Difference between revisions of "X-ray of shoulder impingement"
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Also look for common differential diagnoses or worsening factors of shoulder impingement: | Also look for common differential diagnoses or worsening factors of shoulder impingement: | ||
| − | *'''Osteoarthritis'''. | + | *'''Osteoarthritis'''. For severity grading, see [[X-ray of osteoarthritis of the shoulder|X-ray of osteoarthritis of the shoulder]] |
*Presence of any '''calcifications''' in the supraspinatus tendon, which indicates a differential diagnosis of calcific tendonitis. | *Presence of any '''calcifications''' in the supraspinatus tendon, which indicates a differential diagnosis of calcific tendonitis. | ||
<gallery> | <gallery> | ||
Revision as of 17:43, 3 December 2018
Author:
Mikael Häggström [notes 1]
Contents
Planning
X-ray of the shoulder that should include:
- Frontal with and without external rotation of the shoulder
- Scapular outlet view
Evaluation
File:Subacromial space on outlet view X-ray.jpg
Supraspinatus outlet view X-ray, showing subacromial space measurement, and an acromial spur.
- Measurement of the subacromial space. This is normally in shoulder radiographs is 9–10 mm; this space is significantly greater in men, with a slight reduction with age.[1] In middle age, a subacromial space less than 6 mm is pathological.[1]
- Presence of any acromial spur
Also look for common differential diagnoses or worsening factors of shoulder impingement:
- Osteoarthritis. For severity grading, see X-ray of osteoarthritis of the shoulder
- Presence of any calcifications in the supraspinatus tendon, which indicates a differential diagnosis of calcific tendonitis.
- X-ray of supraspinatus calcified tendinopathy, labeled.jpg
Calcifications in the supraspinatus tendon.
Report
- Either normal subacromial space, or a decrease thereof, with measurement of the space.
- Presence or absence of an acromial spur.
- See also: General notes on reporting
Notes
- ↑ For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Radlines:Authorship for details.
