Advanced Imaging of Glenohumeral Instability: It May Be Less Complicated than It Seems

Journal of the Belgian Society of Radiology
Patrick Omoumi

Abstract

Glenohumeral joint instability is usually an intimidating topic for most radiologists due to both the complexity of related anatomical and biomechanical considerations and the increasing number of classifications and acronyms reported in the literature in association with this condition. In this short review, we aim to demystify glenohumeral instability by first focusing on the relevant anatomy and pathophysiology. Second, we will review what the important imaging findings are and how to describe them for the clinician in the most relevant yet simple way. The role of the radiologist in assessing glenohumeral instability lesions is to properly describe the stabilizing structures involved (bone, soft-tissue stabilizers, and their periosteal insertion) to localize them and to attempt to characterize them as acute or chronic. Impaction fractures on the glenoid and humeral sides are important to specify, locate, and quantify. In particular, the description of soft-tissue stabilizers should include the status of the periosteal insertion of the capsulo-labro-ligamentous complex. Finally, any associated cartilaginous or rotator cuff tendon lesion should be reported to the clinician.

References

Mar 1, 1994·Journal of Magnetic Resonance Imaging : JMRI·M P RechtD Resnick
Jan 1, 1993·Skeletal Radiology·R Cope
Dec 1, 1995·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·C T Vangsness, C F Smith
Jan 1, 1996·Skeletal Radiology·T E Trout, D Resnick
Oct 12, 2000·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·S S Burkhart, J F De Beer
Jun 2, 2001·Seminars in Musculoskeletal Radiology·Michael J. Tuite, David Rubin
Jan 5, 2002·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·J A ChoiC H Lee
May 3, 2002·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Stephen S BurkhartPeter M Parten
Oct 9, 2002·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Omer A IlahiPedro Cosculluela
Mar 18, 2003·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Jon A JacobsonCurtis W Hayes
Apr 4, 2003·The Journal of Bone and Joint Surgery. American Volume·Anita G RaoEdward G McFarland
Oct 28, 2004·JAMA : the Journal of the American Medical Association·Jolanda J LuimeBart W Koes
Feb 25, 2005·AJR. American Journal of Roentgenology·Keith W HarperLawrence D Higgins
May 24, 2005·AJR. American Journal of Roentgenology·Jeffrey N MasiThomas M Link
Mar 7, 2006·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Giuseppe PorcelliniMassimo Paganelli
Jul 11, 2006·Radiologic Clinics of North America·Jenny T Bencardino, Javier Beltran
Nov 6, 2007·The American Journal of Sports Medicine·Giuseppe PorcelliniMassimo Paganelli
Apr 22, 2008·European Journal of Radiology·Jasna Rudez, Marco Zanetti
Aug 22, 2008·AJR. American Journal of Roentgenology·J Stuart MelvinLawrence Wells
Sep 23, 2008·AJR. American Journal of Roentgenology·Asgar M SaleemLeon M Novak
Oct 31, 2008·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Mehmet OzbaydarJon J P Warner
Jun 23, 2009·AJR. American Journal of Roentgenology·Darra T MurphyEoin C Kavanagh
Dec 25, 2010·Journal of Magnetic Resonance Imaging : JMRI·Patrick OmoumiChristine B Chung
Mar 27, 2012·Seminars in Musculoskeletal Radiology·Luis CerezalFrancisco del Piñal
Apr 4, 2012·Magnetic Resonance Imaging Clinics of North America·Peter J Macmahon, William E Palmer
Sep 15, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Frank MartetschlägerPeter J Millett
Sep 22, 2012·AJR. American Journal of Roentgenology·Soterios GyftopoulosLaith Jazrawi
Jan 19, 2013·Radiology·Ryan K L LeePatrick Yung
Oct 25, 2013·Radiology·Jenny T BencardinoWilliam E Palmer
Jan 5, 2014·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Giovanni Di GiacomoStephen S Burkhart
Feb 6, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Mustafa S RashidCharalambos P Charalambous
May 3, 2014·The Journal of the American Academy of Orthopaedic Surgeons·Philipp N StreubelJoaquin Sanchez-Sotelo
May 23, 2014·AJR. American Journal of Roentgenology·Soterios GyftopoulosMichael P Recht
May 30, 2015·Seminars in Musculoskeletal Radiology·Daniel M WalzLynne Steinbach
May 30, 2015·Seminars in Musculoskeletal Radiology·Alpesh Mistry, Rob S D Campbell
Sep 24, 2015·AJR. American Journal of Roentgenology·Soterios GyftopoulosAndrew Rokito

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