Assessment of coincidence and defect sizes in Bankart and Hill–Sachs lesions after anterior shoulder dislocation: a radiological study

Horst, Klemens; Harten, R Von; Weber, Clemens; Andruszkow, Hagen; Pfeifer, Roman; Dienstknecht, Thomas; Pape, Hans-Christian

doi:10.1259/bjr.20130673

Cited by 51 publications

(34 citation statements)

References 29 publications

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“…The incidence of soft-tissue Bankart lesions was 85 %, osseous Bankart lesions 17 % and Hill-Sachs lesions 32 %. Previous reports have demonstrated that Bankart lesions are present in 73-90 % and Hill-Sachs lesions 71-84 % of shoulder dislocations [13,15,19,20]. The incidence of Hill-Sachs lesions is considerably lower in the current study, in fact arthroscopic findings suggest that in this series Hill-Sachs were over-reported on MRA.…”

Section: Discussioncontrasting

confidence: 51%

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A comparison of magnetic resonance arthrography and arthroscopic findings in the assessment of anterior shoulder dislocations

et al. 2014

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Section: Discussioncontrasting

confidence: 51%

“…Interpretation of the images by specialist musculoskeletal radiologists improves detection [12]. A review of MR scans post-dislocation revealed cartilaginous Bankart lesions in 73 %, osseous Bankart lesions in 27.5 %, SLAP lesions in 14 %, and Hill-Sachs in 71-84 % [13,14].…”

Section: Introductionmentioning

confidence: 99%

A comparison of magnetic resonance arthrography and arthroscopic findings in the assessment of anterior shoulder dislocations

et al. 2014

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“…This study concluded usefulness in predicting the presence of a bankart lesion when a hill sachs lesion is identified on a plain radiograph. Similar conclusion was made by Horst K et al, [23] who stated that if either lesion is diagnosed, the patient is 11 times more likely to have suffered the associated injury.…”

Section: Discussionsupporting

confidence: 81%

MR Arthography of the Glenohumeral Joint : Its Role in the Evaluation of Shoulder Instability and Persistent Pain

Thukral¹,

Kaur²,

Singh³

et al. 2015

jemds

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BACKGROUND:The purpose of the study was to evaluate the role of MR arthrography in identification and characterization of normal variants, rotator cuff tears and tears of labroligamentous complex of the glenohumeral joint and compare it with conventional MRI. AIMS AND OBJECTIVES: Identification, signal characterization and grading of rotator cuff tears and to detect, localize and characterize tears of the labroligamentous complex and to differentiate them from the normal variants. METHODS: Thirty three patients in the age group of 18-60 years with history of shoulder instability or persistent pain due to previous injury were prospectively evaluated with conventional MRI followed by MR arthrography. Patients with active joint infection, contrast allergy and joint effusion were excluded from the study. Conventional MRI and MR arthrographic findings were recorded separately and then compared. RESULTS: Statistically significant difference was found between conventional MRI and MR arthrography in the identification and characterization of labroligamentous tears while no statistical difference was found between the two in detection of rotator cuff tears. High incidence of co-occurrence was found between hill-sachs defect and bankart lesions/variants. CONCLUSIONS: MR arthrography is superior to conventional MRI for the delineation of intra-articular structures of the glenohumeral joint and in the detection and characterization of labral tears. Since rotator cuff tears are commoner in older age group in comparison to labral tears which are commoner in patients aged less than 40 years, MR arthrography is the imaging modality of choice in younger age group, irrespective of the clinical indication.

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“…There are few studies focusing on the incidence of bipolar bone loss in shoulder instability. However it should be noted that radiological studies have shown that the presence of an isolated glenoid or humeral defect increases the chances of an associated bipolar defect by a factor of 2.5 to 11 [19,20] .…”

Section: Epidemiologymentioning

confidence: 99%

Current concepts in the management of recurrent anterior gleno-humeral joint instability with bone loss

Ramhamadany

Modi

2016

WJO

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The management of recurrent anterior gleno-humeral joint instability is challenging in the presence of bone loss. It is often seen in young athletic patients and dislocations related to epileptic seizures and may involve glenoid bone deficiency, humeral bone deficiency or combined bipolar lesions. It is critical to accurately identify and assess the amount and position of bone loss in order to select the most appropriate treatment and reduce the risk of recurrent instability after surgery. The current literature suggests that coracoid and iliac crest bone block transfers are reliable for treating glenoid defects. The treatment of humeral defects is more controversial, however, although good early results have been reported after arthroscopic Remplissage for small defects. Larger humeral defects may require complex reconstruction or partial resurfacing. There is currently very limited evidence to support treatment strategies when dealing with bipolar lesions. The aim of this review is to summarise the current evidence regarding the best imaging modalities and treatment strategies in managing this complex problem relating particularly to contact athletes and dislocations related to epileptic seizures.

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Assessment of coincidence and defect sizes in Bankart and Hill–Sachs lesions after anterior shoulder dislocation: a radiological study

Cited by 51 publications

References 29 publications

A comparison of magnetic resonance arthrography and arthroscopic findings in the assessment of anterior shoulder dislocations

A comparison of magnetic resonance arthrography and arthroscopic findings in the assessment of anterior shoulder dislocations

MR Arthography of the Glenohumeral Joint : Its Role in the Evaluation of Shoulder Instability and Persistent Pain

Current concepts in the management of recurrent anterior gleno-humeral joint instability with bone loss

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