Diagnosis of traumatic changes of the shoulder can be achieved by seve
ral invasive and nonivasive radiological procedures allowing visualiza
tion of bony and/or soft tissue structures. With reference to 74 shoul
der examinations CT, CT-arthrography, and MRI were reviewed and their
value for further treatment assessed. Since joint effusions occurred i
n nearly all cases of glenoid and rotator cuff lesions, a cost-effecti
ve strategy for diagnosing traumatic changes of the shoulder is presen
ted.