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Shoulder Imaging: Choosing between MR Arthrogram and MRI

Michael Crowell, PT, DSc, OCS, SCS, FAAOMPT

March 12, 2014

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Question

Can you review why someone would order an MR arthrogram over an MRI?

Answer

I would order an MR arthrogram if I suspect labral pathology.  Other indications could be if a client had a rotator cuff tear that was repaired, and you wanted to see if they had a re-tear.  Those would be the two major indications.  When I say labral tear, I am also including cases of anterior instability.  


michael crowell

Michael Crowell, PT, DSc, OCS, SCS, FAAOMPT

Mike Crowell is currently a Physical Therapist at Keller Army Community Hospital, West Point, NY and an Assistant Professor in the Army-Baylor University Sports Physical Therapy Doctoral Residency.  He holds Doctor of Physical Therapy and Doctor of Science degrees from Baylor University and a Bachelor of Science in Chemistry and Life Sciences from the United States Military Academy at West Point.  Mike is fellowship trained in orthopedic manual physical therapy and is a board certified specialist in both orthopedic and sports physical therapy. His current activities include direct patient care, clinical mentoring, clinical research, and teaching in numerous clinical and academic settings on topics related to differential diagnosis, anatomy and biomechanics, musculoskeletal imaging, and manual physical therapy.


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