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Shoulder MR Arthrography: Which Patient Group Benefits Most?

¹ Neuroskeletal Imaging, 255 N Sykes Creek Parkway, Merritt Island, FL 32953.
² Department of Radiology, University of Miami School of Medicine, Miami, FL 33136.

View larger version (120K): [in a new window]   Fig. 1A. —30-year-old man (professional athlete) with shoulder pain. Coronal T2-weighted MR image (TR/TE, 4,000/72) shows intact supraspinatus tendon (arrow).

View larger version (113K): [in a new window]   Fig. 1B. —30-year-old man (professional athlete) with shoulder pain. Coronal fat-saturated T1-weighted MR arthrogram (507/12) reveals full-thickness supraspinatus tendon tear (arrow).

View larger version (141K): [in a new window]   Fig. 2A. —22-year-old man (professional athlete) with shoulder pain. Coronal T2-weighted MR image (TR/TE, 4,000/72) shows intact supraspinatus tendon (arrow).

View larger version (123K): [in a new window]   Fig. 2B. —22-year-old man (professional athlete) with shoulder pain. Coronal fat-saturated T1-weighted MR arthrogram (507/12) shows high-grade partial-thickness supraspinatus tendon tear (thin arrow) and superior labral anteroposterior tear (thick arrow).

View larger version (177K): [in a new window]   Fig 3A. —19-year-old man (professional athlete) with shoulder pain. Axial proton density–weighted fast spin-echo MR image (TR/TE, 4,000/18) shows possible posterior labral tear (arrow).

View larger version (113K): [in a new window]   Fig 3B. —19-year-old man (professional athlete) with shoulder pain. Axial fat-saturated T1-weighted MR arthrogram (507/12) shows displaced posterior labral tear (arrow).

View larger version (158K): [in a new window]   Fig. 4A. —27-year-old man (professional athlete) with shoulder pain. Coronal T2-weighted MR image (TR/TE, 4,000/72) shows possible partial-thickness supraspinatus tendon tear (thick arrow) and probable superior labral anteroposterior (SLAP) tear (thin arrow).

View larger version (119K): [in a new window]   Fig. 4B. —27-year-old man (professional athlete) with shoulder pain. Coronal fat-saturated T1-weighted MR arthrogram (507/12) shows full-thickness supraspinatus tendon tear (thin arrow) and SLAP tear (thick arrow).

View larger version (143K): [in a new window]   Fig. 5A. —18-year-old man (professional athlete) with shoulder pain. Axial proton density–weighted fast spin-echo MR image (TR/TE, 4,000/18) shows possible anterior labral tear (arrow).

View larger version (118K): [in a new window]   Fig. 5B. —18-year-old man (professional athlete) with shoulder pain. Axial fat-saturated T1-weighted MR arthrogram (507/12) reveals displaced anterior labral tear (arrow).

View larger version (128K): [in a new window]   Fig. 6A. —32-year-old man (nonprofessional athlete) with shoulder pain. Coronal T2-weighted MR image (TR/TE, 4,000/72) shows possible partial-thickness (rim rent) supraspinatus tendon tear (arrow).

View larger version (111K): [in a new window]   Fig. 6B. —32-year-old man (nonprofessional athlete) with shoulder pain. Coronal fat-saturated T1-weighted MR arthrogram (507/12) shows high-grade partial-thickness supraspinatus tendon tear (arrow).

View larger version (149K): [in a new window]   Fig. 7A. —28-year-old man (nonprofessional athlete) with shoulder pain. Axial proton density–weighted fast spinecho MR image (TR/TE, 4,000/18) shows possible anterior labral tear (arrow).

View larger version (123K): [in a new window]   Fig. 7B. —28-year-old man (nonprofessional athlete) with shoulder pain. Axial fat-saturated T1-weighted MR arthrogram (507/12) shows displaced anterior labral tear (arrow).

View larger version (157K): [in a new window]   Fig. 8A. —36-year-old man (nonprofessional athlete) with shoulder pain. Coronal T2-weighted MR image (TR/TE, 4,000/72) shows probable partial-thickness supraspinatus tendon tear (thick arrow) and possible superior labral anteroposterior (SLAP) tear (thin arrow).

View larger version (110K): [in a new window]   Fig. 8B. —36-year-old man (nonprofessional athlete) with shoulder pain. Coronal fat-saturated T1-weighted MR arthrogram (507/12) shows high-grade partial-thickness supraspinatus tendon tear (thick arrow) and SLAP tear (thin arrow).

View larger version (144K): [in a new window]   Fig. 9A. —20-year-old man (nonprofessional athlete) with shoulder pain. Axial proton density–weighted fast spin-echo MR image (TR/TE, 4,000/18) shows anterior labral tear (thin arrow) and Hill-Sachs deformity of humeral head (thick arrow).

View larger version (126K): [in a new window]   Fig. 9B. —20-year-old man (nonprofessional athlete) with shoulder pain. Axial T1-weighted fat-saturated MR arthrogram (507/12) clearly depicts anterior labral tear (thin arrow) and Hill-Sachs deformity of humeral head (thick arrow).

View larger version (158K): [in a new window]   Fig. 10A. —21-year-old man (nonprofessional athlete) with shoulder pain. Axial proton density–weighted fast spin-echo MR image (TR/TE, 4,000/18) shows anterior labral tear (arrow).

View larger version (151K): [in a new window]   Fig. 10B. —21-year-old man (nonprofessional athlete) with shoulder pain. Axial fat-saturated T1-weighted MR arthrogram (507/12) shows displaced anterior labral tear (arrow).

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