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99% of adults over 40 have shoulder "abnormalities" on an MRI, study finds

4 hours ago
  • #MRI overuse
  • #rotator cuff
  • #shoulder pain
  • Up to a third of people worldwide experience shoulder pain, making it one of the most common musculoskeletal complaints.
  • A study in JAMA Internal Medicine found that 99% of adults over 40 had at least one rotator cuff abnormality on MRI, yet most had no shoulder symptoms.
  • Common abnormalities included partial-thickness tears (62%), tendinopathy (25%), and full-thickness tears (11%), with prevalence increasing with age.
  • The findings question the overuse of MRIs for diagnosing shoulder pain and highlight the issue of overtreating rotator cuff abnormalities.
  • Researchers concluded that distinguishing clinically meaningful MRI abnormalities from incidental findings is currently challenging.