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MR Imaging of Complications of Loose Surgical Tacks in the Shoulder

Nancy M. Major1 and Matthew C. Banks

1 Both authors: Department of Radiology, Duke University Medical Center, Box 3808, Durham, NC 27710.



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  		Fig. 1A. —18-year-old man with shoulder pain 2 months after repair of superior labral tear. Axial T2-weighted MR image derived from gadolinium-enhanced arthrogram shows original anchoring site (arrow) at level of superior aspect of glenoid. High signal in adjacent soft tissues is result of gadolinium-enhanced arthrography.

 


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  		Fig. 1B. —18-year-old man with shoulder pain 2 months after repair of superior labral tear. Coronal T2-weighted MR image derived from gadolinium-enhanced arthrogram obtained anteriorly from that of A at level of subscapularis muscle and tendon shows obliquely oriented tack (arrow) adjacent to subscapularis tendon.

 


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  		Fig. 1C. —18-year-old man with shoulder pain 2 months after repair of superior labral tear. Coronal T2-weighted MR image derived from gadolinium-enhanced arthrogram shows another loose tack (arrow) more vertically oriented and adjacent to humeral head articulation at glenoid.

 


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  		Fig. 2A. —19-year-old man with shoulder pain 2 months after repair of superior labral tear. Sagittal T2-weighted MR image shows tracts of displaced surgical tacks (arrows) at superior aspect of glenoid.

 


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  		Fig. 2B. —19-year-old man with shoulder pain 2 months after repair of superior labral tear. Coronal T2-weighted MR image shows obliquely oriented tack (arrow) in inferior axillary pouch.

 


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  		Fig. 3A. —45-year-old man with shoulder pain 9 months after repair of superior labral tear. Coronal T1-weighted MR image shows free-floating tack (arrow) in posterior portion of joint.

 


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  		Fig. 3B. —45-year-old man with shoulder pain 9 months after repair of superior labral tear. Sagittal T1-weighted MR image shows original anchoring site (arrow) of tack at superior aspect of glenoid.

 


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  		Fig. 3C. —45-year-old man with shoulder pain 9 months after repair of superior labral tear. Axial T2-weighted MR image shows loose tack (arrow) in region of spinoglenoid notch.

 

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