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Advances in Orthopedics
Volume 2013, Article ID 473194, 4 pages
Clinical Study

Anterior Glenohumeral Instability: Classification of Pathologies of Anteroinferior Labroligamentous Structures Using MR Arthrography

1Kanuni Sultan Suleyman Education and Research Hospital, Department of Orthopaedic Surgery, Istanbul, Turkey
2Istanbul Medipol University, Istanbul, Turkey
3Nisa Hospital, Istanbul, Turkey
4Dicle University, Diyarbakır, Turkey
5Taksim Education and Research Hospital, Istanbul, Turkey
6Gülhane Military Medical Academy Education Hospital, Istanbul, Turkey

Received 24 June 2013; Accepted 13 September 2013

Academic Editor: Panagiotis Korovessis

Copyright © 2013 Serhat Mutlu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


We examined labroligamentous structures in unstable anteroinferior glenohumeral joints using MR arthrography (MRA) to demonstrate that not all instabilities are Bankart lesions. We aimed to show that other surgical protocols besides classic Bankart repair are appropriate for labroligamentous lesions. The study included 35 patients (33 males and 2 females; mean age: 30.2; range: 18 to 57 years). MRA was performed in all patients. The lesions underlying patients’ instability such as Bankart, anterior labral periosteal sleeve avulsion (ALPSA), and Perthes lesions were diagnosed by two radiologists. MRA yielded 16 diagnoses of Bankart lesions, 5 of ALPSA lesions, and 14 of Perthes lesions. Albeit invasive, MRA seems to be a more reliable and accurate diagnostic imaging modality for the classification and treatment of instabilities compared to standard MRI.