Document Detail


MRI evaluation of the inferior glenohumeral ligament. Comparison with arthroscopic findings in 81 shoulders.
MedLine Citation:
PMID:  9602775     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Arthroscopic Bankart repair, using staples, requires a thick and wide anterior band of the inferior glenohumeral ligament. We compared MRI and arthroscopic findings of the ligament in 81 shoulders with traumatic anterior glenohumeral instability. When fluid was present in the shoulder, sensitivity and specificity of the MRI evaluation for the presence of a thick and wide ligament were 82% and 100%, respectively. In shoulders without joint fluid, the condition of the ligament was evaluated according to the presence of a low- or moderate-signal triangle structure on the anterior margin of the glenoid cavity in the 3 MR images obtained from the inferior 2 cm of the glenoid. Sensitivity and specificity of the MRI evaluation in cases without fluid were 84% and 93%, respectively. The MR technique needs to be further improved to achieve better sensitivity for preoperative selection of shoulders suitable for Bankart repair with staples.
Authors:
M Horii; T Kubo; M Kurokawa; Y Hirasawa
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Acta orthopaedica Scandinavica     Volume:  69     ISSN:  0001-6470     ISO Abbreviation:  Acta Orthop Scand     Publication Date:  1998 Apr 
Date Detail:
Created Date:  1998-06-10     Completed Date:  1998-06-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370352     Medline TA:  Acta Orthop Scand     Country:  NORWAY    
Other Details:
Languages:  eng     Pagination:  163-6     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Kyoto Prefectural University of Medicine, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Arthroscopy
Female
Humans
Joint Instability / diagnosis*
Ligaments, Articular / pathology*
Magnetic Resonance Imaging
Male
Middle Aged
Shoulder Joint*
Synovial Fluid

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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