SALINE MAGNETIC-RESONANCE ARTHROGRAPHY IN THE EVALUATION OF GLENOHUMERAL INSTABILITY

被引：71

作者：

TIRMAN, PFJ

STAUFFER, AE

CRUES, JV

TURNER, RM

NOTTAGE, WM

SCHOBERT, WE

RUBIN, BD

JANZEN, DL

LINARES, RC

机构：

来源：

ARTHROSCOPY | 1993年 / 9卷 / 05期

关键词：

MAGNETIC RESONANCE IMAGING; SHOULDER INSTABILITY; SHOULDER ARTHROGRAPHY; LABRAL TEARS; HILL-SACHS FRACTURE;

D O I：

10.1016/S0749-8063(05)80403-7

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Sixty-five patients underwent magnetic resonance (MR) shoulder arthrography. Forty-eight of these patients underwent examination under anesthesia (EUA). MR images were retrospectively evaluated for signs felt to be imaging indicators of shoulder instability, including evaluation of various capsular measurements and the presence of glenoid labral tears, as well as Hill-Sachs fractures. Statistical analysis of the results showed that no correlation between capsular indicators with EUA-documented instability was found. However, there was a statistically significant correlation between the presence of a Bankart cartilaginous deformity (p = 0.000) and Hill-Sachs fractures (p = 0.022) with EUA-documented instability. Sensitivity to labral tears was 89% and specificity was 98%, whereas Hill-Sachs fracture detection was 69% and 87%, respectively. We believe that MR saline arthrography is of benefit in the evaluation of the anterior labrum when unenhanced MR imaging is inconclusive, and we speculate on the role of MR arthrography as a primary investigative tool.

引用

页码：550 / 559

页数：10

共 25 条

[1]

Zlatkin MB, Bjorkengren AG, Gylys MV, Et al., Cross-sectional imaging of the capsular mechanism of the glenohumeral joint, American Journal of Roentgenology, 150, pp. 151-158, (1988)

[2]

Rafii M, Firooznia H, Golimbu C, Et al., CT arthrography of capsular structures of the shoulder, AJR, 146, pp. 361-367, (1986)

[3]

Seeger LL, Gold RH, Bassett LW, Shoulder instability: evaluation with MR imaging, Radiology, 168, pp. 695-697, (1988)

[4]

Crues JV, Ryu R, The shoulder, Magnetic resonance imaging, pp. 2424-2458, (1991)

[5]

Protzman RR, Anterior instability of the shoulder, J Bone Joint Surg [Am], 62, pp. 909-918, (1980)

[6]

Bankhart ASB, The pathology and treatment of recurrent dislocation of the shoulder joint, British Journal of Surgery, 26, pp. 23-29, (1938)

[7]

Rockwood CA, Matsen FAI, The shoulder, 1, (1990)

[8]

Rafii M, Minkoff J, Bonamo J, Et al., Computed tomography (CT) arthrography of shoulder instabilities in athletes, Am J Sports Med, 16, pp. 352-361, (1988)

[9]

Coumas JM, Waite RJ, Goss TP, Et al., CT and MR evaluation of the labral capsular ligamentous complex of the shoulder, AJR, 158, pp. 591-597, (1992)

[10]

Garneau RA, Renfrew DL, Moore TE, Et al., Glenoid labrum: evaluation with MR imaging, Radiology, 179, pp. 519-522, (1991)

← 1 2 3 →