{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T14:23:59Z","timestamp":1785162239781,"version":"3.55.0"},"reference-count":28,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[1996,12,1]],"date-time":"1996-12-01T00:00:00Z","timestamp":849398400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[1996,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Primary traumatic anterior dislocation of the shoulder in young patients has a high recurrency rate. There are varying opinions on the pathology behind the recurrences. The aim of this study was to describe the MRI characteristics of the acute lesion, and at 6\u2010month follow\u2010up. Thirty patients aged 18\u201330 years with primary traumatic anterior dislocation of the shoulder were randomized into two groups. One group was treated with acute arthroscopic lavage within 10\u00a0days. The control group was treated with traditional non\u2010operative therapy. All patients underwent acute MRI within 10\u00a0days and before the arthroscopic lavage, and again at the 6\u2010month follow\u2010up, for evaluation of the lesions. The acute MRI verified Hill\u2010Sachs lesions in all patients. At the 6\u2010month follow\u2010up MRI, there was no change in the size of the Hill\u2010Sachs lesion. This was also the case with the six patients in the control group with recurrent dislocations during the first 6\u00a0months. Twenty\u2010nine patients (97%) had joint effusion at the acute MRI, which was very useful for evaluation of the soft tissue pathology. The glenohumeral ligaments were detached in 20\/30 patients (66%), and the labrum in 22\/30 patients (70%). A capsulolabral detachment classified as a Baker 3 lesion was seen in 16\/30 (53%) of the patients, including all six patients with recurrent dislocation. At the 6\u2010month control, only 3\/30 (10%) of the patients had joint effusion for adequate evaluation of the labrum and ligamentous pathology. A Hill\u2010Sachs lesion was found in 100% of the patients after primary dislocation, and recurrent dislocations did not change the size of the lesion. The study supports the opinion that this lesion is overlooked in the clinical situation. The joint effusion at the acute MRI was of utmost importance for evaluation of the soft tissue pathology. The 6\u2010month MRI control was therefore considered inconclusive when evaluating capsulolabral lesions, due to lack of effusion. MRI arthrography with contrast administration would have been very helpful at the 6\u2010month examination.<\/jats:p>","DOI":"10.1007\/bf01567969","type":"journal-article","created":{"date-parts":[[2005,4,27]],"date-time":"2005-04-27T14:24:19Z","timestamp":1114611859000},"page":"232-236","source":"Crossref","is-referenced-by-count":24,"title":["MRI examination of the glenohumeral joint after traumatic primary anterior dislocation"],"prefix":"10.1002","volume":"4","author":[{"given":"G.","family":"Wintzell","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery S\u00f6der Hospital S\u2010118 83 Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"Haglund\u2010\u00c5kerlind","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery S\u00f6der Hospital S\u2010118 83 Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Tengvar","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Radiology Sophiahemmet Hospital Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Johansson","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> Department of Radiology S\u00f6der Hospital Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Eriksson","sequence":"additional","affiliation":[{"name":"<!--<label>4<\/label>--> Karolinska Hospital Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[1996,12]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01565465"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354659001800104"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.18002610104"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/0749-8063(89)90138-2"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.159.4.1529844"},{"key":"e_1_2_1_7_2","first-page":"2424","volume-title":"Magnetic resonance imaging","author":"Crues JV","year":"1991"},{"key":"e_1_2_1_8_2","first-page":"1085","article-title":"Recurrent dislocation of the shoulder. Roentgenographic study","volume":"47","author":"De Anquin CE","year":"1965","journal-title":"J Bone Joint Surg [Am]"},{"key":"e_1_2_1_9_2","first-page":"29","article-title":"Radiologic features of shoulder instability","volume":"291","author":"Engebrektsen L","year":"1993","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0887-2171(05)80003-4"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-83491-2"},{"key":"e_1_2_1_12_2","first-page":"1","article-title":"R\u00f6ntgenologischen Studien \u00fcber die traumatischen und habituellen Schultergelenkverrenkungen nach vorn und nach unten","volume":"20","author":"Hermodsen I","year":"1934","journal-title":"Acta Radiol [Suppl]"},{"key":"e_1_2_1_13_2","first-page":"76","article-title":"Therapeutic procedure in initial traumatic shoulder dislocation","volume":"17","author":"Hertz H","year":"1991","journal-title":"Unfallchirurgie"},{"key":"e_1_2_1_14_2","doi-asserted-by":"publisher","DOI":"10.1148\/35.6.690"},{"key":"e_1_2_1_15_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198769030-00011"},{"key":"e_1_2_1_16_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-993534"},{"key":"e_1_2_1_17_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1033004"},{"key":"e_1_2_1_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(05)80402-5"},{"key":"e_1_2_1_19_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.197.3.7480762"},{"key":"e_1_2_1_20_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-195638050-00001"},{"key":"e_1_2_1_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(20)31477-2"},{"key":"e_1_2_1_22_2","first-page":"124","article-title":"MRI in shoulder dislocation","volume":"96","author":"Runkel M","year":"1993","journal-title":"Unfallchirurg"},{"key":"e_1_2_1_23_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.168.3.3406398"},{"key":"e_1_2_1_24_2","first-page":"1","article-title":"Shoulder injury diagnosed by computed and magnetic resonance tomography","volume":"98","author":"Sievers KW","year":"1995","journal-title":"Unfallchirurg"},{"key":"e_1_2_1_25_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354658401200103"},{"key":"e_1_2_1_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/0749-8063(90)90056-J"},{"key":"e_1_2_1_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(05)80403-7"},{"key":"e_1_2_1_28_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01565997"},{"key":"e_1_2_1_29_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.185.3.1438774"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/BF01567969.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/BF01567969\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/BF01567969","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T10:00:49Z","timestamp":1760868049000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1007\/BF01567969"}},"subtitle":["A descriptive evaluation of the acute lesion and at 6\u2010month follow\u2010up"],"short-title":[],"issued":{"date-parts":[[1996,12]]},"references-count":28,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1996,12]]}},"alternative-id":["10.1007\/BF01567969"],"URL":"https:\/\/doi.org\/10.1007\/bf01567969","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[1996,12]]}}}