[Fissures of the posterior labrum and associated lesions: CT arthrogram evaluation].
OBJECTIVE
To describe osseous, chondral and tendinous lesions associated with fissures of the posterior labrum. To better understand the pathological processes leading to fissure of the posterior labrum. Materials and methods. Retrospective study of 43 CT arthrograms performed in 43 patients that showed a fissure of the posterior labrum. The following associated lesions were noted: osseous and chondral remodeling of the humeral head and/or glenoid and articular surface fissures of the rotator cuff. Based on type of associated lesions, patients were separated into one of four pathological subgroups: posterior instability, posterosuperior or internal impingement, anterior instability and isolated fissure of the posterior labrum.


RESULTS
Sixteen patients (37.2%) of patients showed posterior instability, 12 (27.9%) showed lesions of internal impingement, and 11 (25.6%) showed lesions of anterior instability. Only 4 patients (9.3%) had an isolated fissure of the posterior labrum.


CONCLUSIONS
Posterior instability, internal impingement and anterior instability are the main pathologies leading to fissure of the posterior labrum, which seldom occurs in isolation. Evaluation of these associated lesions allows understanding of the underlying pathological processes leading to fissure of the posterior labrum.
Noël
C
C
Service de Radiologie B, CHU Cochin, APHP, Université Paris Descartes, Paris Cedex 14, France. caro.noel@hotmail.fr
Campagna
R
R
Minoui
A
A
Thévenin
F
F
Richarme
D
D
Feydy
A
A
Guérini
H
H
Drapé
J-L
JL
Chevrot
A
A
D000293:Adolescent; D000328:Adult; D001175:Arthrography; D005260:Female; D006801:Humans; D006811:Humerus / Q000293:injuries; D007593:Joint Instability / Q000000981:diagnostic imaging* / Q000209:etiology; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D000070636:Rotator Cuff Injuries; D012540:Scapula / Q000000981:diagnostic imaging / Q000293:injuries*; D019534:Shoulder Impingement Syndrome / Q000000981:diagnostic imaging* / Q000209:etiology; D000070599:Shoulder Injuries; D012785:Shoulder Joint / Q000000981:diagnostic imaging*; D020069:Shoulder Pain / Q000209:etiology; D014057:Tomography, X-Ray Computed