European Journal of Molecular & Clinical Medicine

Abstract

The most common cause of shoulder pain is rotator cuff injury. In addition to history and clinical examination, rotator cuff assessment with a diagnostic test such as MRI or high resolution ultrasonography should be carried out.
Materials and Methods: This is a hospital based cross sectional study in which all patients referred to the department of Radio Diagnosis (Chettinad health city) with clinically suspected rotator cuff injuries in a period of January 2015 – May 2016 were assesed. 30 patients referred to the department of Radio Diagnosis (Chettinad health city) with clinically suspected rotator cuff injuries in a period of 2 years were included according to the inclusion criteria.
Results:The study consists of 66.7% of participants with age group above 40 years. 73.3% of patients had decreased range of movements, 16.7% of patients had history of trauma. 19 (63.3%) patients showed positive clinical test foe supraspinatus. Most of the patients had Type II Acromian (46.70%), in this study 14 cases had bone changes of which 20.0% were Subchondral cysts, 10% were erosins and 16.7% were edema / contusions. By using MRI, Supraspinatus calcification was found only in 1 (3.3%) patient. 37.5% of the study participants showed other findings such as hill Sach’s lesion in MRI whereas 25% showed Hill Sach lesion with lesser tuberosity fracture.
Conclusion: Most commonly involved tendon was supraspinatus (43.3%), followed by subscapularis (13.3%), infraspinatus (3.3%) and least commonly involved tendon was teres minor (0%). MRI is equivalent in detecting calcification of the rotator cuff tendon, acromio- clavicular joint hypertrophy and S-C impingement. Labral tears, acromion type and adjacent bone changes were detected only by MRI.