Increased T2 signal intensity in the distal clavicle: incidence and clinical implications

Objective. The objectives of the current study were (I) to quantify the inc idence of increased T2 signal in the distal clavicle and (2) to assess the clinical significance of this finding in patients with chronic acromioclavi cular (AC) joint pain. Design and patients. Eight patients (five male and three female, 15-41 year s of age) with disabling shoulder pain localized to the AC joint and marked increased T2 signal in the distal clavicle are presented. These eight pati ents underwent MR examination over a 25 month period (August 1996 to Septem ber 1998). The dictated reports of all shoulder MR examinations conducted o ver this same time period were reviewed retrospectively for the presence of signal abnormality in the distal clavicle. Clinical data and, in five pati ents, findings at shoulder arthroscopy or open surgery, were correlated wit h the results of MR imaging. One patient underwent arthroscopy on both shou lders. Results. The selected eight patients each presented clinically with disabli ng shoulder pain localized to the AC joint. One patient is presented twice, as both shoulders were symptomatic (n=9). Plain film examination (9/9) fai led to indicate a structural cause of shoulder pain in any of the patients. MR examination demonstrated abnormally increased T2 signal in the distal c lavicle in all nine cases and no other cause for AC joint pain. Three patie nts responded to a course of conservative therapy. Six experienced refracto ry pain despite conservative therapy. Resection of the distal clavicle was performed in five of the six cases. All patients who underwent resection of the distal clavicle experienced complete resolution of AC joint pain. A re trospective review of the dictated reports for all shoulder MR imaging exam inations performed at out institution over a 25 month period (August 1996 t o September 1998; n=761) demonstrated a 12.5% incidence of abnormally incre ased T2 signal in the distal clavicle. Conclusions. Increased T2 signal in the distal clavicle is a relatively com mon finding (12.5%) on MR imaging examinations of the shoulder and in most cases is of no clinical significance. However, in patients with chronic AC joint pain and no other abnormality on plain film or MR imaging, increased T2 signal may represent an early manifestation of, or a process similar to, osteolysis of the distal clavicle. Patients with this presentation who con tinue to suffer from disabling pain following conservative therapy may bene fit from surgical resection of the distal clavicle.