Skip to main content

Imaging of the Shoulder

  • Chapter
  • First Online:
Shoulder Arthroscopy

Abstract

Radiological examination of the shoulder currently employs different imaging techniques that are used separately or more often in combination, depending on the specific clinical issues. The task of imaging is not only to detect the presence of pathology but also to direct the surgeon towards the most suitable treatment (conservative, arthroscopic, or open surgery). The need to choose between different imaging modalities is in part due to the anatomical complexity of the shoulder and the adjacent soft tissues. The contribution of each method does not always answer the specific clinical question posed by the specialist. Conventional radiographic examination (CR) performed with standard and complementary views is often deemed crucial for the biplanar evaluation of bone structures of the glenohumeral and acromioclavicular joint, as well as to exclude calcifications or bone lesions; however, when no explanation is identified for the “pain” in the shoulder, given the absence of lesions detected by radiography, it becomes necessary to integrate second-level exams.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 239.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Sartoris DJ, Resnick D. Chapter 1. Radiography and related diagnostic techniques in the evaluation of bone, joint, and soft tissue diseases. Plain film radiography: routine and specialized techniques and projections. In: Resnick D, editor. Diagnosis of bone and joint disorders. 3rd ed. Philadelphia: Saunders; 1996. p. 3–40.

    Google Scholar 

  2. Arabia R, Grandinetti F, Sperlì T, Attinà A, Siciliani A. “Vacuum effect” nel ginocchio: insolita localizzazione. Descrizione di un caso. Radiol Med. 1989;78:554–6.

    Google Scholar 

  3. Trenta A, Corinaldesi A, Sassi P, Pecunia C. Atlante di tecnica radiologica generale e dello scheletro. 1st ed. Roma: Società Editrice Universo; 1990. p. 325–37. Chapter XIII.

    Google Scholar 

  4. André M, Resnick D. Chapter 4. Radiography and related diagnostic techniques in the evaluation of bone, joint, and soft tissue diseases. Computed tomography. In: Resnick D, editor. Diagnosis of bone and joint disorders. 3rd ed. Philadelphia: Saunders; 1996. p. 118–69.

    Google Scholar 

  5. Magarelli N, Milano G, Sergio P, Santagada DA, Fabbriciani C, Bonomo L. Intra-observer and interobserver reliability of the ‘Pico’ computed tomography method for quantification of glenoid bone defect in anterior shoulder instability. Skeletal Radiol. 2009;38:1071–5.

    Article  PubMed  Google Scholar 

  6. Milano G, Grasso A, Russo A, Magarelli N, Santagada DA, Deriu L, et al. Analysis of risk factors for glenoid bone defect in anterior shoulder instability. Am J Sports Med. 2011;39:1870–6.

    Article  PubMed  Google Scholar 

  7. Charousset C, Beauthier V, Bellaïche L, Guillin R, Brassart N, Thomazeau H. Can we improve radiological analysis of osseous lesions in chronic anterior shoulder instability? Orthop Traumatol Surg Res. 2010;96(8 Suppl):S88–93.

    Article  CAS  PubMed  Google Scholar 

  8. Magarelli N, Milano G, Baudi P, Santagada DA, Righi P, Spina V, et al. Comparison between 2D and 3D computed tomography evaluation of glenoid bone defect in unilateral anterior gleno-humeral instability. Radiol Med. 2012;117:102–11.

    Article  CAS  PubMed  Google Scholar 

  9. Resnick D. Chapter 13. Shoulder arthrography of the glenohumeral joint. In: Resnick D, editor. Diagnosis of bone and joint disorders. 3rd ed. Philadelphia: Saunders; 1996. p. 277–309.

    Google Scholar 

  10. Resnick D, Niwayama G. Chapter 39. Degenerative disease of extraspinal locations. In: Resnick D, editor. Diagnosis of bone and joint disorders. 3rd ed. Philadelphia: Saunders; 1996. p. 1263–71.

    Google Scholar 

  11. Magarelli N, Amelia R, Melillo N, Nasuto M, Cantatore F, Guglielmi G. Imaging of chondrocalcinosis: calcium pyrophosphate dihydrate (CPPD) crystal deposition disease-imaging of common sites of involvement. Clin Exp Rheumatol. 2012;30:118–25.

    CAS  PubMed  Google Scholar 

  12. Resnick D. Chapter 70. Internal derangements of joints. Traumatic, iatrogenic, and neurogenic diseases. In: Resnick D, editor. Diagnosis of bone and joint disorders. 3rd ed. Philadelphia: Saunders; 1996. p. 2899–3228.

    Google Scholar 

  13. McEnery KW, Murphy Jr WA. Chapter 10. Magnetic resonance imaging: practical considerations. Radiography and related diagnostic techniques in the evaluation of bone, joint, and soft tissue diseases. In: Resnick D, editor. Diagnosis of bone and joint disorders. 3rd ed. Philadelphia: Saunders; 1996. p. 191–218.

    Google Scholar 

  14. Chung CB, Steinbach L. Chapter 5. MRI of glenohumeral instability. In: Chung CB, Steinbach L, editors. MRI of the upper extremity: shoulder, elbow, wrist and hand. 1st ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2010. p. 277–319.

    Google Scholar 

  15. Beltran LS, Morrison WB, Mohana-Borges AVR. Chapter 8. The postoperative shoulder. In: Chung CB, Steinbach L, editors. MRI of the upper extremity: shoulder, elbow, wrist and hand. 1st ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2010. p. 367–86.

    Google Scholar 

  16. Chung CB, Steinbach L. Chapter 2. Technical considerations for MRI of upper extremity joints. In: Chung CB, Steinbach L, editors. MRI of the upper extremity: shoulder, elbow, wrist and hand. 1st ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2010. p. 186–219.

    Google Scholar 

  17. Chung CB, Steinbach L. Chapter 7. Miscellaneous conditions of the shoulder. In: Chung CB, Steinbach L, editors. MRI of the upper extremity: shoulder, elbow, wrist and hand. 1st ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2010. p. 346–66.

    Google Scholar 

  18. Newberg AH, Munn CS, Robbins AH. Complications of arthrography. Radiology. 1985;155:605–6.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nicola Magarelli MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag London

About this chapter

Cite this chapter

Magarelli, N., Carducci, C., Dell’Atti, C. (2014). Imaging of the Shoulder. In: Milano, G., Grasso, A. (eds) Shoulder Arthroscopy. Springer, London. https://doi.org/10.1007/978-1-4471-5427-3_4

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-5427-3_4

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-5426-6

  • Online ISBN: 978-1-4471-5427-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics