2701, 2020

References for presentation: Is it a SLAP lesion?

Snyder SJ, Karzel RP, Del Pizzo W et al. SLAP lesions of the shoulder. Arthroscopy 1990; 6: 274-279. Nacey NC, Fox MG, Bertozzi CJ et al.: Incidence of gadolinium or fluid signal within surgically proven glenoid labral tears at MR arthrography. Skeletal Radiol 2019; 48: 1185-1191. Symanski JS, Subhas N, Babb J et al.: Diagnosis of Superior Labrum Anterior-to-Posterior Tears by Using MR Imaging and MR Arthrography: A Systematic Review and Meta-Analysis. Radiology. 2017; 285: 101-113 Arirachakaran A, Boonard M, Chaijenkij K et al.: A systematic review and meta-analysis of diagnostic test of MRA [...]

1901, 2020

SLAP: Nacey NC et al., Skeletal Radiol 2019

The sensitivity and specificity of MR arthrography for SLAP lesions is about 80% and 90% (Symanski et al., Arirachakaran et al.). Nacey et al. pointed out that in 1/3 of the patients who underwent arthroscopic SLAP repair, the lesions in MR arthrography did not show signal intensity of fluid / gadolinium in T2 / T1. The authors also found that the diagnosis of a SLAP lesion in the absence of fluid / Gd signal is still possible if secondary findings support a SLAP lesion (lateral orientation of signal, extension posterior to the [...]

1901, 2020

Acromion morphology, recent literature

For the association between acromion morphology and rotator cuff tears, two independent meta-analyses confirmed moderate evidence that a far lateral extension of the acromion is a risk factor for rotator cuff tears (Andrade R et al., Docter S et al.). The risk for a re-tear after primary rotator cuff repair also appears to increase with far lateral extension of the acromion (Docter S et al., Sheean AJ et al.). However, a reliable cut-off value cannot be given. This limits the clinical utility of the “critical shoulder angle” and the “acromion index”. For [...]

1501, 2020

Acromial shape, downslope and lateral extension

In the section on acromial types and downslope a case was added that shows that a lateral downslope or a type 3 acromion does not at all mean that damage to the supraspinatus tendon must occur. The findings may be asymptomatic. In addition, a case was added in which an acromion extending far to the side is accompanied by a rupture of the supraspinatus tendon.

1401, 2020


In this blog I will inform about news in the app, for example newly added MRI cases, new literature or revised versions.