Introduction To evaluate retrospectively the diagnostic accuracy of MR arthrography, compared with arthroscopy, in research of the glenoid labrum tear in patients with a first episode of traumatic anterior shoulder instability (TUBS). Material and methods We retrospectively reviewed the MR arthrography shoulder images of 118 patients with a first episode of TUBS, between June 2014 and May 2016. Results The overall accuracy of MR arthrography compared with arthroscopy of the glenoid labrum lesions was 94%, sensitivity 93%, and specificity 96%. The sensitivity of MR arthrography for Perthes lesion was 71.4%, and for ALPSA lesion, it was 91%. Slap lesion occurred in 11 out of 77 cases (9.3% of 118 cases). The Hill-Sachs lesion occurred in 48 out of 118 cases (40.7%), while the Hill-Sachs reverse lesion in 4 cases (3.4%). Conclusions The MR arthrography is accurate in detecting labral injuries. However, other studies are needed to assess the less frequent tear, as Perthes lesion. The presence of the Hill-Sachs lesion could provide useful information about the level of the shoulder instability.
MR arthrography evaluation in patients with traumatic anterior shoulder instability / Saba, Luca; De Filippo, Massimo. - In: JOURNAL OF ORTHOPAEDICS. - ISSN 0972-978X. - 14:1(2017), pp. 73-76. [10.1016/j.jor.2016.10.017]