The Shoulder: What is New and Evidence-Based in Orthopedic Sports Medicine

Abstract

Purpose of Review

To provide an overview of common sports-related shoulder pathology and review recently published studies from 2015 to 2016, with an emphasis on imaging.

Recent Findings

Although effective at identifying complete tears of the LHBT, MRI is less effective at evaluating tendinosis and partial tears. Both CT and MRI can evaluate bone loss in glenohumeral instability, and the glenoid track concept may be superior to glenoid bone loss alone in predicting post-operative stability. MRI and MR arthrography are accurate in detecting SLAP tears; however, the ability to classify such tears is limited. Tears of the subscapularis, latissimus dorsi, and teres major muscles and stress-related injuries of the distal clavicle and acromial apophysis are uncommon, but should not be overlooked on MRI.

Summary

Imaging continues to play a critical role both in evaluating sports-related shoulder injuries and determining the optimal treatment pathway.

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