Shoulder Joint & Labrum Radiology - Everything You Need To Know - Dr. Nabil Ebraheim HD

Dr. Ebraheim’s educational animated video describes the important radiology methods of the glenohumeral joint and labrum. Weak pint view (Bankart lesion): direction of the X-ray beam: patient in prone position with a pillow supporting affected shoulder, arm abducted 90 degrees and the forearm hanging off the table. The beam is angled 25 medially and inferiorly with the head turned to the opposite side. West point view: the west point x-ray view allows visualization of the anteroinferior glenoid rim and the diagnosis of Bankart lesion. Stryker notch view (hill Sachs lesion): direction of the x-ray beam: patient is lying supine with the hand plac3ed over the head. The beam is tilted 10 degrees cephalad and directed towards the coracoid. The stryker notch view is used to diagnose Hill-Sachs fracture of the humerus. The labrium is triangular in shape and dark in T1 & T2 MRI. The presence of SLAP tear is diagnosed in the coronal plane. Normal superior/inferior labrum: coronal plane. Bankart lesion in the anterior/inferior labrum seen in axial view MRI especially with dye injection into the shoulder. Hill Sachs lesion usually occurs with anterior dislocation of the shoulder. It is usually associated with a Bankart lesion. Impaction of the humeral head against the anterior-inferior glenoid. Exclusion of the lesion should be done following shoulder reduction. Check after reduction of the shoulder for the presence of this lesion. Reverse Bankart lesion or reverse Hill-Sachs lesion fractures may accompany a posterior dislocation. Axially radiographic view is used to diagnose posterior shoulder dislocation. The humeral head is seen impacted onto the posterior rim of the glenoid. Posterior instability usually is diagnosed clinically by the Jerk test. Become a friend on facebook: http://www.facebook.com/drebraheim Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC