailed visualization of soft tissues and bones. However, ultrasound is a cost-effective, accessible first-line tool for superficial soft tissue conditions. The choice between US and MRI should be based on clinical indications, with ultrasound ideal for routine assessments and MRI reserved for complex or suspected internal joint problems. Combining both techniques can provide a comprehensive diagnostic approach. | ||
| Keywords | ||
| Ultrasound; Magnetic resonance imaging; Traumatic shoulder pain | ||
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