ABSTRACT
Objective: To present the Computed Tomography (CT)-Arthrography appearance of the most common types of anterior labral lesion and to assess the diagnostic value of this technique in the detection and classification of the antero-inferior labral tears in glenohumeral joint instability. Materials and Methods: The pre-operative CT-Arthrography records of 43 patients; who underwent surgery for anterior shoulder instability; were retrospectively evaluated independently by two radiologists. The data were compared with arthros- copic results and the diagnostic accuracy of CT-Arthrography was calculated to detect the labral lesion and the agreement between the CT-Arthrography lesions classification and the arthroscopy classification. Results: The CT-Arthrography sensitivity; specificity and accuracy were: 92/ 89(reader 1/reader 2); 86/ 86and 91/ 88respectively. The CT-Arthrography classification was correct in 86of cases. Conclusions: CT-Arthrography appears to be an accurate means for identification and classification of the anterior labral tears and; identifying the labral degeneration; this technique can be very helpful in the selection of patient for arthroscopic stabilization of the shoulder
Subject(s)
Arthrography , Shoulder , Tears , Tomography Scanners, X-Ray ComputedABSTRACT
A partir d'une etude prospective portant sur 7 ans; 2000 cas de derangements internes du genou ont ete analyses. Les lesions sont frequentes chez les sujets jeunes de sexe masculin (87 pour cent) avec pour cause essentielle les traumatismes surtout lors de la pratique du football. Les resultats arthrographiques revelent l'atteinte frequente des menisques surtout avec une predominance des fissurations