Table 3.
Orthopaedic Pathology |
Plain Radiographs (X-rays) | Ultrasound (USS) | CT | MRI |
---|---|---|---|---|
Degenerative joint disease e.g., Glenohumeral arthritis | Static joint subluxation. Humeral head centred or decentred on the glenoid. Reduction in the acromiohumeral distance? | Condition of the rotator cuff i.e., tears or attenuation. | -Measurement of glenoid version and inclination. --Condition of the glenoid vault and degree of glenoid bone loss. | In addition to the status of rotator cuff tendon, information on muscle bulk and fatty infiltration. |
Chronic/Recurrent Instability e.g., patellofemoral instability. | Patella height and tilt. Presence of trochlear dysplasia. loose bodies. | Joint effusion. Extensor mechanism. | -Loose bodies. -Tibial Tuberosity – Trochlear Groove (TT-TG) distance. |
-Osteochondral lesions. -Medial patellofemoral Ligament (MPFL) tear. |
Tendinopathy e.g., recalcitrant tennis elbow | Arthritis in the radio-capitellar joint. Presence of calcification or bony spurs over the lateral epicondyle. | Changes of tendinopathy and any tear in the common extensor origin. | Radio-capitellar joint arthritis. | Changes of tendon degeneration. Tear in the common extensor origin, condition of Lateral Ulnar Collateral ligament i.e., tears or attenuation. Presence of radio-capitellar plica. |
Abbreviations: CT=Computerised Tomography; MRI = Magnetic Resonance Imaging.