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Jungkook icons live. Rotator cuff tears the aber view is also very useful for both partial and full thickness tears of the rotator cuff. Axial t2 mri scan of a patient with a posterior labral tear. Slap tears involve the superior glenoid labrum where the long head of biceps tendon inserts.
45 year old woman with shoulder pain. A small paralabral cyst is identified at the site of the tear. Slap is an acronym that stands for superior labral tear from anterior to posterior.
In the aber position the inferior glenohumeral ligament is stretched resulting in tension on the anteroinferior labrum allowing intra articular contrast to get between the labral tear and the glenoid. 1 although anterior shoulder dislocations have been recognized since the dawn of medicine the first medical. Patient referred for 3t mri arthrography of the shoulder for suspicion of labral injury.
Ajr am j roentgenol 2011. Diagnosis with mr arthrography of the shoulder. Evaluation of the glenoid labrum with 3 t mri.
Clinical presentation patients with labral tears may present with a wide range of symptoms depends on the injury type which are often non. 10c mri of posterior labrum tear. A type ix lesion is a tear of the superior labrum with extensive anterior and posterior extension resulting in almost complete concentric detachment of the.
Unlike bankart lesions and alpsa lesions they are uncommonly 20 associated with shoulder instability 5. Fat suppressed t1 weighted mr arthrogram 77912 with arm in abduction and external rotation shows frayed posterior labrum black arrow and defect in adjacent articular cartilage white arrow. Injection of gadolinium based contrast agent allowed for visualization of the labrum and subsequent diagnosis of posterior tear.
Is intraarticular contrast necessary. The shoulder because of its wide range of motion is anatomically predisposed to instability but the vast majority of shoulder instability is anterior with posterior instability estimated to affect 2 10 of unstable shoulders. There are two types of labral tears.
In the acute setting they are most frequently seen in. Major nm browne j domzalski t cothran rl helms ca. A type viii lesion is a superior labral tear that extends posteriorly similar to but more extensive than a type iib lesion with extensive detachment of the posterior labrum 1011.
Superior labrum anterior posterior lesions. Superior labral anterior posterior tear slap rotator cuff tear. Mri arthrography shows evidence of a posterior labral tear and partial undersurface rotator cuff pathology figure 1 figure 1.
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