MR arthrography evaluation in patients with traumatic anterior shoulder instability

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• 作者：Luca Saba^a ; ^{lukas_red@hotmail.it} ; Massimo De Filippo^b ; ^{luca.saba@chb.unicancer.fr}
• 关键词：MR arthrography ; Glenoid labrum tears ; Traumatic anterior shoulder instability
• 刊名：Journal of Orthopaedics
• 出版年：2017
• 出版时间：March 2017
• 年：2017
• 卷：14
• 期：1
• 页码：73-76
• 全文大小：411 K
• 卷排序：14

文摘

To evaluate retrospectively the diagnostic accuracy of MR arthrography, compared with arthroscopy, in research of the glenoid labrum tear in patients with a first episode of traumatic anterior shoulder instability (TUBS).Material and methodsWe retrospectively reviewed the MR arthrography shoulder images of 118 patients with a first episode of TUBS, between June 2014 and May 2016.ResultsThe overall accuracy of MR arthrography compared with arthroscopy of the glenoid labrum lesions was 94%, sensitivity 93%, and specificity 96%. The sensitivity of MR arthrography for Perthes lesion was 71.4%, and for ALPSA lesion, it was 91%. Slap lesion occurred in 11 out of 77 cases (9.3% of 118 cases). The Hill-Sachs lesion occurred in 48 out of 118 cases (40.7%), while the Hill-Sachs reverse lesion in 4 cases (3.4%).ConclusionsThe MR arthrography is accurate in detecting labral injuries. However, other studies are needed to assess the less frequent tear, as Perthes lesion. The presence of the Hill-Sachs lesion could provide useful information about the level of the shoulder instability.