Glenohumeral Instability: Evaluation with MR Arthrography

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

Research output: Contribution to journalArticle

124 Scopus citations

Abstract

Magnetic resonance arthrography is superior to other imaging techniques in evaluation of the glenohumeral joint. Normal variants that can be diagnostic pitfalls include the anterosuperior sublabral foramen, the Buford complex, and hyaline cartilage under the labrum. Anteroinferior dislocation is the most frequent cause of anterior glenohumeral instability and produces a constellation of lesions (anteroinferior labral tear, classic and osseous Bankart lesions, Hill-Sachs lesion). Variants of antero-inferior labral tears include anterior labroligamentous periosteal sleeve avulsion and glenoid labral articular disruption. Anterior glenohumeral instability can also involve tears of the anterior or anterosuperior labrum or the glenohumeral ligaments. Posterior glenohumeral instability can involve a posterior labral tear; posterior capsular stripping or laxity; fracture, erosion, or sclerosis and ectopic ossification of the posterior glenoid fossa; reverse Hill-Sachs lesion; McLaughlin fracture; or posterosuperior glenoid impingement. Superior labral anterior and posterior lesions involve the superior labrum with varying degrees of biceps tendon involvement.

Original languageEnglish (US)
Pages (from-to)657-673
Number of pages17
JournalRadiographics
Volume17
Issue number3
DOIs
Publication statusPublished - Jan 1 1997
Externally publishedYes

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Keywords

  • Gadolinium
  • Shoulder, MR, 414.1214
  • Shoulder, anatomy, 414.92
  • Shoulder, arthrography, 414.122
  • Shoulder, dislocation, 414.42
  • Shoulder, injuries, 414.481

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Beltran, J., Rosenberg, Z. S., Chandnani, V. P., Cuomo, F., Beltran, S., & Rokito, A. (1997). Glenohumeral Instability: Evaluation with MR Arthrography. Radiographics, 17(3), 657-673. https://doi.org/10.1148/radiographics.17.3.9153704