| HOME | HELP | CONTACT US | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
Sign In to gain access to subscriptions and/or personal tools.
|
|
|
|||||||
Sign In to gain access to subscriptions and/or personal tools. |
|||||||||
Division of Orthopaedic Surgery, Tripler Army Medical Center, Honolulu, Hawaii
Division of Orthopaedic Surgery, Tripler Army Medical Center, Honolulu, Hawaii
Detachment of the anterior inferior labrum and inferior glenohumeral ligament complex from the glenoid is a common lesion encountered in anterior shoulder insta bility while other types of labral lesions are associated with symptoms that mimic instability. Accurate delinea tion of labral lesion is, therefore, key in managing shoul der problems. In a prospective double-blinded fashion, we compared the magnetic resonance imaging findings with those noted at surgery in 33 patients with possible anterior shoulder instability. Of 28 surgically confirmed labral lesions, 21 were detected by imaging. Sensitivity was 75%, specificity 100%, while positive and negative predictive values were 100% and 41%, respectively. Overall accuracy was 79%. Based on a literature review and our clinical experience, we developed a classifica tion of glenoid labra according to the type and severity of the lesions. Method of treatment correlated with clini cal outcome, using this system, to a statistically signifi cant level. Unfortunately, this system enabled accurate classification with magnetic resonance imaging in only 7 of 33 (21 %) labra, with the precision necessary to affect surgical planning in our series. We conclude that magnetic resonance imaging is not useful in the surgical planning for most patients with obvious anterior shoul der instability.
This article has been cited by other articles:
|
|
 |
|
  C. M. Faustin, G. El Rassi, C. E. Toulson, S.-K. Lin, and E. G. McFarland Isolated Posterior Labrum Tear in a Golfer: A Case Report Am. J. Sports Med., February 1, 2007; 35(2): 312 - 315. [Full Text] [PDF]
|
|
|
|
 |
|
 S. Waldt, A. Burkart, A. B. Imhoff, M. Bruegel, E. J. Rummeny, and K. Woertler Anterior Shoulder Instability: Accuracy of MR Arthrography in the Classification of Anteroinferior Labroligamentous Injuries Radiology, November 1, 2005; 237(2): 578 - 583. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. J. Millett, P. Clavert, and J. J.P. Warner Open Operative Treatment for Anterior Shoulder Instability: When and Why? J. Bone Joint Surg. Am., February 1, 2005; 87(2): 419 - 432. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. J. HERZOG Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Magnetic Resonance Imaging of the Shoulder*{{dagger}} J. Bone Joint Surg. Am., June 1, 1997; 79(6): 934 - 53. [Full Text]
|
|
|
|
|
|
S. H. Liu, M. Henry, S. Nuccion, M. Shapiro, and F. Dorey Authors' Response Am. J. Sports Med., January 1, 1997; 25(1): 142 - 143. [PDF]
|
|
|
|
|
|
S. H. Liu, M. H. Henry, and S. L. Nuccion A Prospective Evaluation of a New Physical Examination in Predicting Glenoid Labral Tears Am. J. Sports Med., December 1, 1996; 24(6): 721 - 725. [Abstract] [PDF]
|
|
|
|
|
|
S. H. Liu, M. H. Henry, S. Nuccion, M. S. Shapiro, and F. Dorey Diagnosis of Glenoid Labral Tears: A Comparison Between Magnetic Resonance Imaging and Clinical Examinations Am. J. Sports Med., March 1, 1996; 24(2): 149 - 154. [Abstract] [PDF]
|
|
|
|
|
|
M. R. Green and K. P. Christensen Arthroscopic Bankart Procedure: Two- to Five-Year Followup With Clinical Correlation to Severity of Glenoid Labral Lesion Am. J. Sports Med., June 1, 1995; 23(3): 276 - 281. [Abstract] [PDF]
|
|
| HOME | HELP | CONTACT US | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
