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X-Ray vs. MRI: Which Test Should You Get for Shoulder Pain?
Published: Dec 21, 2023
Choosing the right imaging test for shoulder pain can be confusing. Here's what you need to know to pick the best option for your symptoms.
Radiography: The First Stop for Shoulder Issues
Radiography, or X-rays, is typically the first imaging test recommended for shoulder pain. It's quick, accessible, and can provide a good overview of the joint structure, detecting issues like fractures or arthritis. However, it might not reveal soft tissue problems like tendon injuries.
MRI: A Deep Dive into Soft Tissues
MRI is the go-to test for evaluating soft tissues in the shoulder, such as the rotator cuff and tendons. It offers detailed images without radiation, making it ideal for detecting subtle injuries or muscle atrophy. However, MRI is more expensive and less accessible than X-rays.
Special Cases: When to Consider CT or Ultrasound
CT scans are often reserved for complex fractures or when MRI is not an option due to metal implants. Ultrasound is a great choice for dynamic evaluations of the shoulder and is particularly useful for guided interventions. Each test has its strengths depending on the clinical scenario.
Frequently Asked Questions
X-rays are ideal for initial assessments of fractures or arthritis.
MRI is best for detailed images of soft tissues like tendons.
Yes, especially for dynamic evaluations and guided injections.
CT is used for complex fractures or when MRI isn't possible.
The Bottom Line
Selecting the right imaging test depends on the specific shoulder issue and clinical needs.
References
- Opsha O, Malik A, Baltazar R, et al. MRI of the rotator cuff and internal derangement. Eur J Radiol 2008; 68:36.
- Khan AA, Mowla A, Shakoor MA, Rahman MR. Arthrographic distension of the shoulder joint in the management of frozen shoulder. Mymensingh Med J 2005; 14:67.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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