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


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.


MR arthrography, Shoulder labral injuries Shoulder instability Labroligamentous Glenohumeral instability

Full Text:



Sambandam SN, Khanna V, Gul A, Mousanamy V. Rotator cuff tears: An evidence based approach. World J Orthop 2015;6(11):902-18.

Nazarian NA, Jacobson J, Benson CB. Imaging algorithms for evaluating suspected rotator cuff disease: Society of Radiologists in Ultrasound Consensus Conference Statement. Radiology 2013;267:589-95.

de Jesus JO, Parker L, Frangos AJ, Nazarian LN. Accuracy of MRI, MR arthrography, and ultrasound in the diagnosis of rotator cuff tears: a meta-analysis. AJR 2009;192(6):1701-7.

Lippe J, Spang JT, Leger RR, Arciero RA, Mazzocca AD, Shea KP. Inter-rater agreement of the Goutallier, Patte, and Warner classification scores using preoperative magnetic resonance imaging in patients with rotator cuff tears. Arthroscopy 2012;28(2):154-9.

Peruto CM, Ciccotti MG, Cohen SB. Shoulder arthroscopy positioning: Lateral decubitus versus beach chair. Arthroscopy 2009;25:891-6.

Carr AJ, Price AJ, Glyn-Jones S, Rees JL. Advances in arthroscopy-indications and therapeutic applications. Nat Rev Rheumatol 2015;11:77-85.

Farmer KW, Wright TW. Shoulder arthroscopy: The basics. J Hand Surg Am 2015;40:817-21.

Waldt S, Burkart A, Imhoff AB, Bruegel M, Rummeny EJ, Woertler K. Anterior shoulder instability: accuracy of MR arthrography in the classification of anteroinferior labroligamentous injuries. Radiology 2005;237:578-83.

El-Liethy N, HebaKamalRania F.Elsayed. Role of conventional MRI and MR arthrography in evaluating shoulder joint capsulolabral-ligamentous injuries in athletic versus non-athletic population. EJRNM 2016;47(3):969-84.

Applegate GR, Hewitt M, Snyder SJ, Watson E, Kwak S, Resnick D. Chronic labral tears: value of magnetic resonance arthrography in evaluating the glenoid labrum and labral-bicipital complex. Arthroscopy 2004;20:959-63.

Singh S, Gill S, Mohammad F, Kumar S, Kumar D, Kumar S. Prevalence of shoulder disorders in tertiary care centre. Int J Res Med Sci 2015;3:917-20.

Luime JJ, Koer BW, Hendriksen IJ, Burdorf A, Verhagen AP, Micdema HS. Prevalence and incidence of shoulder pain in general population: a systematic review. Scand J Rheu 2004;33(2):73-81.

Miranda H, Viikari-Juntura E, Martikainen R, Takala EP, Riihimäki H. A prospective study of work related factors and physical exercise as predictors of shoulder pain. Occup Environ Med 2001;58:528-34.

Varacallo M, Mair SD. Rotator cuff syndrome. Available from [Accessed May, 2019].

Lecouvet FE, Simoni P, Koutaïssoff S, Vande Berg BC, Malghem J, Dubuc JE. Multidetector spiral CT arthrography of the shoulder: clinical applications and limits, with MR arthrography and arthroscopic correlations. Eur J Radiol 2008;68(1):120-36.

Magee T. 3-T MRI of the shoulder: is MR arthrography necessary? AJR Am J Roentgenol 2009;192(1):86-92.

Kavanagh EC, Koulouris G, Parker L. Does extended-field-of-view sonography improve interrater reliability for the detection of rotator cuff muscle atrophy? AJR Am J Roentgenol 2008;190(1):27-31.


  • There are currently no refbacks.