You need JavaScript to view this

Shoulder MR arthrography of the posterior labrocapsular complex in overhead throwers with pathologic internal impingement and internal rotation deficit

Abstract

To determine if overhead-throwing athletes with internal impingement pain and internal rotation deficit have thickening of the posterior inferior labrocapsular complex on MR arthrogram images. This study was approved and a waiver of consent granted by our institutional review board. Twenty-six overhead-throwing athletes with internal impingement pain and internal rotation deficit, and 26 controls who had undergone MR arthrograms, were retrospectively examined. The MR studies were combined and read in a blind fashion. On an axial image through the posteroinferior glenoid rim, the readers measured the labral length, capsule-labrum length, and the posterior recess angle. A t-test was used to determine statistical significance. The mean labral length was 4.9 mm [standard deviation (SD) 1.4 mm] for the controls, and 6.4 mm (SD 1.6 mm) for the athletes (P = 0.001). The mean capsule-labrum length was 5.4 mm (SD 2.1 mm) for the controls, and 8.8 mm (SD 2.9 mm) for the athletes (P < 0.001). The mean posterior recess angle measured 65 (SD 27 ) for the controls and 94 (SD 38 ) for the athletes (P = 0.002). Overhead-throwing athletes with internal impingement pain and internal rotation deficit tend to have a thicker labrum and a shallower capsular recess  More>>
Authors:
Tuite, Michael J; Petersen, Brian D; Wise, Steven M; [1]  Fine, Jason P; [2]  Kaplan, Lee D; Orwin, John F [3] 
  1. University of Wisconsin Hospital and Clinics, Department of Radiology, Madison, WI (United States)
  2. University of Wisconsin Hospital and Clinics, Department of Biostatistics, Madison, WI (United States)
  3. University of Wisconsin Hospital and Clinics, Department of Orthopedic Surgery, Madison, WI (United States)
Publication Date:
Jun 15, 2007
Product Type:
Journal Article
Resource Relation:
Journal Name: Skeletal Radiology; Journal Volume: 36; Journal Issue: 6
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ARMS; BONE JOINTS; IMPINGEMENT; NMR IMAGING
OSTI ID:
20896799
Country of Origin:
Germany
Language:
English
Other Identifying Numbers:
Journal ID: ISSN 0364-2348; SKRADI; TRN: DE07F8331
Availability:
Available from: http://dx.doi.org/10.1007/s00256-007-0278-6
Submitting Site:
DEN
Size:
page(s) 495-502
Announcement Date:
Aug 30, 2007

Citation Formats

Tuite, Michael J, Petersen, Brian D, Wise, Steven M, Fine, Jason P, Kaplan, Lee D, and Orwin, John F. Shoulder MR arthrography of the posterior labrocapsular complex in overhead throwers with pathologic internal impingement and internal rotation deficit. Germany: N. p., 2007. Web. doi:10.1007/S00256-007-0278-6.
Tuite, Michael J, Petersen, Brian D, Wise, Steven M, Fine, Jason P, Kaplan, Lee D, &amp; Orwin, John F. Shoulder MR arthrography of the posterior labrocapsular complex in overhead throwers with pathologic internal impingement and internal rotation deficit. Germany. https://doi.org/10.1007/S00256-007-0278-6
Tuite, Michael J, Petersen, Brian D, Wise, Steven M, Fine, Jason P, Kaplan, Lee D, and Orwin, John F. 2007. "Shoulder MR arthrography of the posterior labrocapsular complex in overhead throwers with pathologic internal impingement and internal rotation deficit." Germany. https://doi.org/10.1007/S00256-007-0278-6.
@misc{etde_20896799,
title = {Shoulder MR arthrography of the posterior labrocapsular complex in overhead throwers with pathologic internal impingement and internal rotation deficit}
author = {Tuite, Michael J, Petersen, Brian D, Wise, Steven M, Fine, Jason P, Kaplan, Lee D, and Orwin, John F}
abstractNote = {To determine if overhead-throwing athletes with internal impingement pain and internal rotation deficit have thickening of the posterior inferior labrocapsular complex on MR arthrogram images. This study was approved and a waiver of consent granted by our institutional review board. Twenty-six overhead-throwing athletes with internal impingement pain and internal rotation deficit, and 26 controls who had undergone MR arthrograms, were retrospectively examined. The MR studies were combined and read in a blind fashion. On an axial image through the posteroinferior glenoid rim, the readers measured the labral length, capsule-labrum length, and the posterior recess angle. A t-test was used to determine statistical significance. The mean labral length was 4.9 mm [standard deviation (SD) 1.4 mm] for the controls, and 6.4 mm (SD 1.6 mm) for the athletes (P = 0.001). The mean capsule-labrum length was 5.4 mm (SD 2.1 mm) for the controls, and 8.8 mm (SD 2.9 mm) for the athletes (P < 0.001). The mean posterior recess angle measured 65 (SD 27 ) for the controls and 94 (SD 38 ) for the athletes (P = 0.002). Overhead-throwing athletes with internal impingement pain and internal rotation deficit tend to have a thicker labrum and a shallower capsular recess in the posterior inferior shoulder joint than do non-overhead-throwing athletes. In many, the posteroinferior capsule is also thickened. These MR findings should alert the radiologist to closely inspect the posterior cuff and posterosuperior labrum for the tears associated with internal impingement. (orig.)}
doi = {10.1007/S00256-007-0278-6}
journal = []
issue = {6}
volume = {36}
place = {Germany}
year = {2007}
month = {Jun}
}