Clinical, MRI and arthroscopic correlation in anterior and posterior shoulder instability.

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dc.contributor.authorJoshi, Utkarsha Pradeep
dc.contributor.authorPuri, Subhash
dc.date.accessioned2015-11-09T05:33:59Z
dc.date.available2015-11-09T05:33:59Z
dc.date.issued2014-07
dc.description.abstractBackground: The peculiar anatomy of shoulder puts the glenohumeral joint at a great risk of instability, which poses a challenge for management. Clinical examination is not always accurate. MRI and arthroscopy are hence used to aid the diagnosis. The study aimed to compare and correlate clinical and Magnetic Resonance Imaging (MRI) in cases of anterior and posterior shoulder instability against the arthroscopic confirmation of the diagnosis, which is considered gold standard. Methods: A prospective study of 30 patients of shoulder instability (either anterior or posterior) was carried out, including both sexes and all age groups. The patients were first examined clinically, followed by 1.5 tesla MRI scan and finally arthroscopically. The findings of diagnostic arthroscopy were correlated with clinical & MRI findings. A definitive procedure to treat the pathology was then performed as per requirements. Sensitivity, specificity, positive predictive value, negative predictive value and overall accuracy of clinical and MRI findings was calculated to correlate with arthroscopic findings. Results: Clinical diagnostic tests and MRI had a significant statistic correlation (P <0.05) with various lesions responsible for instability. Diagnostic accuracy of MRI was considerably higher in comparison to clinical examination for both anterior (90% vs. 86.67%) and posterior (96.67% vs. 93.33%) shoulder instability. Conclusion: By obtaining correlation between clinical examination, MRI scan and arthroscopy for anterior and posterior shoulder instability, we conclude that MRI can give a better diagnosis of the pathology in comparison to clinical examination.en_US
dc.identifier.citationJoshi Utkarsha Pradeep, Puri Subhash. Clinical, MRI and arthroscopic correlation in anterior and posterior shoulder instability. International Journal of Research in Medical Sciences. 2014 Jul-Sept; 2(3): 857-860.en_US
dc.identifier.issn2320-6071
dc.identifier.issn2320-6012
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/165305
dc.language.isoenen_US
dc.source.urihttps://www.msjonline.org/?mno=157851en_US
dc.subjectShoulder instabilityen_US
dc.subjectClinical examinationen_US
dc.subjectMRIen_US
dc.titleClinical, MRI and arthroscopic correlation in anterior and posterior shoulder instability.en_US
dc.typeArticleen_US
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