Is Advanced Imaging to Assess Rotator Cuff Integrity Before Shoulder Arthroplasty Cost-Effective? A Decision Modeling Study

CONCLUSION: In the case of diagnostic ambiguity based on physical exam, radiographs, and CT alone, having both TSA and RSA available in the operating room appears more cost-effective than obtaining advanced soft tissue imaging preoperatively. However, performing selective MRI to assess rotator cuff integrity to indicate RSA or TSA is cost-effective if surgical preparedness, patient expectations, and implant availability preclude the ability to switch implants intraoperatively.LEVEL OF EVIDENCE: Level III, economic and decision analysis.PMID:35014977 | DOI:10.1097/CORR.0000000000002110
Source: Clinical Orthopaedics and Related Research - Category: Orthopaedics Authors: Source Type: research