Mri Arthrogram Shoulder Labral Tear, Shoulder Labral Tears Mri

The displaced anterior labral tear was seen on the mr arthrogram but not on conventional mr images.

Bts variety magazine buy. The other slap tear anterior labral tear and posterior labral tear were not seen on prospective mri consensus review but were seen at arthroscopy. Coronal t1 weighted fat suppressed spin echo image 40011 shows that recess outlined by contrast material is linear and follows contour of glenoid cartilage arrow. Pathologies of the capsulolabral complex such as superior labrum anterior posterior slap lesions are often the reason for shoulder pain and instability various traumatic mechanisms exist which may lead to these labral tears 2 6according to snyder et al they mostly occur after a fall on an outstretched arm with the compression of the humeral head against the superior.

Rule out labral tear to rule out a labral tear an mri arthrogram needs to be ordered not an mri with contrast. In the acute setting they are most frequently seen in. This means that mr arthrography with the arm in the neutral position may fail to detect the labral tear.

Mri features of sublabral recess in 40 year old woman with mr arthrogram of left shoulder. On mr arthrography it is customary to combine t1 t1 fs and t2 fs sequences for further assessment. Injection of gadolinium based contrast agent allowed for visualization of the labrum and subsequent diagnosis of posterior tear.

Hh humeral head g glenoid. Use of abduction and external rotation to detect full and partial thickness tears of the supraspinatus tendon. Patient referred for 3t mri arthrography of the shoulder for suspicion of labral injury.

Indirect mr arthrography of the shoulder. In addition there is faint extension of contrast material arrowhead into the superior labrum. On images of the shoulder with the arm in a neutral position the torn labrum may be held in its normal anatomic position by the intact scapular periosteum which thereby prevents contrast media from entering the tear.

A coronal mr arthrogram shows contrast material in the region of the glenoid labrum interface but the space between the glenoid and the labrum does not precisely follow the glenoid contour and is too wide to be considered normal. The mr arthrography images were not included in retrospective mri consensus review fig. Hh humeral head g glenoid.

On conventional mr labral tears are best seen on fat saturated fluid sensitive sequences. Slap tears involve the superior glenoid labrum where the long head of biceps tendon inserts. By herold t bachthaler m hamer ow et al.

They can extend into the tendon involve the glenohumeral ligaments or extend into other quadrants of the labrum.