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Shoulder Pain and Disability: Comparison with MR Findings

Olivier P. Krief1 and Dominique Huguet2

1 Service Radiologie, Polyclinique Atlantique, Rue Claude Bernard, BP419, Saint Herblain, Cedex 44819, France.
2 Service Orthopedie, Polyclinique Atlantique, Saint Herblain, Cedex 44819, France.


Figure 1
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  		Fig. 1 —Scatterplot for disability as assessed on visual analog scale and maximal rotator cuff full-thickness tear size observed on MRI confirms absence of association between disability and size of full-thickness tear of rotator cuff.

 

Figure 2
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  		Fig. 2 —Scatterplot for mean pain scored on 10-point scale and maximal rotator cuff full-thickness tear size observed on MRI, without any linear trend between size of full-thickness tear and level of pain experienced by patients.

 

Figure 3
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  		Fig. 3A —Coronal fat-suppressed T2-weighted image of 62-year-old woman who experienced pain on right side 6 years earlier who presented with pain on left side. Disability for right side was scored at 2 on 10-point visual analog scale and at 9 on left side with predominant night pain. MR images of both shoulders were obtained on same day and disclose bilateral full-thickness tear measuring 40 mm on right side (A) and 27 mm on left side (arrow, B) without discontinuity of long portion of biceps tendon (displayed on other slices, not shown).

 

Figure 4
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  		Fig. 3B —Coronal fat-suppressed T2-weighted image of 62-year-old woman who experienced pain on right side 6 years earlier who presented with pain on left side. Disability for right side was scored at 2 on 10-point visual analog scale and at 9 on left side with predominant night pain. MR images of both shoulders were obtained on same day and disclose bilateral full-thickness tear measuring 40 mm on right side (A) and 27 mm on left side (arrow, B) without discontinuity of long portion of biceps tendon (displayed on other slices, not shown).

 

Figure 5
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  		Fig. 4 —Coronal T2-weighted image of 54-year-old man who had been experiencing shoulder pain for previous 4 months since a bicycle fall. Patient presented with permanent pain at rest and at night affecting sleep despite medication and scored disability assessed at 9 on 10-point visual analog scale. MRI discloses 4-mm full-thickness tear (arrow), which was confirmed at arthroscopy.

 

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