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• W2740132937 abstract "valuation of the shoulder contin- ues to be the most common sono- graphic examination of the musculoskeletal system at most institu- tions. Several advantages of sonography over alternative imaging methods include availability, portability, and low cost. Most patients prefer sonography over magnetic resonance (MR) imaging, as it requires less time and it is more comfort- able. This is especially true in the older patient, who is more likely to undergo evaluation for rotator cuff abnormality. Although learning this imaging method initially takes time, thorough knowledge of anatomy combined with standardized examination technique shortens the learning process. Once skilled in this technique, a complete shoulder sono- graphic examination can be easily com- pleted in <5 minutes. Technologists can also be successfully trained in shoulder sonography. With the use of technologists acquiring images and documenting pathology, the sonographic images can be reviewed, similar to other sonographic studies, in a matter of minutes. From the perspective of a radiologist who is trained in both sonography and MR imaging of the shoulder, shoulder sonography is often preferred primarily because of the improved resolution of sonography over MR imaging. For example, a tendon abnormality as small as several millimeters can be seen well, and the critical distinction between artic- ular surface and isolated greater tuberos- ity extension can be made easily. This is important, as the tendon abnormality in the latter situation cannot be visualized at arthroscopy. From an orthopedic sur- geon's perspective, accuracy of rotator cuff sonography can meet, and even exceed, that of MR imaging. 1 It is impor- tant, however, that the strengths and limi- tations of shoulder sonography are understood. For example, sonographic evaluation of the rotator cuff is very effective. 2 For evaluation of the glenoid labrum and ligamentous structures, MR arthrography is indicated. The proper uti- lization of sonography relies on patient selection. At our institution, a patient under the age of 35 years will typically have MR arthrography to evaluate carti- laginous structures, while a patient over the age of 40 years will more likely have sonography to evaluate the rotator cuff. Technical considerations Although most current ultrasound" @default.
• W2740132937 created "2017-08-08" @default.
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• W2740132937 date "2003-01-01" @default.
• W2740132937 modified "2023-09-26" @default.
• W2740132937 title "Sonography of the shoulder" @default.
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