Semin Musculoskelet Radiol 2014; 18(04): 343-351
DOI: 10.1055/s-0034-1384824
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

MDCT Arthrography of the Shoulder

Jan Fritz
1   Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland
,
Elliot K. Fishman
1   Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland
,
Laura M. Fayad
1   Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland
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Publikationsverlauf

Publikationsdatum:
03. September 2014 (online)

Abstract

High-resolution multidetector computed tomography (MDCT) arthrography of the shoulder can diagnose internal derangement of the glenohumeral joints including abnormalities of the rotator cuff, glenoid labrum, and articular cartilage. Isotropic data sets and postprocessing techniques enable interactive three-dimensional image analysis that is capable of reducing artifacts for metal implants. In this article, we review the indications for MDCT arthrography of the shoulder, highlight techniques and important features of the MDCT acquisition, and review normal and abnormal MDCT arthrography appearances of the glenohumeral joint.

 
  • References

  • 1 Buckwalter KACT. CT arthrography. Clin Sports Med 2006; 25 (4) 899-915
  • 2 de Jesus JO, Parker L, Frangos AJ, Nazarian LN. Accuracy of MRI, MR arthrography, and ultrasound in the diagnosis of rotator cuff tears: a meta-analysis. AJR Am J Roentgenol 2009; 192 (6) 1701-1707
  • 3 Cody DD. AAPM/RSNA physics tutorial for residents: topics in CT. Image processing in CT. Radiographics 2002; 22 (5) 1255-1268
  • 4 Woertler K. Multimodality imaging of the postoperative shoulder. Eur Radiol 2007; 17 (12) 3038-3055
  • 5 Shuman WP, Kilcoyne RF, Matsen FA, Rogers JV, Mack LA. Double-contrast computed tomography of the glenoid labrum. AJR Am J Roentgenol 1983; 141 (3) 581-584
  • 6 Rafii M, Minkoff J. Advanced arthrography of the shoulder with CT and MR imaging. Radiol Clin North Am 1998; 36 (4) 609-633
  • 7 Rafii M, Firooznia H, Bonamo JJ, Minkoff J, Golimbu C. Athlete shoulder injuries: CT arthrographic findings. Radiology 1987; 162 (2) 559-564
  • 8 Subhas N, Freire M, Primak AN , et al. CT arthrography: in vitro evaluation of single and dual energy for optimization of technique. Skeletal Radiol 2010; 39 (10) 1025-1031
  • 9 Mulligan ME. CT-guided shoulder arthrography at the rotator cuff interval. AJR Am J Roentgenol 2008; 191 (2) W58–W61
  • 10 Chung CB, Dwek JR, Feng S, Resnick D. MR arthrography of the glenohumeral joint: a tailored approach. AJR Am J Roentgenol 2001; 177 (1) 217-219
  • 11 Fritz J, Fishman EK, Small KM , et al. MDCT arthrography of the shoulder with datasets of isotropic resolution: indications, technique, and applications. AJR Am J Roentgenol 2012; 198 (3) 635-646
  • 12 Cochet H, Couderc S, Pelé E, Amoretti N, Moreau-Durieux MH, Hauger O. Rotator cuff tears: should abduction and external rotation (ABER) positioning be performed before image acquisition? A CT arthrography study. Eur Radiol 2010; 20 (5) 1234-1241
  • 13 Calhoun PS, Kuszyk BS, Heath DG, Carley JC, Fishman EK. Three-dimensional volume rendering of spiral CT data: theory and method. Radiographics 1999; 19 (3) 745-764
  • 14 Bureau NJ, Dussault RG, Keats TE. Imaging of bursae around the shoulder joint. Skeletal Radiol 1996; 25 (6) 513-517
  • 15 Naimark A, Baum A. Injection of the subcoracoid bursa: a cause of technical failure in shoulder arthrography. Can Assoc Radiol J 1989; 40 (3) 170-171
  • 16 Blum A, Coudane H, Molé D. Gleno-humeral instabilities. Eur Radiol 2000; 10 (1) 63-82
  • 17 Waldt S, Metz S, Burkart A , et al. Variants of the superior labrum and labro-bicipital complex: a comparative study of shoulder specimens using MR arthrography, multi-slice CT arthrography and anatomical dissection. Eur Radiol 2006; 16 (2) 451-458
  • 18 Chang D, Mohana-Borges A, Borso M, Chung CB. SLAP lesions: anatomy, clinical presentation, MR imaging diagnosis and characterization. Eur J Radiol 2008; 68 (1) 72-87
  • 19 Waldt S, Bruegel M, Ganter K , et al. Comparison of multislice CT arthrography and MR arthrography for the detection of articular cartilage lesions of the elbow. Eur Radiol 2005; 15 (4) 784-791
  • 20 Morag Y, Jacobson JA, Miller B, De Maeseneer M, Girish G, Jamadar D. MR imaging of rotator cuff injury: what the clinician needs to know. Radiographics 2006; 26 (4) 1045-1065
  • 21 Deutsch A, Altchek DW, Veltri DM, Potter HG, Warren RF. Traumatic tears of the subscapularis tendon. Clinical diagnosis, magnetic resonance imaging findings, and operative treatment. Am J Sports Med 1997; 25 (1) 13-22
  • 22 Ellman H. Diagnosis and treatment of incomplete rotator cuff tears. Clin Orthop Relat Res 1990; (254) 64-74
  • 23 DeOrio JK, Cofield RH. Results of a second attempt at surgical repair of a failed initial rotator-cuff repair. J Bone Joint Surg Am 1984; 66 (4) 563-567
  • 24 Melis B, Nemoz C, Walch G. Muscle fatty infiltration in rotator cuff tears: descriptive analysis of 1688 cases. Orthop Traumatol Surg Res 2009; 95 (5) 319-324
  • 25 Patte D. Classification of rotator cuff lesions. Clin Orthop Relat Res 1990; (254) 81-86
  • 26 Goutallier D, Postel JM, Bernageau J, Lavau L, Voisin MC. Fatty muscle degeneration in cuff ruptures. Pre- and postoperative evaluation by CT scan. Clin Orthop Relat Res 1994; (304) 78-83
  • 27 Farin PU, Kaukanen E, Jaroma H, Väätäinen U, Miettinen H, Soimakallio S. Site and size of rotator-cuff tear. Findings at ultrasound, double-contrast arthrography, and computed tomography arthrography with surgical correlation. Invest Radiol 1996; 31 (7) 387-394
  • 28 De Filippo M, Bertellini A, Sverzellati N , et al. Multidetector computed tomography arthrography of the shoulder: diagnostic accuracy and indications. Acta Radiol 2008; 49 (5) 540-549
  • 29 Oh JH, Kim JY, Choi JA, Kim WS. Effectiveness of multidetector computed tomography arthrography for the diagnosis of shoulder pathology: comparison with magnetic resonance imaging with arthroscopic correlation. J Shoulder Elbow Surg 2010; 19 (1) 14-20
  • 30 Rowe CR, Patel D, Southmayd WW. The Bankart procedure: a long-term end-result study. J Bone Joint Surg Am 1978; 60 (1) 1-16
  • 31 Takase K, Yamamoto K. Intraarticular lesions in traumatic anterior shoulder instability: a study based on the results of diagnostic imaging. Acta Orthop 2005; 76 (6) 854-857
  • 32 Hill H, Sachs MD. The grooved defect of the humeral head radiology. Radiology 1940; 35 (6) 690-700
  • 33 Sugaya H, Moriishi J, Dohi M, Kon Y, Tsuchiya A. Glenoid rim morphology in recurrent anterior glenohumeral instability. J Bone Joint Surg Am 2003; 85-A (5) 878-884
  • 34 Taylor DC, Arciero RA. Pathologic changes associated with shoulder dislocations. Arthroscopic and physical examination findings in first-time, traumatic anterior dislocations. Am J Sports Med 1997; 25 (3) 306-311
  • 35 Piasecki DP, Verma NN, Romeo AA, Levine WN, Bach Jr BR, Provencher MT. Glenoid bone deficiency in recurrent anterior shoulder instability: diagnosis and management. J Am Acad Orthop Surg 2009; 17 (8) 482-493
  • 36 Itoi E, Lee SB, Berglund LJ, Berge LL, An KN. The effect of a glenoid defect on anteroinferior stability of the shoulder after Bankart repair: a cadaveric study. J Bone Joint Surg Am 2000; 82 (1) 35-46
  • 37 Burkhart SS, De Beer JF. Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs: significance of the inverted-pear glenoid and the humeral engaging Hill-Sachs lesion. Arthroscopy 2000; 16 (7) 677-694
  • 38 Acid S, Le Corroller T, Aswad R, Pauly V, Champsaur P. Preoperative imaging of anterior shoulder instability: diagnostic effectiveness of MDCT arthrography and comparison with MR arthrography and arthroscopy. AJR Am J Roentgenol 2012; 198 (3) 661-667
  • 39 De Maeseneer, Van Roy F, Lenchik L , et al. CT and MR arthrography of the normal and pathologic anterosuperior labrum and labral-bicipital complex. Radiographics 2000; 20 (Spec No) S67-S81
  • 40 Snyder SJ, Karzel RP, Del Pizzo W, Ferkel RD, Friedman MJ. SLAP lesions of the shoulder. Arthroscopy 1990; 6 (4) 274-279
  • 41 Shankman S, Bencardino J, Beltran J. Glenohumeral instability: evaluation using MR arthrography of the shoulder. Skeletal Radiol 1999; 28 (7) 365-382
  • 42 Lecouvet FE, Simoni P, Koutaïssoff S, Vande Berg BC, Malghem J, Dubuc JE. Multidetector spiral CT arthrography of the shoulder. Clinical applications and limits, with MR arthrography and arthroscopic correlations. Eur J Radiol 2008; 68 (1) 120-136
  • 43 Lecouvet FE, Dorzée B, Dubuc JE, Vande Berg BC, Jamart J, Malghem J. Cartilage lesions of the glenohumeral joint: diagnostic effectiveness of multidetector spiral CT arthrography and comparison with arthroscopy. Eur Radiol 2007; 17 (7) 1763-1771
  • 44 Outerbridge RE. The etiology of chondromalacia patellae. J Bone Joint Surg Br 1961; 43-B: 752-757
  • 45 Noyes FR, Stabler CL. A system for grading articular cartilage lesions at arthroscopy. Am J Sports Med 1989; 17 (4) 505-513
  • 46 Lee MJ, Kim S, Lee SA , et al. Overcoming artifacts from metallic orthopedic implants at high-field-strength MR imaging and multi-detector CT. Radiographics 2007; 27 (3) 791-803
  • 47 White LM, Buckwalter KA. Technical considerations: CT and MR imaging in the postoperative orthopedic patient. Semin Musculoskelet Radiol 2002; 6 (1) 5-17
  • 48 Fayad LM, Johnson P, Fishman EK. Multidetector CT of musculoskeletal disease in the pediatric patient: principles, techniques, and clinical applications. Radiographics 2005; 25 (3) 603-618
  • 49 Mohana-Borges AV, Chung CB, Resnick D. MR imaging and MR arthrography of the postoperative shoulder: spectrum of normal and abnormal findings. Radiographics 2004; 24 (1) 69-85