eMedicine Specialties > Radiology > Musculoskeletal

Shoulder, Dislocations: Follow-up

Author: Gavin Yeh Tseng, MBBS, FRCR, FAMS, Consultant Radiologist, Department of Diagnostic Radiology, Raffles Hospital
Coauthor(s): Wilfred CG Peh, MD, MBBS, FRCP(Glasg), FRCP(Edin), FRCR, Clinical Professor, Faculty of Medicine, National University of Singapore; Senior Consultant Radiologist, Alexandra Hospital, Singapore
Contributor Information and Disclosures

Updated: Jul 31, 2009

Intervention

Medicolegal Pitfalls

  • The radiologist needs to be aware of the potential pitfalls (ie, the false-positive and false-negative findings) that can occur with each imaging technique. Familiarity with the limitations of each technique and with normal anatomic variants is therefore important. In this evolving area of imaging, the radiologist should keep up to date on the best modality to use.
    • For example, MRI is more sensitive and specific in the demonstration of intra-articular and periarticular soft-tissue structures and has superseded CT arthrography as the modality used for such imaging.
    • Conventional MRI and MR arthrography are currently the modalities of choice.
  • Potential problems associated with arthrography include patient discomfort, risk of septic arthritis, and the need for contrast administration.
    • Use of gadopentetate dimeglumine for intra-articular injections has not been approved by the FDA.
    • Institutional board approval is required for its use, and obtaining written informed consent from the patient is mandatory.
 


More on Shoulder, Dislocations

Overview: Shoulder, Dislocations
Imaging: Shoulder, Dislocations
Follow-up: Shoulder, Dislocations
Multimedia: Shoulder, Dislocations
References
Further Reading
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References

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Keywords

shoulder dislocation, glenohumeral instability, atraumatic shoulder dislocation, congenital shoulder laxity, macrotraumatic shoulder dislocation, microtraumatic shoulder dislocation, recurrent shoulder dislocation, Bankart lesion, atraumatic type with multidirectional and bilateral instability, AMBRI, glenohumeral ligaments, anterior shoulder dislocations, posterior shoulder dislocations, anterior labroligamentous periosteal sleeve avulsion, ALPSA, humeral avulsions, glenoid labral articular disruption, GLAD, bony humeral avulsion of the glenohumeral ligament, BHAGL, Perthes lesion, luxatio erecta, inferior shoulder dislocation

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Contributor Information and Disclosures

Author

Gavin Yeh Tseng, MBBS, FRCR, FAMS, Consultant Radiologist, Department of Diagnostic Radiology, Raffles Hospital
Gavin Yeh Tseng, MBBS, FRCR, FAMS is a member of the following medical societies: Royal College of Radiologists
Disclosure: Nothing to disclose.

Coauthor(s)

Wilfred CG Peh, MD, MBBS, FRCP(Glasg), FRCP(Edin), FRCR, Clinical Professor, Faculty of Medicine, National University of Singapore; Senior Consultant Radiologist, Alexandra Hospital, Singapore
Wilfred CG Peh, MD, MBBS, FRCP(Glasg), FRCP(Edin), FRCR is a member of the following medical societies: American Roentgen Ray Society, British Institute of Radiology, International Skeletal Society, Radiological Society of North America, Royal College of Physicians, and Royal College of Radiologists
Disclosure: Nothing to disclose.

Medical Editor

David S Levey, MD, PhD, Orthopedic/Spine MRI TeleRadiologist, Radsource, LLC
David S Levey, MD, PhD is a member of the following medical societies: American Roentgen Ray Society, Radiological Society of North America, and Texas Medical Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

William R Reinus, MD, MBA, FACR, Professor of Radiology, Temple University; Chief of Musculoskeletal and Trauma Radiology, Vice Chair, Department of Radiology, Temple University Hospital
William R Reinus, MD, MBA, FACR is a member of the following medical societies: Alpha Omega Alpha, American College of Radiology, American Roentgen Ray Society, Radiological Society of North America, and Sigma Xi
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Felix S Chew, MD, MBA, EdM, Professor, Department of Radiology, Vice Chairman for Radiology Informatics, Section Head of Musculoskeletal Radiology, University of Washington
Felix S Chew, MD, MBA, EdM is a member of the following medical societies: American Roentgen Ray Society, Association of University Radiologists, and Radiological Society of North America
Disclosure: Nothing to disclose.

 
 
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