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Magnetresonanztomographie der Schulter

Impingement und instabilitätsassoziierte Veränderungen – Update 2013

Magnetic resonance imaging of the shoulder

Impingement and instability related abnormalities – update 2013

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Zusammenfassung

Die Magnetresonanztomographie (MRT) der Schulter spielt neben Anamnese und klinischer Untersuchung eine bedeutende Rolle bei der Diagnose und Differenzierung zahlreicher Schulterpathologien und der Abklärung chronischer Schulterschmerzen. Wichtige Indikationsgebiete der MRT sind die Evaluation der Rotatorenmanschette und des Labrumkapselapparats. Besondere Bedeutung hat die Beurteilung der Rotatorenmanschettenmuskulatur. Die MR-Arthrographie zeigt ihr größtes Potenzial bei der präzisen Unterscheidung von kleinen Rotatorenmanschettenläsionen, Labrumkapselläsionen und Läsionen der langen Bizepssehne. Der nachfolgende Artikel, welcher die häufigsten Impingement- und instabilitätsassoziierten Veränderungen in der MRT des Schultergelenks zeigt, ist ein Update des gleichnamigen, 2006 in Der Radiologe publizierten Artikels [1].

Abstract

Magnetic resonance imaging (MRI) plays an important role in the diagnosis and differentiation of numerous shoulder abnormalities and chronic shoulder pain. Important indications for MRI are assessment of the rotator cuff and the labrocapsular complex. The assessment of the rotator cuff muscles is crucial. The value of MR arthrography is discussed. The potential benefit of MR arthrography is the accurate evaluation of subtle rotator cuff abnormalities, shoulder instability-related lesions and the assessment of pathological conditions of the long biceps tendon. The following article describes the most common pathological findings of the shoulder joint and gives a description of the relevant findings for the orthopedic shoulder surgeon. The current article represents an update of an article previously published in 2006 with the same title (Zanetti and Saupe, Radiologe 46:79–89, 2006).

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Einhaltung ethischer Richtlinien

Interessenkonflikt. M. Zanetti und N. Mamisch-Saupe geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Zentrum für Muskuloskelettale Radiologie, Klinik Hirslanden Zürich, Witellikerstr. 40, CH-8032, Zürich, Schweiz

    M. Zanetti & N. Mamisch-Saupe

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  1. M. Zanetti
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  2. N. Mamisch-Saupe
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Correspondence to M. Zanetti.

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Zanetti, M., Mamisch-Saupe, N. Magnetresonanztomographie der Schulter. Radiologe 53, 917–934 (2013). https://doi.org/10.1007/s00117-013-2565-7

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