MSCT of the Shoulder Joint
MSCT of the shoulder joint is a highly informative imaging technique used to evaluate injuries, inflammation, degenerative changes and tumors of the shoulder, scapula and clavicle. The method provides detailed two- and three-dimensional reconstructions, making it significantly more precise than standard X-ray imaging.
When the Examination Is Recommended
MSCT is prescribed for:
- bursitis and inflammatory conditions;
- fractures of the shoulder, scapula or clavicle;
- injuries of the joint capsule, tendons and ligaments;
- avascular necrosis of the humeral head;
- arthritis, arthrosis and other degenerative–dystrophic disorders;
- tumors and metastatic lesions;
- systemic diseases affecting connective tissue;
- chronic shoulder pain and reduced mobility;
- treatment planning or therapy control;
- complex diagnostic cases when other methods are inconclusive.
What MSCT Shows
The study forms multiple thin slices which are later reconstructed into a precise 3D image. It allows detection of:
- traumatic injuries, fractures, dislocations;
- inflammatory changes in soft tissues;
- ligament and tendon injuries;
- degenerative changes of the joint surfaces;
- cysts, tumors and metastases;
- early necrotic changes in the humeral head.
How the Procedure Is Performed
Before scanning, the patient removes all metal objects. The limb and torso are comfortably positioned and fixed with straps or supports. The platform moves inside the CT tunnel, and areas not being scanned are covered with a protective lead apron.
Initial images are taken without contrast. If contrast enhancement is required, a catheter is placed, and the second series of images is acquired after contrast injection. The scan itself is fast — up to 5 minutes without contrast and 20–30 minutes with contrast.
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