Konvansiyonel manyetik rezonans görüntüleme ile glenoid morfolojisi ve buford kompleksi arasındaki ilişkinin değerlendirilmesi
Yükleniyor...
Dosyalar
Tarih
2013
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Hatay Mustafa Kemal Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Konvansiyonel manyetik rezonans görüntüleme (MRG) ile glenoid morfolojisi ve buford kompleksi arasındaki iliĢkinin değerlendirilmesi Gereç ve Yöntem: Dokuzyüzonbir olguya ait omuz MRG tetkiki retrospektif olarak incelendi. Oblik sagital görüntülerde glenoid anterior superior kesimdeki konkavite varlığı araĢtırıldı. Konkavite varlığı çentikli, yokluğu ise ovoid glenoid morfolojisi olarak değerlendirildi. Buford kompleksi glenoid labrumun anterior superior kesiminin olmaması ve orta glenohumeral ligamanın kord benzeri kalınlaĢması olarak kabul edildi. Bulgular: Buford kompleksi görülme sıklığı %2,1 oranında saptandı. Olguların%86,3‟ ünün ovoid, %13,7‟ sinin çentikli glenoid yapısına sahip olduğu gözlendi. Çentikli glenoid yapısında buford kompleksi görülme sıklığı %8, ovoid glenoid yapısında %1,1 olup, çentikli glenoid morfolojisinde buford kompleksi görülmesıklığı istatiksel olarak anlamlı yüksekti (p<0.05).Sonuçlar: Glenoid anterior superior kesimdeki çentik varlığı ile buford kompleksi arasında anlamlı iliĢki gözlendi. Glenoid konkavite varlığının arada kalınanolgularda labral varyasyon ile patolojik labrum yırtığını ayırmada bir belirteç veya ikincil bulgu olarak kullanılabileceği düĢünülmektedir.
Objective: The purpose of this study was to evaluate the relation between the glenoid morphology and Buford complex by means of conventional magnetic resonance imaging (MRI). Methods: Shoulder MRI features of 911 cases were retrospectively examined. Presence of concavity was sought for in the anterior superior glenoid in the oblique sagittal images. Presence of concavity was considered as notched glenoid morphology while absence of it was considered as ovoid glenoid. An absent anterior superior glenoid labrum and an associated cord-like thickening of the middle glenohumeral ligament was accepted as Buford complex. Results: Buford complex had a prevalence of 2,1%. Furthermore, 86,3% of the cases had an ovoid glenoid while %13,7 had a notched glenoid. Prevalence of Buford complex in the notched glenoid was 8% while it was 1,1% in the ovoid glenoid. Higher prevalence of Buford complex in the notch glenoid morphology was statistically significant (p<0.05). Conclusions: A statistically significant relation was found between the presence of a notch in the anterior superior glenoid and Buford complex. Therefore, presence of glenoid concavity may be used as a marker or secondary finding in discriminating pathological labral tears from labral variations in suspicious cases.Key words: Shoulder MRI, Buford complex, glenoid labrum, glenoid notch
Objective: The purpose of this study was to evaluate the relation between the glenoid morphology and Buford complex by means of conventional magnetic resonance imaging (MRI). Methods: Shoulder MRI features of 911 cases were retrospectively examined. Presence of concavity was sought for in the anterior superior glenoid in the oblique sagittal images. Presence of concavity was considered as notched glenoid morphology while absence of it was considered as ovoid glenoid. An absent anterior superior glenoid labrum and an associated cord-like thickening of the middle glenohumeral ligament was accepted as Buford complex. Results: Buford complex had a prevalence of 2,1%. Furthermore, 86,3% of the cases had an ovoid glenoid while %13,7 had a notched glenoid. Prevalence of Buford complex in the notched glenoid was 8% while it was 1,1% in the ovoid glenoid. Higher prevalence of Buford complex in the notch glenoid morphology was statistically significant (p<0.05). Conclusions: A statistically significant relation was found between the presence of a notch in the anterior superior glenoid and Buford complex. Therefore, presence of glenoid concavity may be used as a marker or secondary finding in discriminating pathological labral tears from labral variations in suspicious cases.Key words: Shoulder MRI, Buford complex, glenoid labrum, glenoid notch
Açıklama
Anahtar Kelimeler
Radyoloji ve Nükleer Tıp, Radiology and Nuclear Medicine, Omuz MRG, buford kompleksi, glenoid labrum, glenoid çentik
