Tears of the glenoid labrum: MR imaging of 88 arthroscopically confirmed cases.

Autor: Legan JM; Department of Radiology, Naval Hospital San Diego, CA 92134-5000., Burkhard TK, Goff WB 2nd, Balsara ZN, Martinez AJ, Burks DD, Kallman DA, O'Brien TJ, Lapoint JM
Jazyk: angličtina
Zdroj: Radiology [Radiology] 1991 Apr; Vol. 179 (1), pp. 241-6.
DOI: 10.1148/radiology.179.1.2006284
Abstrakt: Two hundred eighty-one patients underwent magnetic resonance (MR) imaging of the shoulder over a 2-year period. Eighty-eight patients underwent arthroscopic surgery, and their surgical results were correlated with the findings at MR imaging. MR imaging enabled accurate prediction of anterior labral tears, with a sensitivity of 95%, a specificity of 86%, and an accuracy of 92%. MR imaging was less effective in the prediction of tears of the superior labrum, with a sensitivity of 75%, a specificity of 99%, and an accuracy of 95%. These two categories accounted for the majority of the surgically correctable disease. MR imaging was found to be unreliable in the prediction of posterior (sensitivity, 7.7%) or inferior (sensitivity, 40%) labral tears, isolated cases of which occurred in only two (2%) of those undergoing surgery. MR imaging proved to be a highly accurate, noninvasive technique for the clinical evaluation of shoulder instability.
Databáze: MEDLINE