Correlation of Magnetic Resonance Imaging Shoulder and Ultrasound Shoulder in Diagnosis of Shoulder Joint Pathologies

Background: Shoulder pain is a common musculoskeletal complaint, posing diagnostic challenges due to the complex anatomy and diverse pathologies of the shoulder. This study aims to evaluate the role of USG and MRI in patients with shoulder joint pathologies. Main objective of the study was to find out effectiveness and accuracy of USG in patients with shoulder joint pathologies by comparing its findings with MRI. Material and Method: A prospective interventional stduy was conducted at a tertiary care hospital, involving 98 patients with shoulder joint pathology. The study spanned from January 2023 to January 2025. Patients aged more than 12 years, referred for shoulder MRI, were included, excluding those with claustrophobia, patient with metallic implant and cardiac pacemaker. Results: The study group was predominantly male (62.2%), with the highest incidence of shoulder pathologies in the 41-50 age group (31.6%). Rotatory cuff was most common pathology among shoulder joint pathology. The Supraspinatus tendon was most commonly affected (77.55% of cases). USG findings included Supraspinatus, Infraspinatus, Tear minor, Sub Scapularis, Biceps Tendon, sub acromian- sub deltoid, Sub Coracoid and ACJ pathology being the most common pathology. Conclusion: On the basis of the study, a definitive diagnosis necessitates a combination of clinical evaluation, ultrasound, and MRI. In cases when ultrasound and MRI assessments fail to resolve the clinical issue, additional evaluation using arthrography or arthroscopy should be contemplated.