From the Journals

Shoulder MRI: Rethinking Findings

Routine imaging may detect age-related tendon changes that do not explain patient-reported shoulder pain.

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A Finnish study evaluated 602 adults aged 41 to 76, revealing that 98.7% exhibited at least one rotator cuff abnormality on MRI. Findings included 25% with tendinopathy and 62% with partial-thickness tears, regardless of symptoms. The study suggests that rotator cuff abnormalities are prevalent age-related changes, with significant increases in full-thickness tears in older populations. Commentators caution against the risks of overtreatment and advocate for conservative management strategies. This study contributes important insights into the interpretation of MRI results in clinical settings.

Original Source(s)

Shoulder MRI: Rethinking Findings

Routine imaging may detect age-related tendon changes that do not explain patient-reported shoulder pain.

  • by Kathryn Wighton

  • February 16, 2026

  • 4 min

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