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The Journal of Bone and Joint Surgery 78:633 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Correspondence

Correspondence

Richard S. Goodman, M.D., Jerry S. Sher, M.D., John W. Uribe, M.D., Alejandro Posada, M.D., Brian J. Murphy, M.D. and Michael B. Zlatkin, M.D.

TO THE EDITOR:

Congratulations to Sher et al. on their article "Abnormal Findings on Magnetic Resonance Images of Asymptomatic Shoulders" (77-A: 10–15, Jan. 1995), which revealed a new syndrome: an abnormal anatomy confirmed with magnetic resonance imaging in a clinically normal patient. These are therefore clinically false-positive but anatomically correct magnetic resonance images of the shoulder. The authors' conclusion regarding "the potential hazards of the use of magnetic resonance imaging scans alone as a basis for the determination of operative intervention" is correct but should be expanded. Not only is there a potential danger in the use of a magnetic resonance image as the basis for determining the need for an operation, but there is also the inherent danger of using a magnetic resonance image that reveals a tear of the rotator cuff or another abnormality to determine a handicap, an impairment, or a disability rating.

I therefore raise . . . [Full Text of this Article]


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