Articular cartilage and labral lesions of the glenohumeral joint: diagnostic performance of 3D water-excitation true FISP MR arthrography

Dietrich, Tobias Johannes; Zanetti, M.; Saupe, Nadja; Pfirrmann, Christian W. A.; Fucentese, Sandro F.; Hodler, Juerg

doi:10.1007/s00256-009-0844-1

Cited by 28 publications

(10 citation statements)

References 17 publications

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“…Furthermore, we considered the entire glenohumeral cartilage and divided each articular surface into nine areas for comparison. Most studies evaluating the diagnostic performance of imaging took into account the worst lesion of each articular surface, which might artificially increase diagnostic performance by correlating lesions that might be observed in different areas of the articular surface [3,4,8,17,27]. Although not perfect, we considered this visual division of the cartilage surface as the best practical way to enable a comparison of the same lesions between imaging and arthroscopy.…”

Section: Discussionmentioning

confidence: 99%

“…Despite recent achievements in dose reduction in musculoskeletal CT, CTA exposes patient to ionizing radiation, so efforts should focus on MRA [33][34][35]. 3-T MRA with the use of newly developed gradient echo or spin echo based isotropic 3D sequences could be of interest, as well as more specific imaging techniques such as the balanced steady-state free precession (SSFP) techniques, or the use of traction imaging [6,8,[36][37][38][39].…”

Section: Discussionmentioning

confidence: 99%

“…This is in part because of the relative thinness of glenohumeral cartilage, but also because of the configuration of the shoulder, away from the isocentre of most magnets and from the coils [5][6][7]. As a consequence, the diagnostic performance of MRI in the diagnosis of glenohumeral cartilage lesions is only moderate [4,8].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Diagnostic performance of CT-arthrography and 1.5T MR-arthrography for the assessment of glenohumeral joint cartilage: a comparative study with arthroscopic correlation

et al. 2014

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Diagnostic performance of CT-arthrography and 1.5T MR-arthrography for the assessment of glenohumeral joint cartilage: a comparative study with arthroscopic correlation

et al. 2014

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“…Sensitivities and specificities of direct MR arthrography have been reported to be as low as 50 and 51% for the humeral cartilage, and 60 and 63% for the glenoid cartilage, respectively (3,20). This relatively low yield of MR arthrography is primarily due to the thinness of those cartilage surfaces, but other reasons have been suggested, such as poor intra-articular contrast (3).…”

Section: Discussionmentioning

confidence: 99%

Direct MR arthrography of the shoulder under axial traction: Feasibility study to evaluate the superior labrum‐biceps tendon complex and articular cartilage

Becce

Richarme

Omoumi

et al. 2012

Magnetic Resonance Imaging

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Purpose: To assess the value of adding axial traction to direct MR arthrography of the shoulder, in terms of subacromial and glenohumeral joint space widths, and coverage of the superior labrum-biceps tendon complex and articular cartilage by contrast material.Materials and Methods: Twenty-one patients investigated by direct MR arthrography of the shoulder were prospectively included. Studies were performed with a 3 Tesla (T) unit and included a three-dimensional isotropic fat-suppressed T1-weighted gradient-recalled echo sequence, without and with axial traction (4 kg). Two radiologists independently measured the width of the subacromial, superior, and inferior glenohumeral joint spaces. They subsequently rated the amount of contrast material around the superior labrum-biceps tendon complex and between glenohumeral cartilage surfaces, using a threepoint scale: 0 ¼ no, 1 ¼ partial, 2 ¼ full.Results: Under traction, the subacromial (D ¼ 2.0 mm, P ¼ 0.0003), superior (D ¼ 0.7 mm, P ¼ 0.0001) and inferior (D ¼ 1.4 mm, P ¼ 0.0006) glenohumeral joint space widths were all significantly increased, and both readers noted significantly more contrast material around the superior labrum-biceps tendon complex (P ¼ 0.014), and between the superior (P ¼ 0.001) and inferior (P ¼ 0.025) glenohumeral cartilage surfaces.Conclusion: Direct MR arthrography of the shoulder under axial traction increases subacromial and glenohumeral joint space widths, and prompts better coverage of the superior labrum-biceps tendon complex and articular cartilage by contrast material.

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“…The shoulder is often examined at first with ultrasound, but with this technique the cartilage can not be visualized. MR imaging allows a better visualization of cartilage defects but ideally CT or MR arthrography are performed to evaluate the cartilage of the shoulder (1,2). When focal cartilage lesions occur they may be amenable to therapeutic interventions such as ice picking or cartilage transplantation (3).…”

mentioning

confidence: 99%

A bare area of the glenoid misdiagnosed as a cartilage ulceration.

Maeseneer¹,

Pouliart

Boulet³

et al. 2012

Journal of the Belgian Society of Radiology

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We report on a 17-year-old girl who developed shoulder pain after a fall on an outstretched arm. CT arthrography and MR imaging demonstrated a cartilage defect centrally located in the glenoid. This was accompanied by an eroded appearance of the underlying bone. Since symptoms persisted over several months it was initially thought this represented a cartilage injury. Subsequently arthroscopy was performed and the abnormality was identified as a bare area of the glenoid. A tear of the superior glenohumeral ligament was depicted and was repaired. The bare area is an oval area denuded of cartilage that is probably developmental and that should be differentiated from true cartilage injuries to avoid unnecessary interventions. An eroded appearance of the underlying bone may occur on imaging, a finding that has not been previously reported.

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Articular cartilage and labral lesions of the glenohumeral joint: diagnostic performance of 3D water-excitation true FISP MR arthrography

Cited by 28 publications

References 17 publications

Diagnostic performance of CT-arthrography and 1.5T MR-arthrography for the assessment of glenohumeral joint cartilage: a comparative study with arthroscopic correlation

Diagnostic performance of CT-arthrography and 1.5T MR-arthrography for the assessment of glenohumeral joint cartilage: a comparative study with arthroscopic correlation

Direct MR arthrography of the shoulder under axial traction: Feasibility study to evaluate the superior labrum‐biceps tendon complex and articular cartilage

A bare area of the glenoid misdiagnosed as a cartilage ulceration.

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