All-Arthroscopic Reconstruction of Severe Chronic Acromioclavicular Joint Dislocations.

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Abstract

[Indexed for MEDLINE] 17. Radiologe. 2010 May;50(5):453-9. doi: 10.1007/s00117-009-1937-5. [Shoulder injuries in overhead sports]. [Article in German] Wörtler K(1). Author information: (1)Institut für Röntgendiagnostik, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str.22, 81675, München. woertler@roe.med.tum.de Overhead sport places great demands on the shoulder joint. Shoulder pain in overhead athletes and throwers can in the majority of cases be attributed to lesions resulting from chronic overuse of tendons and capsuloligamentous structures or to sequels of microinstability and secondary impingement. Due to its great impact on therapeutic decisions, imaging in athletes with unclear shoulder pain is a challenge. In this connection, magnetic resonance (MR) arthrography represents the cross-sectional imaging modality of first choice, as it allows depiction and exclusion of pathologic alterations of all relevant joint structures with sufficient confidence.This article reviews the biomechanical and clinical aspects and MR arthrographic features of the most common shoulder pathologies in overhead athletes, including biceps tendinopathy, superior labral anterior-posterior (SLAP) lesions, rotator cuff lesions, as well as extrinsic and intrinsic impingement syndromes. DOI: 10.1007/s00117-009-1937-5