Spinal Cord Research Help
AboutCategoriesLatest ResearchContact
Subscribe
Spinal Cord Research Help

Making Spinal Cord Injury (SCI) Research Accessible to Everyone. Simplified summaries of the latest research, designed for patients, caregivers and anybody who's interested.

Quick Links

  • Home
  • About
  • Categories
  • Latest Research
  • Disclaimer

Contact

  • Contact Us
© 2025 Spinal Cord Research Help

All rights reserved.

  1. Home
  2. Research
  3. Spinal Cord Injury
  4. MRI evaluation of shoulder pathologies in wheelchair users with spinal cord injury and the relation to shoulder pain

MRI evaluation of shoulder pathologies in wheelchair users with spinal cord injury and the relation to shoulder pain

The Journal of Spinal Cord Medicine, 2022 · DOI: 10.1080/10790268.2021.1881238 · Published: January 1, 2022

Spinal Cord InjuryMedical ImagingOrthopedics

Simple Explanation

This study investigates shoulder problems in wheelchair users with spinal cord injuries using MRI scans. The goal is to see how common these problems are and if they're linked to shoulder pain. Researchers looked at MRI scans to identify different shoulder issues like tendon tears and arthritis. They also checked if these issues were more common in people with shoulder pain compared to those without. The findings suggest that shoulder problems are very common in wheelchair users, regardless of whether they have shoulder pain. This means that MRI scans alone may not be enough to diagnose the cause of shoulder pain, and doctors should also consider the person's medical history and do physical exams.

Study Duration
Not specified
Participants
Fifty-one wheelchair-dependent persons with spinal cord injury (44 males, 7 females, median age 50 years (IQR 14), median time since injury 24 years (IQR 16))
Evidence Level
Cross-sectional observation study

Key Findings

  • 1
    MRI findings of shoulder pathology are very frequent in persons with and without shoulder pain.
  • 2
    The most common cluster of MRI findings includes tear of the supraspinatus, biceps and subscapularis and AC arthrosis.
  • 3
    When correcting for age and time since injury, the logistic regression showed no statistically significant correlation between the individual pathologies and shoulder pain

Research Summary

This cross-sectional study evaluated MRI findings of shoulder pathologies in 51 wheelchair users with spinal cord injury to assess their relationship with shoulder pain. The study described the number, specifics, and co-occurrence of shoulder pathologies detected by MRI. The results indicated that shoulder pathologies are very common in this population, with a median of 7 co-occurring MRI findings per person. The most frequent co-occurring pathologies were tendon tears of the supraspinatus, biceps, and subscapularis, along with acromioclavicular (AC) joint arthrosis. Despite the high prevalence of shoulder pathologies, the study found no statistically significant correlation between individual MRI findings and shoulder pain when correcting for age and time since injury. This suggests that MRI findings should be interpreted cautiously, considering clinical history and functional testing.

Practical Implications

Diagnostic caution

Health care professionals should not rely solely on MRI findings when diagnosing the cause of shoulder pain in wheelchair users with SCI.

Comprehensive assessment

Clinical history and functional testing are crucial components of a comprehensive assessment for shoulder pain in this population.

Further research

Longitudinal studies are needed to understand the progression of shoulder pain and pathology and to identify risk factors based on MRI findings.

Study Limitations

  • 1
    Lack of clinical tests for shoulder impairment
  • 2
    No information was obtained about medication taken by the participants.
  • 3
    A longitudinal study is needed to analyze the influence of TSI and ageing

Your Feedback

Was this summary helpful?

Back to Spinal Cord Injury