Dynamic high-resolution ultrasound of the shoulder: How we do it

Angelo Corazza, Davide Orlandi, Emanuele Fabbro, Giulio Ferrero, Carmelo Messina, Riccardo Sartoris, Silvia Perugin Bernardi, Alice Arcidiacono, Enzo Silvestri, Luca Maria Sconfienza

Research output: Contribution to journalArticlepeer-review


Ultrasonography (US) is an established and well-accepted modality that can be used to evaluate articular and peri-articular structures around the shoulder. US has been proven to be useful in a wide range of rotator cuff diseases (tendon tears, tendinosis, and bursitis) as well as non-rotator cuff abnormalities (instability problems, synovial joint diseases, and nerve entrapment syndromes). Diagnostic accuracy of shoulder US when evaluating rotator cuff tears can reach 91-100% for partial and full thickness tears detection, respectively, having been reported to be as accurate as magnetic resonance imaging in experienced hands. US is cheap, readily available, capable to provide high-resolution images, and does not use ionizing radiations. In addition, US is the only imaging modality that allows performing dynamic evaluation of musculoskeletal structures, that may help to further increase diagnostic performance. In this setting, a standardized imaging protocol is essential for an exhaustive and efficient examination, also helping reducing the intrinsic dependence from operators of US. Furthermore, knowledge of pitfalls that can be encountered when examining the shoulder may help to avoid erroneous images interpretation. In this article we use detailed anatomic schemes and high-resolution US images to describe the normal US anatomy of soft tissues, articular, and para-articular structures located in and around the shoulder. Short video clips emphasizing the crucial role of dynamic maneuvers and dynamic real-time US examination of these structures are included as supplementary material.

Original languageEnglish
Pages (from-to)266-277
Number of pages12
JournalEuropean Journal of Radiology
Issue number2
Publication statusPublished - Feb 1 2015


  • Acromion-clavicular joint
  • Dynamic maneuvers
  • Rotator cuff
  • Shoulder
  • Ultrasonography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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