{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T10:23:20Z","timestamp":1791973400863,"version":"4.3.4"},"reference-count":54,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2007,9,25]],"date-time":"2007-09-25T00:00:00Z","timestamp":1190678400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Magnetic Resonance Imaging"],"published-print":{"date-parts":[[2007,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To evaluate abnormalities and age\u2010related differences after first\u2010time shoulder dislocation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>MRA images of first\u2010time dislocators were assessed for labral\u2010ligamentous\u2010capsular \/ rotator cuff abnormalities and analyzed the age\u2010related differences (&lt; and \u226530 years old).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixty\u2010six patients (34 &lt;30 years old vs. 32 \u226530 years; 51 males; all anterior dislocations) were imaged. Forty\u2010eight patients (73%) showed anteroinferior labral avulsion, consisting of: 6% (4\/34 vs. 0\/32) Perthes; 23% (8\/34 vs. 7\/32) free ALPSA (anterior labrum periosteal sleeve avulsion) lesion); 6% (1\/34 vs. 3\/32) adherent ALPSA; 23% (9\/34 vs. 6\/32) Bankart; 14% (5\/34 vs. 4\/32) inferiorly displaced avulsed labrum; 2% (1\/34 vs. 0\/32) GLAD. Extensive labral detachment (extended above 3 o'clock position) was present in 31% (11\/28 vs. 4\/20). There were 14% (6\/34 vs. 3\/32) superior labrum anterior\u2010posterior (SLAP) lesion; 27% (1\/34 vs. 17\/34) rotator cuff tendon tear; 71% (25\/34 vs. 22\/32) Hill\u2010Sachs defect. Young patients were more likely to have extensive labral avulsions (<jats:italic>P<\/jats:italic> = 0.054), but less likely to have rotator cuff tears (<jats:italic>P<\/jats:italic> &lt; 0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A high prevalence and wide variety of labral avulsions after first\u2010time shoulder dislocation, especially adherent ALPSA, inferiorly displaced avulsed labrum, or GLAD lesion, may influence treatment choice and outcome, suggesting a role for early MRA to assist in treatment triage. J. Magn. Reson. Imaging 2007;26:983\u2013991. \u00a9 2007 Wiley\u2010Liss, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jmri.21092","type":"journal-article","created":{"date-parts":[[2007,9,25]],"date-time":"2007-09-25T16:50:31Z","timestamp":1190739031000},"page":"983-991","source":"Crossref","is-referenced-by-count":122,"title":["First\u2010time shoulder dislocation: High prevalence of labral injury and age\u2010related differences revealed by MR arthrography"],"prefix":"10.1002","volume":"26","author":[{"given":"Gregory E.","family":"Antonio","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James F.","family":"Griffith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfred B.","family":"Yu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick 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