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We used arthroscopic surgery as a reference standard for comparison. The quality of the studies was evaluated using the Quality Assessment of Diagnostic Accuracy Studies tool. We pooled the collected data and used Stata\/MP17 to generate summary statistics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We identified a total of 53 articles compromising 5,487 patients. The sensitivity and specificity for Hill\u2010Sachs lesions were 0.94 (95% confidence interval [CI] 0.80\u20100.99) and 0.89 (95% CI 0.77\u20100.95), Bankart lesions were 0.94 (95% CI 0.89\u20100.97) and 0.99 (95% CI 0.90\u20101.00), anterior labral tears were 0.91 (95% CI 0.82\u20100.96) and 0.96 (95% CI 0.90\u20100.99), posterior labral tears were 0.74 (95% CI 0.58\u20100.86) and 0.98 (95% CI 0.86\u20101.00), superior labral tears were 0.77 (95% CI 0.62\u20100.88) and 0.83 (95% CI 0.54\u20100.95), SLAP lesions were 0.86 (95% CI 0.80\u20100.90) and 0.91 (95% CI 0.83\u20100.96), partial\u2010thickness RCTs were 0.67 (95% CI 0.45\u20100.83) and 0.92 (95% CI 0.78\u20100.97), whereas full\u2010thickness RCTs were 0.97 (95% CI 0.91\u20100.99) and 0.99 (95% CI 0.93\u20101).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In conclusion, MRA is a sensitive and specific imaging method for identifying anterior labrum lesions, full\u2010thickness RCTs, Bankart, SLAP, and Hill\u2010Sachs lesions, with lower accuracy in partial\u2010thickness RCTs, both posterior and superior labrum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, meta\u2010analysis of prospective and retrospective cohort and case\u2010control studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2025.01.048","type":"journal-article","created":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T18:54:43Z","timestamp":1738695283000},"page":"3622","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"title":["High Sensitivity and Specificity of Magnetic Resonance Arthrography for Labral Tears, Rotator Cuff Tears, Hill\u2010Sachs Lesions, and Bankart Lesions: A Systematic Review and Meta\u2010analysis"],"prefix":"10.1002","volume":"41","author":[{"given":"Menna","family":"Elbadry","sequence":"first","affiliation":[{"name":"Faculty of Medicine October 6 University 6th of October City Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmoud Shaaban","family":"Abdelgalil","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Ain\u2010Shams University Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruaa Mustafa","family":"Qafesha","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Al\u2010Quds University Jerusalem Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asem Ahmed","family":"Ghalwash","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Al\u2010Azhar University Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hosny","family":"Elkhawaga","sequence":"additional","affiliation":[{"name":"Faculty of Physical Therapy Cairo University Giza Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amro Mamdouh","family":"Abdelrehim","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Misr University for Science and Technology 6th of October City Egypt"},{"name":"Medical Research Group of Egypt Negida Academy Arlington Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doaa","family":"Mashaly","sequence":"additional","affiliation":[{"name":"Faculty of Medicine October 6 University 6th of October City Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hatem","family":"Eldeeb","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Al\u2010Azhar University Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mostafa Mahmoud","family":"Naguib","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Al\u2010Azhar University Damietta Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yousef Ahmed","family":"Yousef Selim","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Misr University for Science and Technology 6th of October City Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,2,4]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2008.06.001"},{"key":"e_1_2_4_3_1","first-page":"205846012110620","article-title":"MR arthrography of the shoulder; 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