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Shoulder arthrography can be used to study tears of the rotator cuff, glenoid labrum and biceps. [2] The type of contrast injected into the joint depends on the subsequent imaging that is planned. For pneumoarthrography, gas is used, for CT or radiographs, a water-soluble radiopaque contrast, and for MRI, gadolinium. Double-contrast ...
On non-contrast MRI or CT arthrography imaging, lesions might be harder to find, but the more recent 3T MRI scanners might increase the pick-up rate in the absence of contrast. [4] The accepted gold standard for identifying or detecting the glenolabral articular disruption lesion is MR arthroscopy (MRA). [1]
The lesion is associated with any damage to the antero-inferior labrum. Most commonly due to anterior shoulder dislocation. The lesion often occurs after the initial dislocation. In chronic cases, there may be fibrosis and resynovialization of the labrum and periosteum. [citation needed] The lesion is best identified on MR arthrography.
The shoulder joint is considered a ball-and-socket joint. However, in bony terms the 'socket' (the glenoid fossa of the scapula) is quite shallow and small, covering at most only a third of the 'ball' (the head of the humerus). The socket is deepened by the glenoid labrum, stabilizing the shoulder joint. [1] [2]
Arthrography of shoulder joint (with or without computed tomography) is performed by injecting contrast below and lateral to the coracoid process to outline the shoulder joint. Axillary pouch of the shoulder can be seen on external rotation, while subscapular (subcoracoid) bursa can be seen on internal rotation of arm.
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MRI of normal shoulder intratendinous signal MRI of rotator cuff full-thickness tear. Magnetic resonance imaging and ultrasound [46] are comparable in efficacy and helpful in diagnosis, although both have a false positive rate of 15–20%. [47] MRI can reliably detect most full-thickness tears, although very small pinpoint tears may be missed.
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