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Abstract

Imaging of the labrum can be done by MRI , MR a rthrography, CT arthrography , and ultrasonography. Among these imaging modalities, MR arthrography is the best in depicting the lesion of the labrum such as a Bankart lesion and SLAP lesion. Various methods to improve the accuracy of MR arthrography have been introduced such as radial sequences of MRI, arm position in abduction and external rotation, or application of downward traction to the arm.

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References

  1. Becce F, Richarme D, Omoumi P, et al. Direct MR arthrography of the shoulder under axial traction: feasibility study to evaluate the superior labrum-biceps tendon complex and articular cartilage. J Magn Reson Imaging. 2013;37(5):1228–33.

    Article  PubMed  Google Scholar 

  2. Chandnani VP, Yeager TD, DeBerardino T, et al. Glenoid labral tears: prospective evaluation with MRI imaging, MR arthrography, and CT arthrography. AJR Am J Roentgenol. 1993;161(6):1229–35.

    Article  CAS  PubMed  Google Scholar 

  3. Chauvin NA, Jaimes C, Ho-Fung V, Wells L, Ganley T, Jaramillo D. Diagnostic performance of magnetic resonance arthrography of the shoulder in children. Pediatr Radiol. 2013;43(10):1309–15.

    Article  PubMed  Google Scholar 

  4. Chhadia AM, Goldberg BA, Hutchinson MR. Abnormal translation in SLAP lesions on magnetic resonance imaging abducted externally rotated view. Arthroscopy. 2010;26(1):19–25.

    Article  PubMed  Google Scholar 

  5. Choi JA, Suh SI, Kim BH, et al. Comparison between conventional MR arthrography and abduction and external rotation MR arthrography in revealing tears of the antero-inferior glenoid labrum. Korean J Radiol. 2001;2(4):216–21.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  6. Cvitanic O, Tirman PF, Feller JF, Bost FW, Minter J, Carroll KW. Using abduction and external rotation of the shoulder to increase the sensitivity of MR arthrography in revealing tears of the anterior glenoid labrum. AJR Am J Roentgenol. 1997;169(3):837–44.

    Article  CAS  PubMed  Google Scholar 

  7. Genovese E, Spano E, Castagna A, et al. MR-arthrography in superior instability of the shoulder: correlation with arthroscopy. Radiol Med. 2013;118(6):1022–33.

    Article  PubMed  Google Scholar 

  8. Holzapfel K, Waldt S, Bruegel M, et al. Inter- and intraobserver variability of MR arthrography in the detection and classification of superior labral anterior posterior (SLAP) lesions: evaluation in 78 cases with arthroscopic correlation. Eur Radiol. 2010;20(3):666–73.

    Article  PubMed  Google Scholar 

  9. Itoigawa Y, Itoi E, Sakoma Y, Yamamoto N, Sano H, Kaneko K. Attachment of the anteroinferior glenohumeral ligament-labrum complex to the glenoid: an anatomic study. Arthroscopy. 2012;28(11):1628–33.

    Article  PubMed  Google Scholar 

  10. Jonas SC, Walton MJ, Sarangi PP. Is MRA an unnecessary expense in the management of a clinically unstable shoulder? A comparison of MRA and arthroscopic findings in 90 patients. Acta Orthop. 2012;83(3):267–70.

    Article  PubMed Central  PubMed  Google Scholar 

  11. Kim SH, Ha KI, Yoo JC, Noh KC. Kim’s lesion: an incomplete and concealed avulsion of the posteroinferior labrum in posterior or multidirectional posteroinferior instability of the shoulder. Arthroscopy. 2004;20(7):712–20.

    Article  PubMed  Google Scholar 

  12. Kwak SM, Brown RR, Trudell D, Resnick D. Glenohumeral joint: comparison of shoulder positions at MR arthrography. Radiology. 1998;208(2):375–80.

    Article  CAS  PubMed  Google Scholar 

  13. Magee T. 3-T MRI of the shoulder: is MR arthrography necessary? AJR Am J Roentgenol. 2009;192(1):86–92.

    Article  PubMed  Google Scholar 

  14. Modi CS, Karthikeyan S, Marks A, et al. Accuracy of abduction-external rotation MRA versus standard MRA in the diagnosis of intra-articular shoulder pathology. Orthopedics. 2013;36(3):e337–42.

    Article  PubMed  Google Scholar 

  15. Munk PL, Holt RG, Helms CA, Genant HK. Glenoid labrum: preliminary work with use of radial-sequence MR imaging. Radiology. 1989;173(3):751–3.

    Article  CAS  PubMed  Google Scholar 

  16. Neviaser TJ. The anterior labroligamentous periosteal sleeve avulsion lesion: a cause of anterior instability of the shoulder. Arthroscopy. 1993;9(1):17–21.

    Article  CAS  PubMed  Google Scholar 

  17. Neviaser TJ. The GLAD lesion: another cause of anterior shoulder pain. Arthroscopy. 1993;9(1):22–3.

    Article  CAS  PubMed  Google Scholar 

  18. Palmer WE, Brown JH, Rosenthal DI. Labral-ligamentous complex of the shoulder: evaluation with MR arthrography. Radiology. 1994;190(3):645–51.

    Article  CAS  PubMed  Google Scholar 

  19. Pavic R, Margetic P, Bensic M, Brnadic RL. Diagnostic value of US, MR and MR arthrography in shoulder instability. Injury. 2013;44 Suppl 3:S26–32.

    Article  PubMed  Google Scholar 

  20. Schreinemachers SA, van der Hulst VP, Jaap Willems W, Bipat S, van der Woude HJ. Is a single direct MR arthrography series in ABER position as accurate in detecting anteroinferior labroligamentous lesions as conventional MR arthography? Skeletal Radiol. 2009;38(7):675–83.

    Article  PubMed  Google Scholar 

  21. Tian CY, Cui GQ, Zheng ZZ, Ren AH. The added value of ABER position for the detection and classification of anteroinferior labroligamentous lesions in MR arthrography of the shoulder. Eur J Radiol. 2013;82(4):651–7.

    Article  PubMed  Google Scholar 

  22. Wintzell G, Larsson H, Larsson S. Indirect MR arthrography of anterior shoulder instability in the ABER and the apprehension test positions: a prospective comparative study of two different shoulder positions during MRI using intravenous gadodiamide contrast for enhancement of the joint fluid. Skeletal Radiol. 1998;27(9):488–94.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Eiji Itoi MD, PhD .

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Itoi, E., Hitachi, S. (2015). Imaging of the Labrum . In: Bain, G., Itoi, E., Di Giacomo, G., Sugaya, H. (eds) Normal and Pathological Anatomy of the Shoulder. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-45719-1_12

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  • DOI: https://doi.org/10.1007/978-3-662-45719-1_12

  • Publisher Name: Springer, Berlin, Heidelberg

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