Glenohumeral instability: evaluation with MR arthrography.

Beltran, Javier; Rosenberg, Zehava Sadka; Chandnani, Vijay P.; Cuomo, Frances; Beltran, Salvador; Rokito, Andrew S.

doi:10.1148/radiographics.17.3.9153704

Cited by 151 publications

(79 citation statements)

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“…31,32 Most modern shoulder surgeons would obtain an MRI of the joint before attempting definitive surgical repair. A pre-operative assessment of the degree of glenoid bone loss is particularly useful.…”

Section: Investigationsmentioning

confidence: 99%

Anterior Shoulder Dislocation

Cutts

Prempeh

Drew

2009

annals

172

134

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Ann R Coll Surg Engl 2009; 91: 2-7 2The glenohumeral joint of the shoulder is the most commonly dislocated joint in the human body. Acute dislocation is a surgical emergency and demands urgent relocation. Failure to reduce a dislocated shoulder successfully within the first 24 hours carries the risk that it will be impossible to achieve a stable closed reduction. 1Broadly speaking, anterior shoulder dislocation shows a bimodal age distribution (Fig. 1) Anterior dislocation of the shoulder is commonly seen in accident and emergency (A&E) and trauma clinics. In this article, we review the existing literature on the injury and the recent trends in management. MATERIALS AND METHODS We have discussed this condition with our colleagues and performed a Medline search ('anterior shoulder dislocation') of the relevant papers. We also describe key historical publications and recent developments regarding immobilisation of the joint. RESULTS Management decisions regarding this condition continue to vary between units, especially for recurrent and posterior dislocation. This paper lays some emphasis on the choice of analgesic agent when attempting shoulder reduction in the A&E setting. A summary of the data from our own department has provided a graphical representation of the classical age and sex distribution for this condition. CONCLUSIONS Shoulder dislocation is a common injury. Delays in diagnosis remain the single biggest obstacle to optimum results in this group of patients. A significant proportion will require eventual surgery and up to a third of these patients will go on to develop long-term shoulder arthritis. Even patients who have experienced a single episode of dislocation may go on to develop long-term sequelae.

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Section: Investigationsmentioning

confidence: 99%

Anterior Shoulder Dislocation

Cutts

Prempeh

Drew

2009

annals

172

134

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“…Of all three glenohumeral ligaments, the middle glenohumeralligament variesthe most in size and site of origin [ 1,5,7,9,10]. At one extreme, the middle glenohumeral ligament may be absent: at the other, it may be cordlike.…”

Section: Middle Glenohumeral Ligamentmentioning

confidence: 99%

Anatomy, anatomic variations, and pathology of the 11- to 3-o'clock position of the glenoid labrum: findings on MR arthrography and anatomic sections.

Kwak¹,

Brown²,

Resnick³

et al. 1998

American Journal of Roentgenology

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Buford Complex, Sublabral Foramen, and Sublabral RecessThe Buford complex (Fig. 2) The terms â€oe¿ sublabral foramen,â€• â€oe¿ sublabral hole' â€oe¿ sublabral sulcus' and â€oe¿ sublabral re cessâ€•have been used interchangeably in the ra diology literatureto describe a normalanatomic variation of the anterosuperiorportion of the la brum [4]. We believe that these four terms are not the same and that their clarification is neces

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“…[30][31][32] Conversely, a reverse Hill Sach's lesion may be present on the anterior aspect of the humeral head due to a posterior dislocation. 33 Occasionally, a bone bruise may be present in individuals who have sustained a shoulder dislocation as well as pathology to the rotator cuff. In rare cases of extreme trauma, the brachial plexus may become involved as well.…”

Section: Concomitant Pathologiesmentioning

confidence: 99%