Fissures du labrum glénoïdal postérieur et lésions associées de l'épaule: une étude en arthroscanner [Fissures of the posterior labrum and associated lesions: CT arthrogram evaluation]


Autoria(s): Noël C.; Campagna R.; Minoui A.; Thévenin F.; Richarme D.; Feydy A.; Guérini H.; Drapé J.L.; Chevrot A.
Data(s)

2008

Resumo

PURPOSE: To describe osseous, chondral and tendinous lesions associated with fissures of the posterior labrum. To better understand the pathological processes leading to fissure of the posterior labrum. Materials and methods. Retrospective study of 43 CT arthrograms performed in 43 patients that showed a fissure of the posterior labrum. The following associated lesions were noted: osseous and chondral remodeling of the humeral head and/or glenoid and articular surface fissures of the rotator cuff. Based on type of associated lesions, patients were separated into one of four pathological subgroups: posterior instability, posterosuperior or internal impingement, anterior instability and isolated fissure of the posterior labrum. RESULTS: Sixteen patients (37.2%) of patients showed posterior instability, 12 (27.9%) showed lesions of internal impingement, and 11 (25.6%) showed lesions of anterior instability. Only 4 patients (9.3%) had an isolated fissure of the posterior labrum. CONCLUSION: Posterior instability, internal impingement and anterior instability are the main pathologies leading to fissure of the posterior labrum, which seldom occurs in isolation. Evaluation of these associated lesions allows understanding of the underlying pathological processes leading to fissure of the posterior labrum.

Identificador

https://serval.unil.ch/?id=serval:BIB_5D17CC528DD2

isbn:0221-0363

pmid:18477955

isiid:000256124700006

doi:10.1016/S0221-0363(08)71452-5

Idioma(s)

fr

Fonte

Journal de Radiologie, vol. 89, no. 4, pp. 487-493

Palavras-Chave #Adolescent; Adult; Arthrography; Female; Humans; Humerus/injuries; Joint Instability/etiology; Joint Instability/radiography; Male; Middle Aged; Retrospective Studies; Rotator Cuff/injuries; Scapula/injuries; Scapula/radiography; Shoulder Impingement Syndrome/etiology; Shoulder Impingement Syndrome/radiography; Shoulder Joint/injuries; Shoulder Joint/radiography; Shoulder Pain/etiology; Tomography, X-Ray Computed
Tipo

info:eu-repo/semantics/article

article