05/19/2026
Considerations for advanced shoulder imaging encompass:
1. Significant traumatic onsets
2. Suspected rotator cuff rupture (e.g., positive drop arm sign) or other substantial weakness not primarily induced by pain
3. Failed trial of conservative care
4. Red flags or suspicion of significant or threatening alternate pathology
5. Pending referral to a specialist (orthopedist, etc.).
As a result, it is recommended that atraumatic chronic shoulder pain patients without significant weakness or suspicion of alternate pathology undergo a trial of conservative care before opting for advanced imaging.
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