Open AccessSpectrum of magnetic resonance imaging findings in clinical glenohumeral instability
Author(s) -
Manisha Jana,
Deep Narayan Srivastava,
Raju Sharma,
Shivanand Gamanagatti,
Hira Lal Nag,
Ravi Mittal,
Ashish Upadhyay
Publication year - 2011
Publication title -
indian journal of radiology and imaging - new series/indian journal of radiology and imaging/indian journal of radiology and imaging
Language(s) - English
Resource type - Journals
eISSN - 0971-3026
pISSN - 0970-2016
DOI - 10.4103/0971-3026.82284
Subject(s) - medicine , bankart lesion , magnetic resonance imaging , instability , anterior shoulder , etiology , radiology , joint instability , anatomy , surgery , pathology , arthroscopy , physics , mechanics
The glenohumeral joint is the most commonly dislocated joint in the body, and anterior instability is the most common type of shoulder instability. Depending on the etiology and the age of the patient, there may be associated injuries, for example, to the anterior-inferior labro-ligamentous structures (in young individuals with traumatic instability) or to the bony components (commoner in the elderly), which are best visualized using MRI and MR arthrography. Anterior instability is associated with a Bankart lesion and its variants and abnormalities of the anterior band of the inferior glenohumeral ligament (IGHL), whereas posterior instability is associated with reverse Bankart and reverse Hill-Sachs lesions. Cases of multidirectional instability often have no labral pathology on imaging but show specific osseous changes including increased chondrolabral retroversion. This article reviews the relevant anatomy in brief and describes the MRI findings in each type, with the imaging features of the common abnormalities.