[Clinical or radiological diagnosis of impingement.]

[Clinical or radiological diagnosis of impingement.]
Radiologe. 2015 Feb 22;
Authors: Kloth JK, Zeifang F, Weber MA
Abstract
CLINICAL/METHODICAL ISSUE: Shoulder impingement syndrome is a clinically common entity involving trapping of tendons or bursa with typical clinical findings.
STANDARD RADIOLOGICAL METHODS: Important radiological procedures are ultrasound, magnetic resonance imaging (MRI) and MR arthrography. Projection radiography and computed tomography (CT) are ideal to identify bony changes and CT arthrography also serves as an alternative method in cases of contraindications for MRI. These modalities support the clinically suspected diagnosis of impingement syndrome and may identify its cause in primary diagnosis. In addition, effects of impingement are determined by imaging. Therapy decisions are based on a synopsis of radiological and clinical findings.
PERFORMANCE: The sensitivity and specificity of these imaging modalities with regard to the diagnostics of a clinically evident impingement syndrome are given in this review article.
PRACTICAL RECOMMENDATIONS: Orthopedic and trauma surgeons express the suspicion of an impingement syndrome based on patient history and physical examination and radiologists confirm structural changes and damage of intra-articular structures using dedicated imaging techniques.
PMID: 25711145 [PubMed - as supplied by publisher]

Source: Der Radiologe - February 22, 2015 Category: Radiology Authors: Kloth JK, Zeifang F, Weber MA Tags: Radiologe Source Type: research