AOCPMR 2022 Mid-Year Meeting-306289

Video Transcription

Video Summary

The video discusses imaging modalities for diagnosing common shoulder pain, focusing on X-rays, CAT scans, MRIs, and ultrasounds. Each modality has its advantages and disadvantages. X-rays are quick and inexpensive and are great for assessing osseous structures but have limited soft tissue evaluation and involve radiation exposure. CAT scans offer excellent bone evaluation, particularly for cortices, but are expensive, static, and involve significant radiation. MRIs are effective for visualizing soft tissue and bone marrow edema without radiation but are slow and expensive and may not be suitable for certain patients. Ultrasounds offer dynamic imaging, good for assessing mobility and soft tissue details, and are inexpensive with no radiation, but require skilled operators and only assess structures close to the surface. The presentation explains the utility of these modalities in diagnosing different shoulder issues, such as rotator cuff tears, tendinopathies, and impingements. The speaker provides tips on using ultrasound effectively and underscores the importance of understanding when and how to combine multiple diagnostic tests to increase the accuracy and specificity of shoulder pain diagnoses.

Keywords

imaging modalities

shoulder pain

X-rays

CAT scans

MRIs

ultrasounds

rotator cuff tears

diagnostic tests