Anterior Labral Tear Shoulder Mri, Alpsa Lesion Wikipedia

Clinical presentation patients with labral tears may present with a wide range of symptoms depends on the injury type which are often non.

Aesthetic jungkook laptop wallpaper hd. The anteriorinferior labrum is the most frequently affected site of labral pathology related to anterior instability. Accuracy of magnetic resonance imaging to diagnose superior labrum anterior posterior tears. In the acute setting they are most frequently seen in.

Normal glenohumeral articular hyaline cartilage can simulate a superior or anterosuperior labral tear characterized by an area of linear high signal intensity interposed between the labrum and glenoid fossa 18. Crossref medline google scholar. A clockwise approach to the labrum is the easiest way to diagnose labral tears and to differentiate them from normal labral variants.

Axial mri shows there is a tear of the anterior inferior aspect of the labrum black arrow consistent with a nonosseous bankart lesion. The purpose of this article is to review this subject to describe problems related to normal anatomy and variants of the superior and anterosuperior portions of the labrum to perform a critical analysis of the current 10 grade slap lesion classification and mechanisms of injury from the perspective of mri and to describe an mri approach to the diagnosis of such lesions. Diagnosis with mr arthrography of the shoulder.

Anterior inferior labral tear. They can extend into the tendon involve the glenohumeral ligaments or extend into other quadrants of the labrum. There are two types of labral tears.

It should always be possible to trace the middle ghl upwards to the glenoid rim and downwards to the humerus. Slap tears involve the superior glenoid labrum where the long head of biceps tendon inserts. Slap tears and bankart lesions.

The anterior labrum is absent in the 1 3 oclock position and there is a thickened middle ghl. Superior labrum anterior posterior lesions. Slap is an acronym that stands for superior labral tear from anterior to posterior.

Rule out labral tear to rule out a labral tear an mri arthrogram needs to be ordered not an mri with contrast. When an mri with contrast is ordered contrast is injected into the vein while the arthrogram injects contrast directly into the joint under fluoroscopy guidance. Knee surg sports traumatol arthrosc 201523926452650.

Unlike bankart lesions and alpsa lesions they are uncommonly 20 associated with shoulder instability 5. Injury to the anteriorinferior labrum may demonstrate findings mentioned for routine tears of the labrum but often reach predictable patterns in the form of a bankart lesion or its variantsthe anterior labroligamentous. The thickened middle ghl should not be confused with a displaced labrum.