Anatomy and How to Read an MRI of the Shoulder

Presenter Bio: Andrew Vincent, MD; Ryan Roach, MD; and Brad Clay, MD

A physician should have a consistent and specific methodology approach when it comes to reading an MRI, this will ultimately limit the amount of key structures that you miss or misinterpret. There are many reasons for shoulder pain, most commonly due to rotator cuff and labral pathologies. However, whether the patient is having acute or chronic shoulder pain, radiographs are usually the first test that can give a straightforward reading and accurate outcome of what is going on with the patient. If more information is needed, an MRI is the next step as it can reveal other less likely etiologies.

Description:

A review of the shoulder anatomy as it relates to various injuries. This presentation outlines the process of how to order a shoulder MRI, when to order a MR Arthrogram, and which test is better to use. Dr. Vincent also includes various imaging techniques, normal anatomy, and shoulder pathologies.

Objectives:

Recognize when to order an MR Arthrogram of the shoulder or a Routine Shoulder MRI.
Recognize and understand that although a radiograph is the first method to diagnose shoulder pain, a routine MRI or an MR Arthrogram provides optimal evaluation of shoulder anatomy.
Describe how to locate and interpret reasons for shoulder pain that are not related to the rotator cuff.

The Baptist Hospital is accredited by the Florida Medical Association to provide continuing medical education for physicians.

The Baptist Hospital designates this educational activity for a maximum of 1 hours AMA PRA Category 1 credits™. Physicians should claim credit commensurate with the extent of their participation in the activity.

Andrews Research & Education Foundation (BOC AP# P10024) is approved by the Board of Certification, Inc. to provide continuing education to Athletic Trainers. This program is eligible for a maximum of 1 of Category A hours/CEUs. ATs should claim only those hours actually spent in the educational program.