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Min yoongi korean spelling. Unlike bankart lesions and alpsa lesions they are uncommonly 20 associated with shoulder instability 5. They can extend into the tendon involve the glenohumeral ligaments or extend into other quadrants of the labrum. This means that mr arthrography with the arm in the neutral position may fail to detect the labral tear.
None had undergone prior shoulder surgery. The process of diagnosing a labral tear is complicated by the various pitfalls in imaging diagnosis often present in the superior labrum 1734 which can make this a challenging task for the radiologist. Slap tears involve the superior glenoid labrum where the long head of biceps tendon inserts.
Mr arthrograms of right shoulder in man with shoulder pain and superior labral anteroposterior slap lesion. Glenoid labral tears are the injuries of the glenoid labrum and a possible cause of the shoulder pain. Radiologist will often say possible labrum tear or labrum tear cannot be ruled out a suspected labrum tear is a very common finding on shoulder mri and again the finding has to be understood based upon your symptoms and your history.
To date no study has demonstrated that labrum tears lead to arthritis of the shoulder so even if. Full or partial thickness supraspinatus tendon tears superior labral anterior to posterior slap tears and anterior or posterior labral tears were assessed. An mri scan is often done to diagnose a slap tear and other potential injuries to the muscles tendons ligaments and cartilage in the shoulder.
Because of the many overlapping and interwoven structures in the shoulder it is possible for an mri scan to miss a smaller tear. Hh humeral head g glenoid. In the aber position the inferior glenohumeral ligament is stretched resulting in tension on the anteroinferior labrum allowing intra articular contrast to get between.
Coronal t1 weighted fat suppressed image 60015 obtained posterior to level of a reveals labral tear arrow characterized as slap ii tear. Clinical presentation patients with labral tears may present with a wide range of symptoms depends on the injury type which are often non. All 150 patients were referred from one orthopedic group.
Rule out labral tear to rule out a labral tear an mri arthrogram needs to be ordered not an mri with contrast. Labral tears the abduction external rotation aber view is excellent for assessing the anteroinferior labrum at the 3 6 oclock position where most labral tears are located. However there are several mr imaging characteristics that can aid.
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.
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