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MR Arthrography Shoulder Labrum Evaluation

MR arthrography is the gold standard for diagnosis of labral tears and capsular pathologies

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Radyoloji department. Book Appointment →

What is MR Arthrography Shoulder Labrum Evaluation?

MR arthrography is magnetic resonance imaging performed after dilute gadolinium injection into the joint space under fluoroscopy or ultrasound guidance. The distension of intra-articular structures provides superior diagnostic performance compared to conventional MR.

It is the gold standard method for diagnosis of shoulder labral tears (SLAP, Bankart lesions), partial rotator cuff tears, capsular pathologies, and detection of loose bodies.

Two techniques are used: direct MR arthrography (intra-articular contrast) and indirect MR arthrography (intravenous contrast followed by exercise). Direct method has higher accuracy.

Symptoms

Recurrent shoulder dislocation and instability
Shoulder pain and locking sensation
Indeterminate labral findings on conventional MR
Athletes' shoulder injuries (suspicion of SLAP lesion)
Partial rotator cuff tear evaluation

Risk Factors

Risk of intra-articular infection (very low)
Gadolinium allergy
Local pain and discomfort
Coagulopathy

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • For surgical planning after recurrent shoulder dislocation
  • When conventional MR is inadequate in chronic shoulder pain
  • For labral evaluation after sports injury

Treatment Methods

01
Intra-articular puncture under fluoroscopy or ultrasound guidance
02
Dilute gadolinium and saline injection
03
MR imaging within 15-30 minutes after injection
04
Evaluation with fat-saturated T1-weighted sequences
05
Multidisciplinary surgical planning with orthopedics

Which Department to Visit?

You can visit our Radyoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.