Spectrum of magnetic resonance imaging findings in clinical glenohumeral instability
The glenohumeral joint is the most commonly dislocated joint in the body, and anterior instability is the most common type of shoulder instability. Depending on the etiology and the age of the patient, there may be associated injuries, for example, to the anterior-inferior labro-ligamentous structur...
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Thieme Medical and Scientific Publishers Pvt. Ltd.
2011-04-01
|
Series: | Indian Journal of Radiology and Imaging |
Subjects: | |
Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/0971-3026.82284 |
_version_ | 1818650263727112192 |
---|---|
author | Manisha Jana Deep Narayan Srivastava Raju Sharma Shivanand Gamanagatti Hiralal Nag Ravi Mittal Ashish Dutt Upadhyay |
author_facet | Manisha Jana Deep Narayan Srivastava Raju Sharma Shivanand Gamanagatti Hiralal Nag Ravi Mittal Ashish Dutt Upadhyay |
author_sort | Manisha Jana |
collection | DOAJ |
description | The glenohumeral joint is the most commonly dislocated joint in the body, and anterior instability is the most common type of shoulder instability. Depending on the etiology and the age of the patient, there may be associated injuries, for example, to the anterior-inferior labro-ligamentous structures (in young individuals with traumatic instability) or to the bony components (commoner in the elderly), which are best visualized using MRI and MR arthrography. Anterior instability is associated with a Bankart lesion and its variants and abnormalities of the anterior band of the inferior glenohumeral ligament (IGHL), whereas posterior instability is associated with reverse Bankart and reverse Hill-Sachs lesions. Cases of multidirectional instability often have no labral pathology on imaging but show specific osseous changes including increased chondrolabral retroversion. This article reviews the relevant anatomy in brief and describes the MRI findings in each type, with the imaging features of the common abnormalities. |
first_indexed | 2024-12-17T01:47:27Z |
format | Article |
id | doaj.art-8091dd746a8c458db882a7b5e283d5ae |
institution | Directory Open Access Journal |
issn | 0971-3026 1998-3808 |
language | English |
last_indexed | 2024-12-17T01:47:27Z |
publishDate | 2011-04-01 |
publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
record_format | Article |
series | Indian Journal of Radiology and Imaging |
spelling | doaj.art-8091dd746a8c458db882a7b5e283d5ae2022-12-21T22:08:10ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Radiology and Imaging0971-30261998-38082011-04-0121029810610.4103/0971-3026.82284Spectrum of magnetic resonance imaging findings in clinical glenohumeral instabilityManisha Jana0Deep Narayan Srivastava1Raju Sharma2Shivanand Gamanagatti3Hiralal Nag4Ravi Mittal5Ashish Dutt Upadhyay6Department of Radiodiagnosis, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, IndiaDepartment of Radiodiagnosis, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, IndiaDepartment of Radiodiagnosis, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, IndiaDepartment of Radiodiagnosis, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, IndiaDepartment of Orthopaedics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, IndiaDepartment of Orthopaedics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, IndiaDepartment of Biostatistics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, IndiaThe glenohumeral joint is the most commonly dislocated joint in the body, and anterior instability is the most common type of shoulder instability. Depending on the etiology and the age of the patient, there may be associated injuries, for example, to the anterior-inferior labro-ligamentous structures (in young individuals with traumatic instability) or to the bony components (commoner in the elderly), which are best visualized using MRI and MR arthrography. Anterior instability is associated with a Bankart lesion and its variants and abnormalities of the anterior band of the inferior glenohumeral ligament (IGHL), whereas posterior instability is associated with reverse Bankart and reverse Hill-Sachs lesions. Cases of multidirectional instability often have no labral pathology on imaging but show specific osseous changes including increased chondrolabral retroversion. This article reviews the relevant anatomy in brief and describes the MRI findings in each type, with the imaging features of the common abnormalities.http://www.thieme-connect.de/DOI/DOI?10.4103/0971-3026.82284bankart lesionglenohumeral instabilitymagnetic resonance arthrogrammagnetic resonance imaging |
spellingShingle | Manisha Jana Deep Narayan Srivastava Raju Sharma Shivanand Gamanagatti Hiralal Nag Ravi Mittal Ashish Dutt Upadhyay Spectrum of magnetic resonance imaging findings in clinical glenohumeral instability Indian Journal of Radiology and Imaging bankart lesion glenohumeral instability magnetic resonance arthrogram magnetic resonance imaging |
title | Spectrum of magnetic resonance imaging findings in clinical glenohumeral instability |
title_full | Spectrum of magnetic resonance imaging findings in clinical glenohumeral instability |
title_fullStr | Spectrum of magnetic resonance imaging findings in clinical glenohumeral instability |
title_full_unstemmed | Spectrum of magnetic resonance imaging findings in clinical glenohumeral instability |
title_short | Spectrum of magnetic resonance imaging findings in clinical glenohumeral instability |
title_sort | spectrum of magnetic resonance imaging findings in clinical glenohumeral instability |
topic | bankart lesion glenohumeral instability magnetic resonance arthrogram magnetic resonance imaging |
url | http://www.thieme-connect.de/DOI/DOI?10.4103/0971-3026.82284 |
work_keys_str_mv | AT manishajana spectrumofmagneticresonanceimagingfindingsinclinicalglenohumeralinstability AT deepnarayansrivastava spectrumofmagneticresonanceimagingfindingsinclinicalglenohumeralinstability AT rajusharma spectrumofmagneticresonanceimagingfindingsinclinicalglenohumeralinstability AT shivanandgamanagatti spectrumofmagneticresonanceimagingfindingsinclinicalglenohumeralinstability AT hiralalnag spectrumofmagneticresonanceimagingfindingsinclinicalglenohumeralinstability AT ravimittal spectrumofmagneticresonanceimagingfindingsinclinicalglenohumeralinstability AT ashishduttupadhyay spectrumofmagneticresonanceimagingfindingsinclinicalglenohumeralinstability |