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| http://dx.doi.org/10.1016/j.jor.2019.10.015 | DOI Listing |
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Anterior Rotator Interval Lesion (ARIL), its association with glenoid labrum pathology in patients with anterior shoulder pain and surgical outcome of Arthroscopic Rotator Interval Closure (ARIC).
J Clin Orthop Trauma
November 2024
Morgan-Kallman Clinic, Wilmington, DE, United States.
Background: Anterior rotator interval lesions (ARIL) have been associated with shoulder instability. However, a paucity of data exists on its association with labrum pathology as a source for persistent anterior shoulder pain. This study primarily aims to describe pathoanatomy of ARIL and the parameters we used that aid in the diagnosis of ARIL.
View Article and Find Full Text PDFInter-rater and intrarater reliability of superior labrum anterior to posterior lesion classification using magnetic resonance arthrography.
JSES Int
September 2024
Department of Orthopedic Surgery, Memorial University of Newfoundland, St. John's, Newfoundland, Canada.
Article Synopsis
- The glenoid labrum is a crucial structure in the shoulder joint, and SLAP lesions, which affect its superior part, are common among athletes and laborers.
- The diagnostic reliability of arthroscopy for SLAP tears has been found to be inconsistent, and magnetic resonance arthrography (MRa) is being explored as a less invasive alternative, albeit with uncertain reliability.
- A study involving orthopedic surgeons and radiologists to classify SLAP lesions via MRa showed poor overall inter-rater reliability and mixed results, with radiologists demonstrating better agreement than orthopedic surgeons.
Glenohumeral Pathologies following Primary Anterior Traumatic Shoulder Dislocation-Comparison of Magnetic Resonance Arthrography and Arthroscopy.
J Clin Med
October 2023
AUVA Trauma Center Vienna-Meidling, Department for Trauma Surgery, 1120 Vienna, Austria.
Article Synopsis
- This study evaluated the accuracy of magnetic resonance arthrography (MRA) in detecting intraarticular injuries after primary shoulder dislocation by comparing its results to findings from arthroscopic surgery on 74 patients over nearly two decades.
- Key injuries identified included Hill-Sachs lesions, Bankart lesions, and SLAP lesions, with a strong correlation noted between MRA and arthroscopic results.
- Postoperative assessments indicated that factors like age and level of sport played a role in functional recovery, supporting the use of MRA as a reliable diagnostic tool for preoperative planning.
Preliminary exploration of deep learning-assisted recognition of superior labrum anterior and posterior lesions in shoulder MR arthrography.
Int Orthop
January 2024
Department of Radiology, Peking University Third Hospital, 49 Huayuan North Road, Haidian District, Beijing, People's Republic of China.
Purpose: MR arthrography (MRA) is the most accurate method for preoperatively diagnosing superior labrum anterior-posterior (SLAP) lesions, but diagnostic results can vary considerably due to factors such as experience. In this study, deep learning was used to facilitate the preliminary identification of SLAP lesions and compared with radiologists of different seniority.
Methods: MRA data from 636 patients were retrospectively collected, and all patients were classified as having/not having SLAP lesions according to shoulder arthroscopy.
ABER Position in Direct MR Arthrography of the Shoulder: Useful Adjunct or Waste of Imaging Time?
Rofo
July 2023
Department of Diagnostic and Interventional Radiology, University Medical Center of the Johannes Gutenberg University Mainz, Germany.
Purpose: The usefulness of direct MR arthrography of the shoulder with additional ABER position (ABER-MRA) has always been discussed. The goals of the following review are to analyze the usefulness of this technique according to the available literature and present recommendations with respect to indications and benefits in diagnostic imaging of shoulder abnormalities in the clinical routine.
Method: For this review we assessed the current literature databases of the Cochrane Library, Embase, and PubMed with regard to MRA in the ABER position up to the February 28, 2022.
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