Shoulder MR Arthrography: Comparative Evaluation of Three Different Contrast Injection Techniques Using an Anterior Approach

2020 ◽  
Author(s):  
Abeer H. Ali ◽  
Hatem G. Said ◽  
Eman Abo elhamd ◽  
Mohammad K. Mahmoud ◽  
Omran K. Qenawy
Keyword(s):  
Comparative Evaluation ◽  
Anterior Approach ◽  
Mr Arthrography ◽  
Contrast Injection ◽  
Injection Techniques ◽  
Shoulder Mr Arthrography

Shoulder - MR arthrography

e-Anatomy ◽  
2008 ◽  
Author(s):  
Antoine Micheau ◽  
Denis Hoa
Keyword(s):  
Mr Arthrography ◽  
Shoulder Mr Arthrography

A comparison of saline and gadolinium shoulder MR arthrography to arthroscopy

2019 ◽  
Vol 49 (4) ◽  
pp. 625-633 ◽  
Author(s):  
Adam D. Singer ◽  
Jeffrey Rosenthal ◽  
Monica Umpierrez ◽  
Yi Guo ◽  
Felix Gonzalez ◽  
...  
Keyword(s):  
Mr Arthrography ◽  
Shoulder Mr Arthrography

MR arthrography of the shoulder: tolerance evaluation of four different injection techniques

2012 ◽  
Vol 42 (1) ◽  
pp. 99-105 ◽  
Author(s):  
Evangelos Perdikakis ◽  
Eleni Drakonaki ◽  
Thomas Maris ◽  
Apostolos Karantanas
Keyword(s):  
Mr Arthrography ◽  
Injection Techniques

Ultrasound-guided shoulder MR arthrography: comparison of rotator interval and posterior approach

2014 ◽  
Vol 38 (1) ◽  
pp. 11-17 ◽  
Author(s):  
Hayri Ogul ◽  
Ummugulsum Bayraktutan ◽  
Mesut Ozgokce ◽  
Kutsi Tuncer ◽  
Ihsan Yuce ◽  
...  
Keyword(s):  
Posterior Approach ◽  
Mr Arthrography ◽  
Rotator Interval ◽  
Ultrasound Guided ◽  
Shoulder Mr Arthrography

Extra-articular contrast material leaks into locations unrelated to the injection path in shoulder MR arthrography

2014 ◽  
Vol 24 (10) ◽  
pp. 2606-2613 ◽  
Author(s):  
Hayri Ogul ◽  
Mecit Kantarci ◽  
Murat Topal ◽  
Leyla Karaca ◽  
Kutsi Tuncer ◽  
...  
Keyword(s):  
Mr Arthrography ◽  
Contrast Material ◽  
Shoulder Mr Arthrography

Shoulder magnetic resonance arthrography: a prospective randomized study of anterior and posterior ultrasonography-guided contrast injections

2008 ◽  
Vol 49 (8) ◽  
pp. 912-917 ◽  
Author(s):  
M. P. Koivikko ◽  
A. O. T. Mustonen
Keyword(s):  
Magnetic Resonance ◽  
Rotator Cuff ◽  
Randomized Study ◽  
Mr Arthrography ◽  
Rotator Cuff Tears ◽  
Imaging Method ◽  
Diagnostic Quality ◽  
Patient Discomfort ◽  
Injection Techniques ◽  
Vas Scores

Background: Magnetic resonance (MR) arthrography is an accurate imaging method for internal shoulder derangements and rotator cuff pathologies. Both anterior and posterior contrast injection techniques, under palpatory, fluoroscopic, or ultrasonographic guidance have been described in the literature. However, clinical comparisons of the injection techniques remain few. Purpose: To compare the performance of anterior and posterior ultrasonography (US)-guided arthrography injections of the shoulder regarding patient discomfort and influence on diagnostic MR reading, and to illustrate the typical artifacts resulting from contrast leakage in the respective techniques. Material and Methods: 43 MR arthrographies were prospectively randomized into anterior and posterior US-guided contrast injections and performed by two radiologists, with the study of artifacts from contrast leakage. Pain from the injections was assessed by a survey utilizing a 100-mm visual analogue scale (VAS). Results: Of the 23 anterior injections, nine caused contrast artifacts in the subscapular tendon, and in three the leakage extended further anteriorly. Of the 20 posterior injections, 12 showed injection artifacts of the rotator cuff, extending outside the cuff in seven. Two of the anterior and none of the posterior artifacts compromised diagnostic quality. In posterior injections, the leakage regularly occurred at the caudal edge of the infraspinatus muscle and was easily distinguishable from rotator cuff tears. All patients completed the pain survey. Mean VAS scores were 25.0 (median 18, SD 22) for anterior, and 25.4 (median 16, SD 25) for posterior injections. The two radiologists achieved different mean VAS scores but closely agreed as to anterior and posterior VAS scores. Conclusion: Arthrography injections were fairly simple to perform under US guidance. Patient discomfort for anterior and posterior injections was equally minor. A tailored approach utilizing anterior or posterior injections, depending on anticipated shoulder pathology, is recommended. Because in posterior injections all artifacts were posterior and readily recognizable, it seems especially suitable for suspected anterior rotator cuff, joint capsule, and labral pathologies.

Usefulness of the Abduction and External Rotation Views in Shoulder MR Arthrography

2008 ◽  
Vol 191 (4) ◽  
pp. 1024-1030 ◽  
Author(s):  
Asgar M. Saleem ◽  
Joong K. Lee ◽  
Leon M. Novak
Keyword(s):  
External Rotation ◽  
Mr Arthrography ◽  
Shoulder Mr Arthrography
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