Assessment of Acute Lesions of the Biceps Pulley in Patients with Traumatic Shoulder Dislocation Using MR Imaging.
LHBT
biceps pulley
pulley lesion
rotator interval
shoulder dislocation
shoulder instability
Journal
Diagnostics (Basel, Switzerland)
ISSN: 2075-4418
Titre abrégé: Diagnostics (Basel)
Pays: Switzerland
ID NLM: 101658402
Informations de publication
Date de publication:
28 Sep 2022
28 Sep 2022
Historique:
received:
31
07
2022
revised:
19
09
2022
accepted:
25
09
2022
entrez:
27
10
2022
pubmed:
28
10
2022
medline:
28
10
2022
Statut:
epublish
Résumé
Shoulder dislocations represent common injuries and are often combined with rotator cuff tears and potentially damage to the biceps pulley. To assess the occurrence and type of biceps pulley lesions in patients after traumatic anterior shoulder dislocation using 3T MRI. Thirty-three consecutive patients were enrolled between June 2021 and March 2022 (14 women, mean age 48.0 ± 19 years). All patients underwent MR imaging at 3 T within one week. Images were analyzed for the presence and type of pulley tears, subluxation/dislocation of the LHBT, rotator cuff lesions, joint effusion, labral lesions, and osseous defects. Seventeen patients (52%) with traumatic anterior shoulder dislocation demonstrated biceps pulley lesions. Of those, eleven patients (33%) showed a combined tear of the sGHL and CHL. All seventeen patients with lesions of the biceps pulley showed associated partial tearing of the rotator cuff, whereas three patients showed an additional subluxation of the LHBT. Patients with pulley lesions after dislocations were significantly older than those without (mean age 52 ± 12 years vs. 44 ± 14 years, Our results suggest an increased awareness for lesions of the biceps pulley in acute traumatic shoulder dislocation, particularly in patients over 45 years.
Sections du résumé
BACKGROUND
BACKGROUND
Shoulder dislocations represent common injuries and are often combined with rotator cuff tears and potentially damage to the biceps pulley.
PURPOSE
OBJECTIVE
To assess the occurrence and type of biceps pulley lesions in patients after traumatic anterior shoulder dislocation using 3T MRI.
METHODS
METHODS
Thirty-three consecutive patients were enrolled between June 2021 and March 2022 (14 women, mean age 48.0 ± 19 years). All patients underwent MR imaging at 3 T within one week. Images were analyzed for the presence and type of pulley tears, subluxation/dislocation of the LHBT, rotator cuff lesions, joint effusion, labral lesions, and osseous defects.
RESULTS
RESULTS
Seventeen patients (52%) with traumatic anterior shoulder dislocation demonstrated biceps pulley lesions. Of those, eleven patients (33%) showed a combined tear of the sGHL and CHL. All seventeen patients with lesions of the biceps pulley showed associated partial tearing of the rotator cuff, whereas three patients showed an additional subluxation of the LHBT. Patients with pulley lesions after dislocations were significantly older than those without (mean age 52 ± 12 years vs. 44 ± 14 years,
CONCLUSION
CONCLUSIONS
Our results suggest an increased awareness for lesions of the biceps pulley in acute traumatic shoulder dislocation, particularly in patients over 45 years.
Identifiants
pubmed: 36292035
pii: diagnostics12102345
doi: 10.3390/diagnostics12102345
pmc: PMC9600602
pii:
doi:
Types de publication
Journal Article
Langues
eng
Références
J Shoulder Elbow Surg. 1996 Jan-Feb;5(1):41-6
pubmed: 8919441
Arthroscopy. 2020 Nov;36(11):2791-2793
pubmed: 33172578
JBJS Rev. 2021 Sep 23;9(9):
pubmed: 35102053
Arch Orthop Trauma Surg. 2019 Feb;139(2):181-187
pubmed: 30367255
J Shoulder Elbow Surg. 1998 Mar-Apr;7(2):100-8
pubmed: 9593086
JSES Int. 2020 May 07;4(2):318-323
pubmed: 32490420
Radiology. 2012 Aug;264(2):504-13
pubmed: 22692037
J Shoulder Elbow Surg. 2014 Dec;23(12):1913-1921
pubmed: 25441568
Arthroscopy. 2003 Jan;19(1):21-33
pubmed: 12522399
Am J Sports Med. 2012 Apr;40(4):822-7
pubmed: 22287643
AJR Am J Roentgenol. 2010 Sep;195(3):567-76
pubmed: 20729432
BMC Musculoskelet Disord. 2015 Jul 18;16:164
pubmed: 26187270
Am J Sports Med. 2014 Nov;42(11):2591-6
pubmed: 25248922
Cochrane Database Syst Rev. 2019 May 10;5:CD004962
pubmed: 31074847
J Shoulder Elbow Surg. 2010 Dec;19(8):1199-203
pubmed: 21070956
J Shoulder Elbow Surg. 2004 Jan-Feb;13(1):5-12
pubmed: 14735066
Clin Radiol. 2007 May;62(5):416-23
pubmed: 17398265
Arthroscopy. 2007 Jan;23(1):73-80
pubmed: 17210430
Sports Med Arthrosc Rehabil Ther Technol. 2012 Dec 14;4(1):48
pubmed: 23241147
J Shoulder Elbow Surg. 2000 Nov-Dec;9(6):483-90
pubmed: 11155300
Arthroscopy. 2001 Feb;17(2):173-80
pubmed: 11172247
Radiology. 2005 Apr;235(1):21-30
pubmed: 15716389
J Shoulder Elbow Surg. 1994 May;3(3):111-28
pubmed: 22959687
Radiol Res Pract. 2022 Jan 11;2022:4009829
pubmed: 35070451
J Shoulder Elbow Surg. 2022 Aug;31(8):1751-1762
pubmed: 35398165
Acta Orthop Scand. 1993 Oct;64(5):549-52
pubmed: 8237322
Arthroscopy. 2004 Nov;20(9):964-73
pubmed: 15525930
Ann R Coll Surg Engl. 2009 Jan;91(1):2-7
pubmed: 19126329
Radiographics. 2006 Jul-Aug;26(4):1045-65
pubmed: 16844931
Semin Musculoskelet Radiol. 2015 Jul;19(3):243-53
pubmed: 26021585
J Bone Joint Surg Am. 2007 Nov;89(11):2450-5
pubmed: 17974888
Arthroscopy. 2020 Sep;36(9):2526-2532
pubmed: 32389771
J Bone Joint Surg Am. 2008 May;90(5):945-52
pubmed: 18451384
Am J Sports Med. 2011 Apr;39(4):790-5
pubmed: 21335355