Artro-ressonância do ombro na instabilidade anterior

Honda, Eduardo; Aihara, André Yui; Natour, Jamil; Fernandes, Artur da Rocha Corrêa

doi:10.1590/s0482-50042006000300009

Cited by 2 publications

(2 citation statements)

References 19 publications

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“…Therefore, it is fundamental that the different diagnostic modalities be indicated correctly. One such modality is magnetic resonance arthrography, better known as MR arthrography or MRA, which plays a prominent role because of its high accuracy, particularly in the evaluation of glenohumeral instability, due to its superior detailing of ligamentous, cartilaginous, and labral structures ( 4 , 5 ) .…”

Section: Introductionmentioning

confidence: 99%

Magnetic resonance arthrography of the shoulder: a painful procedure?

Nascimento

Amaral²,

Almeida³

2018

Radiol Bras

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ObjectiveTo compare the pain expected to that effectively caused by magnetic resonance arthrography of the shoulder and, secondarily, to describe a simplified approach to the technique for articular access.Materials and MethodsWe prospectively evaluated 40 participants who used a visual analog scale and a simplified categorical scale to indicate the level of pain expected and that experienced after the procedure, comparing the two with the Wilcoxon matched-pairs test. We also determined gender-related differences in pain conditions using the Mann-Whitney U test. In addition, we described a modified technique involving radiographic localization and the use of standard puncture needles for articular access.ResultsAnalysis of the visual analog scales showed that the pain experienced was less than had been expected, with median scores of 1.75 and 3.75, respectively (p < 0.001). The level of pain expected was higher among women than among men, with median scores of 8.0 and 3.0, respectively (p = 0.014), as was the level of pain experienced, with median scores of 3.0 and 1.5, respectively (p = 0.139). The overall categorical evaluation corroborated that difference (p = 0.03). Articular access with the modified technique was successful in all patients.ConclusionMagnetic resonance arthrography of the shoulder is less painful than patients expect. In addition, digital radiographic guidance combined with the use of standard puncture needles appears to improve the efficiency of the method.

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Section: Introductionmentioning

confidence: 99%

Magnetic resonance arthrography of the shoulder: a painful procedure?

Nascimento

Amaral²,

Almeida³

2018

Radiol Bras

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show abstract

“…The MRA examination has proven to be a diagnostic method of great sensitivity and specificity for the evaluation of conditions that affect intra-articular structures, such as instability of the capsuloligamentous structures of the shoulder, providing a more detailed evaluation of the changes to the articular cartilage surface and glenoid labrum ( 2 , 3 ) . In relation to the hip joint, MRA has also been the object of studies of femoroacetabular impingement, in which it has been shown to have excellent sensitivity and specificity for the staging of lesions of the articular cartilage and labrum ( 4 ) .…”

mentioning

confidence: 99%

Magnetic resonance arthrography: what is its importance in the present day?

Filho

2018

Radiol Bras

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Artro-ressonância do ombro na instabilidade anterior

Cited by 2 publications

References 19 publications

Magnetic resonance arthrography of the shoulder: a painful procedure?

Magnetic resonance arthrography of the shoulder: a painful procedure?

Magnetic resonance arthrography: what is its importance in the present day?

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