Ironman triathletes: MRI assessment of the shoulder

Abstract

No statistically significant difference was found among the findings for group 1, group 2, or the comparison group, although the difference between the comparison group and Ironman Triathletes approached statistical significance when evaluating for AC joint abnormal signal. Shoulder MRI of Ironman Triathletes should be interpreted with an appreciation of the commonly seen findings in asymptomatic subjects.

What Imaging‐Detected Pathologies Are Associated With Shoulder Symptoms and Their Persistence? A Systematic Literature Review

“…In total, 56 articles were included (41 cross‐sectional, 11 cohort, 4 case–control). Imaging modalities included 25 ultrasound 16, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 24 MRI 15, 16, 41, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 12 radiographs 27, 30, 49, 53, 55, 62, 65, 66, 67, 68, 69, 70, 3 bone scintigraphy 65, 71, 72, 2 PET 73, 74, and no computed tomography. Of these studies, 10 assessed associations with 2 imaging modalities (16, 27, 30, 41, …”

“…The mean (range) score was 48% 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67 for cohort, 41% 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41...…”

“…Sixteen studies evaluated the relationship of RC tears and symptoms (16, 21, 26, 29, 30, 32, 35, 45, 48, 49, 52, 54, 56, 58, 62, 72) (Tables 1, 2, and 3). Nine evaluated the relationship with shoulder pain 16, 21, 30, 32, 35, 45, 49, 52, 72, 4 with shoulder disability 16, 29, 45, 54, and 8 studies with symptoms using a composite pain and function score 26, 29, 32, 48, 49, 54, 56, 58.…”

“…Nine evaluated the relationship with shoulder pain 16, 21, 30, 32, 35, 45, 49, 52, 72, 4 with shoulder disability 16, 29, 45, 54, and 8 studies with symptoms using a composite pain and function score 26, 29, 32, 48, 49, 54, 56, 58.…”

“…Eight studies evaluated tendinopathy and symptoms 16, 23, 28, 32, 48, 49, 58, 64 (Tables 1, 2, and 3). Two evaluated the relationship with pain 32, 48, 3 with disability 16, 28, 49, and 7 with both pain and disability 23, 28, 32, 48, 49, 58, 64.…”