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Schultergelenk

Wann ist eine MR-Arthrographie notwendig?

Shoulder joint

When is MR arthrography necessary?

  • Leitthema
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Arthroskopie Aims and scope

Zusammenfassung

Die direkte Schulter-MR-Arthrographie ist eine einfache und sicher durchführbare Untersuchung, die Vorteile gegenüber der konventionellen Schulter-MRT bietet. Durch die intraartikuläre Flüssigkeitsgabe wird das Gelenklumen aufgeweitet, und eng benachbarte intraartikuläre Strukturen werden voneinander abgrenzbar. Anatomische Varianten und subtile Pathologien können anhand der Ausdehnung und Verteilung des Kontrastmittels zuverlässig diagnostiziert werden. Mit hoher Präzision werden Pathologien des Labrums, der Rotatorensehnen, des vorderen Gelenkkapselintervalls und der postoperativ rekonstruierten Rotatorenmanschette dargestellt.

Abstract

Direct MR arthography (MR: magnetic resonance) of the glenohumeral joint is an easy and safe procedure that offers obvious advantages over conventional MR imaging of the shoulder. The capsular distention due to the intra-articular administration of fluid allows separation of otherwise non-separable anatomical structures. Anatomic variants and subtle pathologies of the labrum, rotator cuff tendons, capsular interval and rotator cuff repairs can be defined with high accuracy.

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Authors and Affiliations

  1. Institut für Radiologie, Hirslanden Klinik Birshof, 4142, Münchenstein, Schweiz

    Achim H. Kaim

  2. LEONARDO – Ärzte für Orthopädie und Traumatologie Schulter- und Ellenbogenchirurgie Schulterzentrum, Hirslanden Klinik Birshof, Reinacherstraße 28, 4142, Münchenstein, Schweiz

    David Haeni

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Correspondence to Achim H. Kaim.

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A.H. Kaim und D. Haeni geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Kaim, A.H., Haeni, D. Schultergelenk. Arthroskopie 32, 77–85 (2019). https://doi.org/10.1007/s00142-018-0227-5

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