Bildgebung des Schultergelenks: CT und MRT

  • A. Engel
  • R. Kluger
Chapter
Part of the Fortbildung Orthopädie book series (FORTORTHO, volume 1)

Zusammenfassung

Die bildgebende Diagnostik mit MRT, MR Arthrografie, nativ CT und CT Arthrografie ermöglicht die Beantwortung nahezu aller Fragen nach morphologisch manifesten Erkrankungen des Schultergürtels. Aufgrund der verbesserten Technik bildgebender Verfahren fällt die Entscheidung, invasive Schulterdiagnostik (z. B. Arthroskopie) oder eine weniger oder nicht invasive Diagnostik mit einer der heute zur Diskussion stehenden Methoden durchzuführen, häufiger zugunsten der wenig invasiven Methoden aus. Die Operationsplanung kann meist allein auf der Grundlage von Anamnese, klinischer Untersuchung und moderner Bildgebung exakt durchgeführt werden.

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Literatur

  1. Alasaarela E, Takalo R, Tervonen O, Hakala M, Suramo I (1997) Sonography and MRI in the evaluation of painful arthritic shoulder. Br J Rheumatol 36(9): 996–1000PubMedCrossRefGoogle Scholar
  2. Albertsen M, Egund N, Jonsson E, Lidgren L (1994) Assessment at CT of the rheumatoid shoulder with surgical correlation. Acta Radiol 35(2):164–168PubMedGoogle Scholar
  3. Allard JC, Bancroft J (1991) Irreducible posterior dislocation of the shoulder: MR and CT findings. J Comput Assist Tomogr 15(4):694–696PubMedCrossRefGoogle Scholar
  4. Anzilotti KF Jr, Schweitzer ME, Oliveri M, Marone PJ (1996) Rotator cuff strain: a post-traumatic mimicker of tendonitis on MRI. Skeletal Radiol 25(6):555–558PubMedCrossRefGoogle Scholar
  5. Bachmann G, Bauer T, Jurgensen I, Schwab J, Weimar B, Rau WS (1998) Diagnostische Sicherheit and therapeutische Relevanz von CT-Arthrographie and MR-Arthrographie der Schulter. Rofo Fortschr Geb Röntgenstr Neuen Bildgeb Verfahr 168(2):149–156PubMedCrossRefGoogle Scholar
  6. Bachmann GF, Melzer C, Heinrichs CM, Mohring B, Rominger MB (1997) Diagnosis of rotator cuff lesions: comparison of US and MRI on 38 joint specimens. Eur Radiol 7(2):192–197PubMedCrossRefGoogle Scholar
  7. Beltran J, Bencardino J, Mellado J, Rosenberg ZS, Irish RD (1997) MR arthrography of the shoulder: variants and pitfalls. Radiographics 17(6):1403–1412; discussion 1412–1415PubMedGoogle Scholar
  8. Beltran J, Rosenberg ZS, Chandnani VP, Cuomo F, Beltran S, Rokito A (1997) Glenohumeral instability. evaluation with MR arthrography. Radiographics 17(3):657–673PubMedGoogle Scholar
  9. Bernageau J, Bardin T, Goutallier D, Voisin MC, Bard M (1994) Magnetic resonance imaging findings in shoulders of hemodialyzed patients. Clin Orthop 304:91–96PubMedGoogle Scholar
  10. Blum A, Boyer B, Regent D, Simon JM, Claudon M, Mole D (1993) Direct coronal view of the shoulder with arthrographic CT. Radiology 188(3):677–681PubMedGoogle Scholar
  11. Boden BP, Hanks GA, Chesnick RM (1996) Diagnosis of biceps tendon dislocation by kinematic magnetic resonance imaging. Am J Orthop 25(10):709–711PubMedGoogle Scholar
  12. Bonutti PM, Norfray JF, Friedman RJ, Genez BM (1993) Kinematic MRI of the shoulder. J Comput Assist Tomogr 17(4):666–669PubMedCrossRefGoogle Scholar
  13. Cellerini M, Grasso A, Fidecicchi F, Spaccapeli D (1995) Diagnostic imaging of idiopathic synovial osteochondromatosis. Radiol Med Torino 89(6):761765PubMedGoogle Scholar
  14. Chan TW, Dalinka MK, Kneeland JB, Chervrot A (1991) Biceps tendon dislocation: evaluation with MR imging. Radiology 179(3):649–652PubMedGoogle Scholar
  15. Chandnani VP, Gagliardi JA, Murnane TG, Bradley YC, DeBerardino TA, Spaeth J, Hansen MF (1995) Glenohumeral ligaments and shoulder capsular mech-anism: evaluation with MR arthrography. Radiology 196(1):27–32PubMedGoogle Scholar
  16. Chandnani VP, Yeager TD, DeBerardino T, Christensen K, Gagliardi JA, Heitz DR, Baird DE, Hansen MF (1993) Glenoid labral tears: prospective evaluation with MRI imaging, MR arthrography, and CT arthrography. AIR Am J Roentgenol 61(6):1229–1235Google Scholar
  17. Coumas JM, Waite RJ, Goss TP, Ferrari DA, Kanzaria PK, Pappas AM (1992) CT and MR evaluation of the labral capsular ligamentous complex of the shoulder. AJR Am J Roentgenol 158(3):591–597PubMedGoogle Scholar
  18. Crues JV III, Fareed DO (1991) Magnetic resonance imaging of shoulder impingement. To Magn Reson Imaging 3(4):39–49Google Scholar
  19. Cvitanic O, Tirman PF, Feller JF, Bost FW, Minter J, Carroll KW (1997) Using abduction and external rotation of the shoulder to increase the sensitivity of MR arthrography in revealing tears of the anterior glenoid labrum. AJR Am J Roentgenol 169(3):837844Google Scholar
  20. DeMouy EH, Menendez CV Jr, Bodin CJ (1997) Palpation-directed (non-fluoroscopically guided) saline-enhanced MR arthrography of the shoulder. AIR Am J Roentgenol 169(1):229–231Google Scholar
  21. Dewatre F, Cotten A, Leblond D, Singer B, Mestdagh H, Chastanet P (1994) Normal and pathological aspects of the glenoid labrum in opaque arthro-scanner. J Radiol 75(8–9):413–422Google Scholar
  22. Fukuda H, Hamada K, Nakajima T et al (1994) Pathology and pathogenesis of the intratendinosis tearing of the rotator cuff viewed from en bloc histologic sections. Clin Orthop 304:60–67PubMedGoogle Scholar
  23. Funke M, Kopka L, Vosshenrich R, Oestmann JW, Grabbe E (1996) MR arthrography in the diagnosis of rotator cuff tears. Standard spin-echo alone or with fat suppression? Acta Radiol 37(5):627–632PubMedCrossRefGoogle Scholar
  24. Gagey N, Desmoineaux P, Gagey O, Idy-Peretti I, Mazas F (1993) MRI in the pre-operative evaluation of lesions of the rotator cuff. J Radiol 74(1):39–46PubMedGoogle Scholar
  25. Ganter M, Reichelt A (1996) Osteochondrosis dissecans of the humeral head. Z Orthop Ihre Grenzgeb 134(1):73–75PubMedCrossRefGoogle Scholar
  26. Goutallier D, Postel JM, Bernageau J, Lavau L, Voisin MC (1994) Fatty muscle degeneration in cuff ruptures. Pre-and postoperative evaluation by CT scan. Clin Orthop 304:78–83PubMedGoogle Scholar
  27. Guckel C, Nidecker A (1997) Diagnosis of tears in rotator-cuff injuries. Eur J Radiol 25(3):168–176PubMedCrossRefGoogle Scholar
  28. Guckel C, Nidecker A (1997) The rope ladder: an uncommon artifact and potential pitfall in MR arthrography of the shoulder. AJR Am J Roentgenol 168(4):947–950PubMedGoogle Scholar
  29. Gudinchet F, Naggar L, Ginalski JM, Dutoit M, Snyder P (1992) Magnetic resonance imaging of nontraumatic shoulder instability in children. Skeletal Radiol 21(1):19–21PubMedCrossRefGoogle Scholar
  30. Haberle HI, Zeitler H, Kiefer H, Rilinger N, Tomczak R, Bader C, Friedrich JM (1994) Dynamisches Arthro-CT in der Diagnostik rezidivierender Schulterluxationen. Rofo Fortschr Geb Röntgenstr Neuen Bildgeb Verfahr 161(5):432–437PubMedCrossRefGoogle Scholar
  31. Hodler J (1996) Diagnostik des Schulterimpingementsyndroms. Radiologe 36(12):944–950PubMedCrossRefGoogle Scholar
  32. Hodler J, Kursunoglu-Brahme S, Flannigan B, Snyder SJ, Karzel RP, Resnick D (1992) Injuries of the superior portion of the glenoid labrum involving the insertion of the biceps tendon: MR imaging findings in nine cases. AJR Am J Roentgenol 159(3): 565–568PubMedGoogle Scholar
  33. Hodler J, Terrier B, von Schulthess GK, Fuchs WA (1991) MRI and sonography of the shoulder. Clin Radiol 43(5):323–327PubMedCrossRefGoogle Scholar
  34. Hunter JC, Blatz DJ, Escobedo EM (1992) SLAP lesions of the glenoid labrum: CT arthrographic and arthroscopic correlation. Radiology 184(2):513–518PubMedGoogle Scholar
  35. Huylebroek J, van Hedent E, van Overschelde J (1991) Correlation of computed arthrotomography with arthroscopy of the glenohumeral joint. Acta Orthop Belg 57, Suppl 1:83–88Google Scholar
  36. Ianotti JP, Zlatkin MB et al. (1991) Magnetic resonance imaging of the shoulder: Sensitivity, specifity, an predictive value. J Bone Joint Surg 73A:17–29Google Scholar
  37. Imhoff AB, Hodler J (1992) Arthroscopy and MRT of the shoulder - a comparative retrospective analysis. Z Orthop Ihre Grenzgeb 130(3):188–196PubMedCrossRefGoogle Scholar
  38. Imhoff AB, Hodler J (1996) Correlation of MR imaging, CT arthrography, and arthroscopy of the shoulder. Bull Hosp Jt Dis 54(3):146–152PubMedGoogle Scholar
  39. Jurgensen I, Weimar B, Bachmann G, Cassens J (1996) Value of arthro-CT in decision for arthroscopic or open stabilization in ventral shoulder instability. Unfallchirurg 99(12):940–945PubMedCrossRefGoogle Scholar
  40. Karzel RP, Snyder SJ (1993) Magnetic resonance arthrography of the shoulder: A new technique of shoulder imaging. Clin Sports Med 12:123–136PubMedGoogle Scholar
  41. Koskinen SK, Parkkola RK, Karhu J, Komu ME, Kormano MJ (1997) Orthopedic and interventional applications at low field MRI with horizontally open configuration. A review. Radiologe 37(10):819–824PubMedCrossRefGoogle Scholar
  42. Kreitner KF, Botchen K, Rude J, Bittinger F, Krummenauer F, Thelen M (1998) Superior labrum and labral-bicipital complex: MR imaging with pathologic-anatomic and histologic correlation. AJR Am J Roentgenol 170(3):599–605PubMedGoogle Scholar
  43. Le Gars L, Gagey O, Saidani N, Gagey N, Bittoun J (1997) Three dimensional reconstruction of the fibrous frame of the rotator cuff. Surg Radiol Anat 19(4):265–268PubMedCrossRefGoogle Scholar
  44. Lill H, Lange K, Prasse-Badde J, Schmidt A, Verheyden P, Echtermeyer V (1997) Die T-Platten-Osteosynthese bei dislozierten proximalen Humerusfrakturen. Unfallchirurgie 23(5):183–190; Discussion 191–192PubMedGoogle Scholar
  45. Lill H, Lange K, Reinbold WD, Echtermeyer V (1997) MRT-Arthrographie - Verbesserte Diagnostik bei Schultergelenkinstabilitäten. Unfallchirurg 100(3): 186–192PubMedCrossRefGoogle Scholar
  46. Link J, Benecke P (1994) Die Wertigkeit der Pneumarthro-CT in der Diagnostik nach traumatischer Schulterluxation. Rofo Fortschr Geb Röntgenstr Neuen Bildgeb Verfahr 160(6):555–558PubMedCrossRefGoogle Scholar
  47. Liou JT, Wilson AJ et al (1993) The normal shoulder: Common variations that simulate pathologic conditions at MR imaging. Radiology 186:435–441PubMedGoogle Scholar
  48. Loehr SP, Pope TL Jr, Martin DF, Link KM, Mono JU, Hunter M, Reboussin D (1995) Three-dimensional MRI of the glenoid labrum. Skeletal Radiol 24(2): 117–121PubMedCrossRefGoogle Scholar
  49. Malvestiti O, Mariani C, Scorsolini A, Ratti F, Ferraris G, Columbaro G (1997) Subacromial impingement syndrome and rotator cuff tear. Ultrasonography of 140 cases. Radiol Med Torino 94(1–2):37–42PubMedGoogle Scholar
  50. Massengrill AD, Seeger LL, Yao L, Gentili A, Shnier RC, Shapiro MS, Gold RH (1994) Labrocapsular ligamentous complex of the shoulder: normal anatomy, anatomic variation, and pitfalls of MR imaging and MR arthrography. Radiographics 14(6):1211–1223Google Scholar
  51. McCauley TR, Pope CF, Jokl P (1992) Normal and abnormal glenoid labrum: assessment with multiplanar gradient-echo MR imaging. Radiology 183(1): 35–37PubMedGoogle Scholar
  52. Morakkabati N, Strunk H, Gutjahr P (1997) MRI diagnosis and follow-up of bilateral necrosis of the humeral head as a complication after chemotherapy. Aktuelle Radioll 7(1):41–44Google Scholar
  53. Mullaji AB, Beddow FH, Lamb GH (1994) CT measurement of glenoid erosion in arthritis. J Bone Joint Surg Br 76(3):384–388PubMedGoogle Scholar
  54. Munk PL, Vellet AD, Levin MF, Bell DA, Harth MM, McCain GA (1993) Intravenous administration of gadolinium in the evaluation of rheumatoid arthritis of the shoulder. Can Assoc Radiol J 44(2):99–106PubMedGoogle Scholar
  55. Neumann CH, Petersen SA et al. (1991) MR imaging of the labral capsular complex: Normal variations. Am J Roentgenolog 157:1015–1021Google Scholar
  56. Obrist J, Genelin F, Kropfl A (1991) Diagnostischer Stellenwert des Doppelkontrast-CT bei der Schulterluxation. Z Orthop Ihre Grenzgeb 129(1):31–35PubMedCrossRefGoogle Scholar
  57. Obrist J, Zirknitzer J, Berger U, Hertz H (1994) Computertomographische Limbusdiagnostik nach traumatischer Erstluxation der Schulter. Unfallchirurgie 20(1):11–17PubMedCrossRefGoogle Scholar
  58. Palmer WE, Brown JH, Rosenthal DI (1993) Rotator cuff: evaluation with fat-suppressed MR arthrography. Radiology 188(3):683–687PubMedGoogle Scholar
  59. Palmer WE, Brown JH, Rosenthal DI (1994) Labralligamentous complex of the shoulder: evaluation with MR arthrography. Comment in: Radiology 190(3):641–644; Radiology 190(3):645–651Google Scholar
  60. Palmer WE, Caslowitz PL (1995) Anterior shoulder instability diagnostic criteria determined from prospective analysis of 121 MR arthrograms. Radiology 197(3):819–825PubMedGoogle Scholar
  61. Palmer WE, Caslowitz PL, Chew FS (1995) MR arthrography of the shoulder: normal intraarticular structures and common abnormalities. AJR Am J Roentgenol 164(1):141–146PubMedGoogle Scholar
  62. Patten RM (1994) Vacuum phenomenon: a potential pitfall in the interpretation of gradient-recalled-echo MR images of the shoulder. AJR Am J Roentgenol 162(6):1383–1386PubMedGoogle Scholar
  63. Patten RM (1995) Atraumatic osteolysis of the distal clavicle: MR findings. J Comput Assist Tomogr 19(1):92–95PubMedCrossRefGoogle Scholar
  64. Peh WC, Campbell C, Kelly IG, Davidson JK (1994) The role of computerized tomography in shoulder arthrography. J R Coll Surg Edinb 39(3):190–195PubMedGoogle Scholar
  65. Petersilge CA, Lewin JS, Duerk JL, Hatem SF (1997) MR arthrography of the shoulder: rethinking traditional imaging procedures to meet the technical requirements of MR imaging guidance. AJR Am J Roentgenol 169(5):453–457Google Scholar
  66. Petersilge CA, Witte DH, Sewell BO, Bosch E, Resnick D (1997) Normal regional anatomy of the shoulder. Magn Reson Imaging Clin N Am 5(4):667–681PubMedGoogle Scholar
  67. Pierre-Jerome C, Roug IK (1997) Magnetic resonance spin echo and fast field echo imaging of aneurysmal bone cyst: comparison with X-ray and computed tomography. J Manipulative Physiol Ther 20(2):108112PubMedGoogle Scholar
  68. Pigeau I, Doursounian L, Sokolow C, Valenti P, Djermag Y, Maigne JY, Gaudillat C, Frija G (1992) Contribution of gradient-echo MRI in the study of subacromial pathology: correlation between surgery and arthrography. Ann Radiol Paris 35(3):143–149PubMedGoogle Scholar
  69. Pollock RG, Bigliani LU (1993) Recurrent posterior shoulder instability. Diagnosis and treatment. Clin Orthop 291:85–96PubMedGoogle Scholar
  70. Pricca P, Cecchini A, Petulla M, Benazzo F, Poggi P (1993) Shoulder instability and pain. Computerized arthro-tomography assessment. Radiol Med Torino 855, Suppl 1:201–212Google Scholar
  71. Rafii M, Firooznia H et al. (1990) Rotator cuff lesions: Signal patterns at MR imaging. Radiology 177:817823PubMedGoogle Scholar
  72. Ragozzino A, Russo R, Esposito S, DeRitis R (1997) Static functional study with magnetic resonance of anterior shoulder instability. Radiol Med Torino 93(5):510–513PubMedGoogle Scholar
  73. Rokito AS, Bilgen OF, Zuckerman JD, Cuomo F (1996) Medial dislocation of the long head of the biceps tendon. Magnetic resonance imaging evaluation. Am J Orthop 25(4):314, 318–323Google Scholar
  74. Rossi F, Ternamian PJ, Cerciello G, Walch G (1994) Posterosuperior glenoid rim impingement in athletes: the diagnostic value of traditional radiology and magnetic resonance. Radiol Med Torino 87(1–2): 22–27PubMedGoogle Scholar
  75. Runkel M, Kreitner KF, Wenda K, Rudig L, Degreif J, Grebe P (1993) Kernspintomographie bei Schulterluxation. Unfallchirurg 96(3):124–128PubMedGoogle Scholar
  76. Sakamoto M (1994) A prospective study of steroid-induced osteonecrosis by MRI screening. Nippon Seikeigeka Gakkai Zasshi 68(5):367–378PubMedGoogle Scholar
  77. Sano H, Kato Y, Haga K et al (1996) Magnetic resonance arthrography in the assessment of anterior instability of the shoulder: Comparison with double contrast computed tomography arthrography. J Shoulder Elbow Surg 5:280–285CrossRefGoogle Scholar
  78. Sans N, Richardi G, Fourcade D, Assoun J, Chiavassa H, Giron J, Jarlaud T, Paul JL, Railhac JJ (1996) Cine-MRI of the shoulder. Normal aspects. J Radiol 77(2):117–123PubMedGoogle Scholar
  79. Seeger LL, Lubowitz J, Thomas BJ (1993) Case report 815: Tear of the rotator interval. Skeletal Radiol 22(8):615–617PubMedCrossRefGoogle Scholar
  80. Sell S, König H, Gutsche I, Kusswetter W (1992) Die Kernspintomographie and Sonographie in der Diagnostik von Läsionen der Rotatorenmanschette. Sportverletz Sportschaden 6(1):20–23PubMedCrossRefGoogle Scholar
  81. Shankman S, Beltran J (1995) MRI of the shoulder. Curr Probl Diagn Radiol 24(6):201–225PubMedCrossRefGoogle Scholar
  82. Shinoda S, Hasegawa Y, Kawasaki S, Tagawa N, Iwata H (1997) Magnetic resonance imaging of osteonecrosis in divers: comparison with plain radiographs. Skeletal Radiol 26(6):354–359PubMedCrossRefGoogle Scholar
  83. Sjoden GO, Movin T, Guntner P, Aspelin P, Ahrengart L, Ersmark H, Sperber A (1997) Poor reproducibility of classification of proximal humeral fractures. Additional CT of minor value. Acta Orthop Scand 68(3):239–242PubMedCrossRefGoogle Scholar
  84. Skirving AP, Kozak TK, Davis SJ (1994) Infraspinatus paralysis due to spinoglenoid notch ganglion. J Bone Joint Surg Br 76(4):588–591Google Scholar
  85. Smith DK, Chopp TM, Aufdemorte TB, Witkowski EG, Jones RC (1996) Sublabral recess of the superior glenoid labrum: study of cadavers with conventional nonenhanced MR imaging, MR arthrography, anatomic dissection, and limited histologic examination. Radiology 201(1):251–256PubMedGoogle Scholar
  86. Sommer T, Vahlensieck M, Wallny T, Lutterbey G, Pauleit D, Steuer K, Golombek V, Kreft B, Keller E, Schild H (1997) Indirekte MR-Arthrographie in der Diagnostik von Läsionen des Labrum glenoidale. Rofo Fortschr Geb Röntgenstr Neuen Bildgeb Verfahr 167(1):46–51PubMedCrossRefGoogle Scholar
  87. Stoller DW (1997) MR arthrography of the gleno-humeral joint. Radiol Clin North Am 35(1):97–116PubMedGoogle Scholar
  88. Suder PA, Hougaard K, Frich LH, Rasmussen OS, Lundorf E (1994) Intraarticular findings in the chronically painful shoulder. A study of 32 posttraumatic cases. Acta Orthop Scand 65(3):339–343PubMedCrossRefGoogle Scholar
  89. Suder PA, Frich LH, Hougaard K, Lundorf E, Wulf-Jakobsen B (1995) Magnetic resonance imaging evaluation of capsulolabral tears after traumatic primary anterior shoulder dislocation. A prospective comparison with arthroscopy of 25 cases. J Shoulder Elbow Surg 4(6):419–428PubMedCrossRefGoogle Scholar
  90. Takagishi K, Maeda K, Ikeda T, Itoman M, Yamamoto M (1991) Ganglion causing paralysis of the supra-scapular nerve. Diagnosis by MRI and ultrasonography. Acta Orthop Scand 62(4):391–393PubMedCrossRefGoogle Scholar
  91. Takagishi K, Saitoh A, Tonegawa M, Ikeda T, Itoman M (1994) Isolated paralysis of the infraspinatus muscle. J Bone Joint Surg Br 76(4):584–587PubMedGoogle Scholar
  92. Tamai K, Yamato M et al (1997) Abnormal synivium in the frozen shoulder. J Shoulder Elbow SurgGoogle Scholar
  93. Timis ME, Erickson SJ (1995) Increased signal in the normal supraspinatus tendon on MR imaging: Diagnostic pitfall caused by magic angle effect. Am J Roentgenology 165:109–114Google Scholar
  94. Tirman PF, Bost FW, Steinbach LS, Mall JC, Peterfy CG, Sampson TG, Sheehan WE, Forbes JR, Genant HK (1994) MR arthrographic depiction of tears of the rotator cuff: benefit of abduction and external rotation of the arm. Radiology 192(3):851–856PubMedGoogle Scholar
  95. Tirman PF, Bost FW, Garvin GJ, Peterfy CG, Mall JC, Steinbach LS, Feller JF, Crues JV III (1994) Posterosuperior glenoid impingement of the shoulder: findings at MR imaging and MR arthrography with arthroscopic correlation. Radiology 193(2):431–436PubMedGoogle Scholar
  96. Tirman PF, Palmer WE, Feller JF (1997) MR arthrography of the shoulder. Magn Reson Imaging Clin N Am 5(4):811–839Google Scholar
  97. Tirman PF, Stauffer AE, Crues JV III, Turner RM, Nottage WM, Schobert WE, Rubin BD, Janzen DL, Linares RC (1993) Saline magnetic resonance arthrography in the evaluation of glenohumeral instability. Arthroscopy 9(5):550–559PubMedCrossRefGoogle Scholar
  98. Tirman PF, Steinbach LS, Feller JF, Stauffer AE (1996) Humeral avulsion of the anterior shoulder stabilizing structures after anterior shoulder dislocation: demonstration by MRI and MR arthrography. Skeletal Radiol 25(8):743–748PubMedCrossRefGoogle Scholar
  99. Tosch U, Stelling E, Sander B, Bernard M, Hertel P (1992) Kernspintomographische Diagnostik von Binnenläsionen der Schulter nach Luxation. Vergleich mit arthroskopischen Befunden. Radiologe 32(7):347–351PubMedGoogle Scholar
  100. Trappe M, Naouri JF (1992) Radiological exploration of the shoulder rotator cuff. Ann Radiol Paris 35(3):117–132PubMedGoogle Scholar
  101. Trattnig S, Breitenseher M, Pretterklieber M, Kontaxis G, Rand T, Imhoff H (1996) MR-gezielte MR-Arthrographie der Schulter. Radiologe 36(9):709–712PubMedCrossRefGoogle Scholar
  102. Traughber PD, Goodwin TE (1992) Shoulder MRI: Arthroscopic correlation with emphasis on partial tears. J Comput Assist Tomogr 16:129–133Google Scholar
  103. Tuite MJ, Orwin JF et al (1996) Anteriorsuperior labral variations of the shoulder: Appearance on gradientrecalled-echo and fast spin-echo MR images. Radiology 199:537–540PubMedGoogle Scholar
  104. Vahlensieck M, Lang P, Sommer T, Genant HK, Schild HH (1997) Indirect MR arthrography: techniques and applications. Semin Ultrasound CT MR 18(4):302–306PubMedCrossRefGoogle Scholar
  105. Vahlensieck M, Peterfy CG, Wischer T, Sommer T, Lang P, Schlippert U, Genant HK, Schild HH (1996) Indirect MR arthrography: optimization and clinical applications. Radiology 200(1):249–254PubMedGoogle Scholar
  106. Vahlensieck M, Resendes M, Lang P, Genant H (1992) Shoulder MRI: the subacromial/subdeltoid bursa fat stripe in healthy and pathologic conditions. Eur J Radiol 14(3):223–227PubMedCrossRefGoogle Scholar
  107. Valls R, Melloni P (1997) Sonographic guidance of needle position for MR arthrography of the shoulder. AJR Am J Roentgenol 169(3):845–847PubMedGoogle Scholar
  108. van Moppes FI, Veldkamp O, Roorda J (1995) Role of shoulder ultrasonography in the evaluation of the painful shoulder. Eur J Radiol 19(2):142–146PubMedCrossRefGoogle Scholar
  109. Vestring T, Bongartz G, Konermann W, Erlemann R, Reuther G, Krings W, Saathoff J, Drescher H, Peters PE (1991) Stellenwert der Magnetresonanztomographie in der Diagnostik von Schultergelenkerkrankungen. Rofo Fortschr Geb Röntgenstr Neuen Bildgeb Verfahr 154(2):143–149PubMedCrossRefGoogle Scholar
  110. Walch G, Nove-Josserand L et al (1994) Tears of the supraspinatus tendon associated with “hidden” lesions of the rotator interval. J Shoulder Elbow Surg 3:353360CrossRefGoogle Scholar
  111. Walch G, Nove-Josserand L et al (1998) Subluxations and dislocations of the tendon of the long head of the biceps. J Shoulder Elbow Surg 7:100–108PubMedCrossRefGoogle Scholar
  112. Will CH, Zander H, Chmielewski W, Koop H (1993) Kombination von konventioneller Einfachkontrastarthrographie mit Arthro-CT der Schulter - Auswertung von 78 Untersuchungen. Aktuelle Radiol 3(5):309–312PubMedGoogle Scholar
  113. Willemsen UF, Wiedemann E, Brunner U, Scheck R, Pfluger T, Kueffer G, Hahn K (1998) Prospective evaluation of MR arthrography performed with high-volume intraarticular saline enhancement in patients with recurrent anterior dislocations of the shoulder. AJR Am J Roentgenol 170(1):79–84PubMedGoogle Scholar
  114. Wilson AJ (1994) Computed arthrotomography of glenohumeral instability. Top Magn Reson Imaging 6(2):139–146PubMedCrossRefGoogle Scholar
  115. Wintzell G, Haglund-Akerlind Y, Tengvar M, Johansson L, Eriksson E (1996) MRI examination of the glenohumeral joint after traumatic primary anterior dislocation. A descriptive evaluation of the acute lesion and at 6-month follow-up. Knee Surg Sports Traumatol Arthrosc 4(4):232–236PubMedCrossRefGoogle Scholar
  116. Wnorowski DC, Levinsohn EM, Chamberlain BC, McAndrew DL (1997) Magnetic resonance imaging assessment of the rotator cuff: is it really accurate? Arthroscopy 13(6):710–719PubMedCrossRefGoogle Scholar
  117. Wybier M (1992) Shoulder instabilities. Radiological evaluation. Ann Radiol Paris 35(3):173–178PubMedGoogle Scholar
  118. Yu JS, Greenway G, Resnick D (1998) Osteochondral defect of the glenoid fossa: cross-sectional imaging features. Radiology 206(1):35–40PubMedGoogle Scholar
  119. Zanetti M, Hodler J (1997) Contrast media in MR arthrography of the glenohumeral joint: intra-articular gadopentetate vs saline: preliminary results. Eur Radiol 7(4):498–502PubMedCrossRefGoogle Scholar
  120. Zeiss J, Woldenberg LS, Saddemi SR, Ebraheim NA (1993) MRI of suprascapular neuropathy in a weight lifter. J Comput Assist Tomogr 17(2):303–308PubMedCrossRefGoogle Scholar

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  • A. Engel
  • R. Kluger

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