Copyright
©The Author(s) 2018.
World J Orthop. Nov 18, 2018; 9(11): 245-254
Published online Nov 18, 2018. doi: 10.5312/wjo.v9.i11.245
Published online Nov 18, 2018. doi: 10.5312/wjo.v9.i11.245
Table 1 The role of computed tomography scans, magnetic resonance imaging arthrograms and diagnostic rigor
CT arthrography | MRI arthrography | |
Sensitivity | 82%-100%[75] | 48%-89%[76,77] |
Specificity | 96%-100%[75] | 93%[77] |
Advantage Disadvantage | Identifying bony lesions, severity of fractures, assessing humeral and glenoid version[78] lower inter-examiner reliability[79] | Identifying the soft tissue from labrum to the rotator cuff[80], good for preoperative classification of labroligamentous injuries[81] Limited in elderly patients[80] |
Radiation | ||
Pathologies | Small soft tissue lesions[82] | |
Bony lesions/ fractures (Bankart fragments, Hill-Sachs Lesion)[82,83] | Avulsion of posterior periosteum[82] | |
Accurate in labroligamentous, cartilaginous lesions[75] | Medial displacement of the labrum (posterior labro-scapular sleeve avulsion)[84] | |
Kim lesion - incomplete and concealed superficial tear in the posterior glenoid labrum | ||
Glenoid rim articular divot lesion[7] | ||
Chondral loose bodies[85] |
- Citation: Bäcker HC, Galle SE, Maniglio M, Rosenwasser MP. Biomechanics of posterior shoulder instability - current knowledge and literature review. World J Orthop 2018; 9(11): 245-254
- URL: https://www.wjgnet.com/2218-5836/full/v9/i11/245.htm
- DOI: https://dx.doi.org/10.5312/wjo.v9.i11.245