MAGNETIC RESONANCE IMAGING ARTHROGRAM FINDINGS IN RECURRENT DISLOCATION OF SHOULDER
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 44
Abstract
BACKGROUND Shoulder joint is the most commonly dislocated joint and it is most commonly dislocated anteriorly. Based on aetiology and age, there are associated injuries like injury to anterior-inferior labroligamentous restraints (in young people with traumatic aetiology) and to bony restraints (in elderly people). Injury to labroligamentous structures are best visualised using MRI and MR arthrography. Instability can be anterior, posterior and inferior or multidirectional. Anterior instability are associated with Bankart’s lesion and variants of it and injuries to anterior part of Inferior Glenohumeral Ligament (IGHL). With posterior instability lesions expected are reverse Bankart’s and reverse Hill-Sachs lesions. MATERIALS AND METHODS Twenty five patients who presented with recurrent dislocation of shoulder to casualty and op of orthopaedics of Govt. Medical College, Kozhikode from January 2015 to August 2016 were taken for study. Conventional MRI were taken and arthrography was done with USG guidance and MR arthrogram sections were taken. RESULTS Majority of patients with recurrent dislocation of shoulder were in age group between 15 - 30 years. Majority were males and right side was the most common side involved. Labroligamentous lesions were found in 100% of patients with both bony and labroligamentous lesions were more common than isolated labroligamentous lesions. About 44% of patients were having Bankart’s lesion and 40% of patients had Hill-Sachs lesion. Glenoid avulsion of glenoid labrum (GAGL- 40%) and SLAP (36%) were also common. CONCLUSION Imaging findings in recurrent dislocation of shoulder are variable, which mainly depends on aetiology and age of patients. In recurrent dislocation of shoulder MR arthrography is the investigation of choice, which is needed for early intervention. However, large scale study with large sample size are needed for definite conclusion.
Authors and Affiliations
Loga Nathan Madhu, Rajendran V. Raman, Raju Karuppal, Jineesh Thottath, Soumya Hareendranath, Juvaina P, Saanida Mothampally, Ipsit I Menon
Keywords
Related Articles
- EP ID EP216771
- DOI 10.14260/Jemds/2017/747
- Views 57
- Downloads 0
ISOLATED TESTICULAR TUBERCULOSIS: A DUBIOUS FACADE
BACKGROUND Isolated testicular tuberculosis is a bizarre entity and it can present with atypical clinical features and its radiological signs remain elusive. Owing to its unusual occurrence and presentation, it...
RISING TREND OF ESBL PRODUCTION IN UROPATHOGENIC E. COLI CAUSING WORRY? - A STUDY IN A TERTIARY CARE HOSPITAL
BACKGROUND Urinary Tract Infection (UTI) caused by Escherichia coli (E. coli) has become a significant global public health problem. The resistance to β-lactam antibiotics in E. coli further adds to the problem. The patt...
POST-CAUSTIC BURN SEVERE MICROSTOMIA OF AN ADULT, CORRECTED BY RELEASE OF SCAR AND SPLIT-THICKNESS SKIN GRAFT- A TECHNIQUE
PRESENTATION OF CASE A 27-year-old male patient, a farmer, came from a remote village with complaints of inability to open the mouth and difficulty in taking food past 3 months. He gave a history of accidental intake of...
COMPARATIVE STUDY OF PROCEDURAL SEDATION WITH ORAL TRICLOFOS AND TIVA IN CHILDREN FOR MRI SCANS
BACKGROUND Though triclofos is discouraged in children for fear of hepatotoxicity, ataxia and dizziness, one time administration in correct dosage is helpful in children and often demanded and preferred to TIVA by anxiou...
ANT BITE: A RARE CAUSE OF ANAPHYLAXIS IN PREGNANCY
Anaphylaxis during pregnancy can be catastrophic for both mother and her fetus. Ant bites are a rare cause of anaphylaxis in pregnant females. The manifestations of anaphylaxis in pregnant females have unusual fe...