{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T11:57:00Z","timestamp":1784807820927,"version":"3.55.0"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2022,8,25]],"date-time":"2022-08-25T00:00:00Z","timestamp":1661385600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,8,25]],"date-time":"2022-08-25T00:00:00Z","timestamp":1661385600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Skeletal Radiol"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Objective<\/jats:title>\n                <jats:p>The purpose of this study is to evaluate the accuracy of MR arthrography in detecting isolated posterior glenoid labral injuries using arthroscopy as the reference standard.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>MR arthrograms of 97 patients with isolated posterior glenoid labral tears by arthroscopy and those of 96 age and gender-matched controls with intact posterior labra were reviewed by two blinded radiologists for the\u00a0presence and location of posterior labral\u00a0abnormalities. The sensitivity and specificity of detection of posterior labral tears were calculated as well as the prevalence of associated pathologies. Medical records were reviewed for demographics, history and direction of shoulder instability, and prior surgery.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Posterior labral pathology was detected by MR arthrography with sensitivities of 76% and 84% for readers 1 and 2, and a specificity of 88% for both readers. Kappa value for interreader agreement was 0.91. Twenty-two of twenty-three (96%) tears isolated to the posteroinferior quadrant on arthroscopy were correctly identified on MRI. Commonly associated pathologies included paralabral cyst (38%), humeral fracture (7%), and glenoid fracture (2%). Fifteen of ninety-seven (16%) patients with posterior tears on both arthroscopy and MRI had glenoid rim deficiency on imaging versus no patients with intact posterior labra (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Forty of ninety-seven (41%) patients with posterior tears on arthroscopy had a history of posterior instability versus none without posterior tears. There was no significant difference in tear length on MRI between those with a history of instability and those without (<jats:italic>p<\/jats:italic>\u2009=\u20090.56).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>MR arthrography is accurate in detecting posterior glenoid labroligamentous injuries.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00256-022-04165-8","type":"journal-article","created":{"date-parts":[[2022,8,25]],"date-time":"2022-08-25T05:02:53Z","timestamp":1661403773000},"page":"175-181","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Accuracy of MR arthrography in the detection of posterior glenoid labral injuries of the shoulder"],"prefix":"10.1007","volume":"52","author":[{"given":"Allison","family":"Rixey","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Rhodes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naveen","family":"Murthy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Johnson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Larson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael D.","family":"Ringler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,8,25]]},"reference":[{"issue":"10","key":"4165_CR1","doi-asserted-by":"publisher","first-page":"1505","DOI":"10.1007\/s00256-020-03459-z","volume":"49","author":"M De Filippo","year":"2020","unstructured":"De Filippo M, et al. Imaging of shoulder instability. Skeletal Radiol. 2020;49(10):1505\u201323.","journal-title":"Skeletal Radiol"},{"issue":"6","key":"4165_CR2","doi-asserted-by":"publisher","first-page":"1628","DOI":"10.1148\/rg.2016160020","volume":"36","author":"T De Coninck","year":"2016","unstructured":"De Coninck T, et al. Imaging the glenoid labrum and labral tears. Radiographics. 2016;36(6):1628\u201347.","journal-title":"Radiographics"},{"issue":"11","key":"4165_CR3","doi-asserted-by":"publisher","first-page":"2645","DOI":"10.1177\/0363546513501508","volume":"41","author":"BD Owens","year":"2013","unstructured":"Owens BD, Campbell SE, Cameron KL. Risk factors for posterior shoulder instability in young athletes. Am J Sports Med. 2013;41(11):2645\u20139.","journal-title":"Am J Sports Med"},{"issue":"5","key":"4165_CR4","doi-asserted-by":"publisher","first-page":"1053","DOI":"10.1177\/0363546517750628","volume":"46","author":"A Hines","year":"2018","unstructured":"Hines A, et al. Glenoid bone loss in posterior shoulder instability: prevalence and outcomes in arthroscopic treatment. Am J Sports Med. 2018;46(5):1053\u20137.","journal-title":"Am J Sports Med"},{"issue":"8","key":"4165_CR5","doi-asserted-by":"publisher","first-page":"693","DOI":"10.1007\/s00256-008-0487-7","volume":"37","author":"S Harish","year":"2008","unstructured":"Harish S, et al. Imaging findings in posterior instability of the shoulder. Skeletal Radiol. 2008;37(8):693\u2013707.","journal-title":"Skeletal Radiol"},{"issue":"4","key":"4165_CR6","doi-asserted-by":"publisher","first-page":"883","DOI":"10.2106\/00004623-200504000-00029","volume":"87","author":"CM Robinson","year":"2005","unstructured":"Robinson CM, Aderinto J. Recurrent posterior shoulder instability. American Journal of Bone and Joint Surgery. 2005;87(4):883\u201392.","journal-title":"American Journal of Bone and Joint Surgery"},{"issue":"8","key":"4165_CR7","doi-asserted-by":"publisher","first-page":"464","DOI":"10.5435\/00124635-200608000-00004","volume":"14","author":"PJ Millett","year":"2006","unstructured":"Millett PJ, et al. Recurrent posterior shoulder instability. J Am Acad Orthop Surg. 2006;14(8):464\u201376.","journal-title":"J Am Acad Orthop Surg"},{"issue":"3","key":"4165_CR8","doi-asserted-by":"publisher","first-page":"339","DOI":"10.1016\/j.ocl.2010.02.002","volume":"41","author":"JP Bradley","year":"2010","unstructured":"Bradley JP, Tejwani SG. Arthroscopic management of posterior instability. Orthop Clin North Am. 2010;41(3):339\u201356.","journal-title":"Orthop Clin North Am"},{"issue":"1","key":"4165_CR9","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1148\/radiol.2481071003","volume":"248","author":"N Saupe","year":"2008","unstructured":"Saupe N, et al. Acute traumatic posterior shoulder dislocation: MR findings. Radiology. 2008;248(1):185\u201393.","journal-title":"Radiology"},{"issue":"3","key":"4165_CR10","doi-asserted-by":"publisher","first-page":"136","DOI":"10.1097\/JSA.0000000000000160","volume":"25","author":"A Brelin","year":"2017","unstructured":"Brelin A, Dickens JF. Posterior shoulder instability. Sports Med Arthrosc Rev. 2017;25(3):136\u201343.","journal-title":"Sports Med Arthrosc Rev"},{"issue":"2","key":"4165_CR11","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1016\/j.mric.2019.12.005","volume":"28","author":"D Albano","year":"2020","unstructured":"Albano D, Messina C, Sconfienza LM. Posterior shoulder instability: what to look for. Magn Reson Imaging Clin N Am. 2020;28(2):211\u201321.","journal-title":"Magn Reson Imaging Clin N Am"},{"issue":"10","key":"4165_CR12","doi-asserted-by":"publisher","first-page":"2580","DOI":"10.1016\/j.arthro.2020.05.018","volume":"36","author":"AJ Sheean","year":"2020","unstructured":"Sheean AJ, Arner JW, Bradley JP. Posterior glenohumeral instability: diagnosis and management. Arthroscopy. 2020;36(10):2580\u20132.","journal-title":"Arthroscopy"},{"key":"4165_CR13","doi-asserted-by":"crossref","unstructured":"Pollock RG, Bigliani LU. Recurrent posterior shoulder instability. Diagnosis and treatment. Clinical Orthopedic Related Research 1993; 291: 85\u201396","DOI":"10.1097\/00003086-199306000-00010"},{"issue":"6","key":"4165_CR14","doi-asserted-by":"publisher","first-page":"684","DOI":"10.2214\/AJR.14.13638","volume":"204","author":"S Gyftopoulos","year":"2015","unstructured":"Gyftopoulos S, Strauss EJ. MRI-arthroscopy correlation for shoulder anatomy and pathology: a teaching guide. Am J Roentgenol. 2015;204(6):684\u201394.","journal-title":"Am J Roentgenol"},{"issue":"3","key":"4165_CR15","doi-asserted-by":"publisher","first-page":"984","DOI":"10.2214\/ajr.184.3.01840984","volume":"184","author":"KW Harper","year":"2005","unstructured":"Harper KW, et al. Glenoid dysplasia: incidence and association with posterior labral tears as evaluated on MRI. Am J Roentgenol. 2005;184(3):984\u20138.","journal-title":"Am J Roentgenol"},{"issue":"2","key":"4165_CR16","doi-asserted-by":"publisher","first-page":"519","DOI":"10.1148\/radiology.200.2.8685350","volume":"200","author":"PB Gusmer","year":"1996","unstructured":"Gusmer PB, Potter HG, Schatz JA, Wickiewicz TL, Altchek DW, O\u2019Brien SJ, Warren RF. Labral injuries: accuracy of detection with unenhanced MR imaging of the shoulder. Radiology. 1996;200(2):519\u201324.","journal-title":"Radiology"},{"key":"4165_CR17","doi-asserted-by":"publisher","first-page":"905","DOI":"10.1007\/s00402-012-1493-8","volume":"132","author":"TO Smith","year":"2012","unstructured":"Smith TO, Drew BT, Toms AP. A meta-analysis of the diagnostic test accuracy of MRA and MRI for the detection of glenoid labral injury. Archives of Orthopedic and Trauma Surgery. 2012;132:905\u201319.","journal-title":"Archives of Orthopedic and Trauma Surgery"},{"key":"4165_CR18","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1007\/s13244-013-0225-0","volume":"4","author":"A Fotiadou","year":"2013","unstructured":"Fotiadou A, Drevelegas A, Nasuto M, et al. Diagnostic performance of magnetic resonance arthrography of the shoulder in the evaluation of anteroinferior labrum abnormalities: a prospective study. Insights Imaging. 2013;4:157\u201362.","journal-title":"Insights Imaging"},{"issue":"6","key":"4165_CR19","doi-asserted-by":"publisher","first-page":"1449","DOI":"10.2214\/ajr.181.6.1811449","volume":"181","author":"AVR Mohana-Borges","year":"2003","unstructured":"Mohana-Borges AVR, Chung C, Donald RD. Superior labral anteroposterior tear: classification and diagnosis on MRI and MR arthrography. Am J Roentgenol. 2003;181(6):1449\u201362.","journal-title":"Am J Roentgenol"},{"key":"4165_CR20","doi-asserted-by":"publisher","first-page":"578","DOI":"10.1148\/radiol.2372041429","volume":"237","author":"S Waldt","year":"2005","unstructured":"Waldt S, Burkart A, Imhoff AB, Bruegel M, Rummeny EJ, Woertler K. Anterior shoulder instability: accuracy of MR arthrography in the classification of anteroinferior labroligamentous injuries. Radiology. 2005;237:578\u201383.","journal-title":"Radiology"},{"key":"4165_CR21","doi-asserted-by":"publisher","first-page":"1229","DOI":"10.2214\/ajr.161.6.8249731","volume":"161","author":"VP Chandnani","year":"1993","unstructured":"Chandnani VP, Yeager TD, DeBerardino T, et al. Glenoid labral tears: prospective evaluation with MRI imaging, MR arthrography, and CT arthrography. American Journal Roentgenology. 1993;161:1229\u201335.","journal-title":"American Journal Roentgenology"},{"key":"4165_CR22","doi-asserted-by":"publisher","first-page":"819","DOI":"10.1148\/radiology.197.3.7480762","volume":"197","author":"WE Palmer","year":"1995","unstructured":"Palmer WE, Caslowitz PL. Anterior shoulder instability: diagnostic criteria determined from prospective analysis of 121 MR arthrograms. Radiology. 1995;197:819\u201325.","journal-title":"Radiology"},{"key":"4165_CR23","doi-asserted-by":"publisher","first-page":"550","DOI":"10.1016\/S0749-8063(05)80403-7","volume":"9","author":"PF Tirman","year":"1993","unstructured":"Tirman PF, Stauffer AE, Crues JV 3rd, et al. Saline magnetic resonance arthrography in the evaluation of glenohumeral instability. Arthroscopy. 1993;9:550\u20135.","journal-title":"Arthroscopy"},{"issue":"2","key":"4165_CR24","doi-asserted-by":"publisher","first-page":"369","DOI":"10.2214\/ajr.180.2.1800369","volume":"180","author":"GA Tung","year":"2003","unstructured":"Tung GA, Hou DD. MR arthrography of the posterior labrocapsular complex: relationship with glenohumeral joint alignment and clinical posterior instability. Am J Roentgenol. 2003;180(2):369\u201375.","journal-title":"Am J Roentgenol"},{"issue":"11","key":"4165_CR25","doi-asserted-by":"publisher","first-page":"2347","DOI":"10.1007\/s00264-016-3201-8","volume":"40","author":"HI Piponov","year":"2016","unstructured":"Piponov HI, et al. Glenoid version and size: does gender, ethnicity, or body size play a role? Int Orthop. 2016;40(11):2347\u201353.","journal-title":"Int Orthop"},{"issue":"3","key":"4165_CR26","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1007\/s00276-008-0425-3","volume":"31","author":"A Merrill","year":"2009","unstructured":"Merrill A, Guzman K, Miller S. Gender differences in glenoid anatomy: an anatomic study. Surg Radiol Anat. 2009;31(3):183\u20139.","journal-title":"Surg Radiol Anat"},{"issue":"4","key":"4165_CR27","doi-asserted-by":"publisher","first-page":"204","DOI":"10.1007\/s002560050594","volume":"29","author":"D Weishaupt","year":"2000","unstructured":"Weishaupt D, et al. Posterior glenoid rim deficiency in recurrent (atraumatic) posterior shoulder instability. Skeletal Radiol. 2000;29(4):204\u201310.","journal-title":"Skeletal Radiol"}],"container-title":["Skeletal Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00256-022-04165-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00256-022-04165-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00256-022-04165-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,15]],"date-time":"2022-12-15T04:29:56Z","timestamp":1671078596000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00256-022-04165-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,25]]},"references-count":27,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,2]]}},"alternative-id":["4165"],"URL":"https:\/\/doi.org\/10.1007\/s00256-022-04165-8","relation":{},"ISSN":["0364-2348","1432-2161"],"issn-type":[{"value":"0364-2348","type":"print"},{"value":"1432-2161","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8,25]]},"assertion":[{"value":"8 July 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 August 2022","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 August 2022","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 August 2022","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 October 2022","order":5,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Update","order":6,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The online version of the paper is incorrect.  The correct citation should be Ringler, MD.","order":7,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}}]}}