[Nuclear magnetic tomography in shoulder dislocation].
Sixty-two patients with anterior shoulder dislocations were examined by magnetic resonance imaging (MRI). After a primary dislocation, 30 patients showed 23 (77%) tears of the glenoid labrum, 13 (45%) anterior-inferior separation of the capsula, 24 (83%) Hill-Sachs lesions, 6 fractures of the greater tuberosity and 4 glenoid rim fractures. Thirty-two patients with recurrent shoulder dislocation had 14 (44%) tears and 15 (47%) defects of the glenoid labrum, 16 (50%) anterior-inferior separation of the capsula, 28 (88%) Hill-Sachs lesions and 3 glenoid rim fractures. MRI permits complete non-invasive documentation of glenohumeral instability if joint effusion is present. In the absence of joint effusion, diagnostic accuracy can be improved by application of a contrast medium.
Runkel
M
M
Klinik und Poliklinik für Unfallchirurgie, Johannes-Gutenberg-Universität Mainz.
Kreitner
K F
KF
Wenda
K
K
Rudig
L
L
Degreif
J
J
Grebe
P
P
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D017006:Rotator Cuff / Q000473:pathology; D000070636:Rotator Cuff Injuries; D012783:Shoulder Dislocation / Q000175:diagnosis*; D012784:Shoulder Fractures / Q000175:diagnosis; D012785:Shoulder Joint / Q000473:pathology
Kernspintomographie bei Schulterluxation.