COMPARISON OF MRI AND MR ARTHOGRAPHY IN DIAGNOSIS OF SHOULDER LABRAL INJURIES

Surg Cdr (Dr) Satyendra Narayan Singh, Col (Dr) Sumeet Arora, Col (Dr) Raveesh Kumar N M, Maj Prateek Awasthi

Abstract


Introduction: Use of MR arthrography to evaluate the pathological conditions of the shoulder is becoming widespread(1,2,3). Direct MR
arthrography is the standard of care for assessment of shoulder instability in patients younger than 40 years. Shoulder stabilization transfers from
the labrum to the rotator cuff with advancing years, limiting the value of arthrography in older patients(1). Thus, this study is conducted to assess
the MRI and MR arthrogram findings in patients with suspected rotator cuff injury and/or labral injury and to compare and measure the agreement
in findings from MRI and MR arthrogram.
Aim: To compare the findings of MRI and MR arthrogram in patients with suspected labral injury.Objectives:To study the MRI and MR
arthrogram findings in patients with suspected labral injury
Material and methods: The present study was carried out as a prospective cross-sectional comparative study at a tertiary care teaching hospital in
North India for a period of two years from Jun 2017 to Jun 2019. The inclusion and exclusion criteria were predefined. Necessary interventions
were carried out under strict aseptic technique after obtaining written consent from the patient.
Conclusion: We conclude that magnetic resonance arthrography (MRA) is well suited for detecting rotator cuff injuries. The presented diagnostic
results of MRA are superior to the results of magnetic resonance imaging. Therefore, MRA can act as a reliable diagnostic tool prior to arthroscopic
or surgical intervention.


Keywords


MR arthrography, Shoulder labral injuries Shoulder instability Labroligamentous Glenohumeral instability

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