Cartilage injury and superficial tear of anteroinferior labrum
Glenoid articular disruption or divot
Osteochondral defect and labral tear
Can be anterior or posterior
Rotator cuff impingement and tears
Seen in 1/3 at surgery
Internal impingement humeral head lesions
Overhead throwing athletes
Posterior greater tuberosity
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Campbell M et al: Shearing osteochondral fracture of the humeral head: a case report. JBJS Case Connect. 9(2):e0094, 2019
Omoumi P et al: Diagnostic performance of CT-arthrography and 1.5T MR-arthrography for the assessment of glenohumeral joint cartilage: a comparative study with arthroscopic correlation. Eur Radiol. 25(4):961-9, 2015
Guermazi A et al: MR arthrography of the shoulder: optimizing pulse sequence protocols for the evaluation of cartilage and labrum. Eur J Radiol. 83(8):1421-8, 2014
VanBeek C et al: Diagnostic accuracy of noncontrast MRI for detection of glenohumeral cartilage lesions: a prospective comparison to arthroscopy. J Shoulder Elbow Surg. 23(7):1010-6, 2014
Gross CE et al: Operative treatment of chondral defects in the glenohumeral joint. Arthroscopy. 28(12):1889-901, 2012
Kircher J et al: Osteochondral autologous transplantation for the treatment of full-thickness cartilage defects of the shoulder: results at nine years. J Bone Joint Surg Br. 91(4):499-503, 2009
Wiener E et al: Delayed gadolinium-enhanced MRI of cartilage (dGEMRIC) of cadaveric shoulders: comparison of contrast dynamics in hyaline and fibrous cartilage after intraarticular gadolinium injection. Acta Radiol. 50(1):86-92, 2009
Lecouvet FE et al: Multidetector spiral CT arthrography of the shoulder. Clinical applications and limits, with MR arthrography and arthroscopic correlations. Eur J Radiol. 68(1):120-36, 2008
Choi YS et al: A shearing osteochondral fracture of the humeral head following an anterior shoulder dislocation in a child. HSS J. 1(1):100-2, 2005
Ly JQ et al: Bare area of the glenoid: magnetic resonance appearance with arthroscopic correlation. J Comput Assist Tomogr. 28(2):229-32, 2004
Sanders TG et al: The glenolabral articular disruption lesion: MR arthrography with arthroscopic correlation. AJR Am J Roentgenol. 172(1):171-5, 1999
Yu JS: The glenolabral articular disruption lesion: similarities to the glenoid osteochondral defect. AJR Am J Roentgenol. 173(3):850-1, 1999
Yu JS et al: Osteochondral defect of the glenoid fossa: cross-sectional imaging features. Radiology. 206(1):35-40, 1998
Hamada S et al: Osteochondritis dissecans of the humeral head. Arthroscopy. 8(1):132-7, 1992
Cartilage injury and superficial tear of anteroinferior labrum
Glenoid articular disruption or divot
Osteochondral defect and labral tear
Can be anterior or posterior
Rotator cuff impingement and tears
Seen in 1/3 at surgery
Internal impingement humeral head lesions
Overhead throwing athletes
Posterior greater tuberosity
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Campbell M et al: Shearing osteochondral fracture of the humeral head: a case report. JBJS Case Connect. 9(2):e0094, 2019
Omoumi P et al: Diagnostic performance of CT-arthrography and 1.5T MR-arthrography for the assessment of glenohumeral joint cartilage: a comparative study with arthroscopic correlation. Eur Radiol. 25(4):961-9, 2015
Guermazi A et al: MR arthrography of the shoulder: optimizing pulse sequence protocols for the evaluation of cartilage and labrum. Eur J Radiol. 83(8):1421-8, 2014
VanBeek C et al: Diagnostic accuracy of noncontrast MRI for detection of glenohumeral cartilage lesions: a prospective comparison to arthroscopy. J Shoulder Elbow Surg. 23(7):1010-6, 2014
Gross CE et al: Operative treatment of chondral defects in the glenohumeral joint. Arthroscopy. 28(12):1889-901, 2012
Kircher J et al: Osteochondral autologous transplantation for the treatment of full-thickness cartilage defects of the shoulder: results at nine years. J Bone Joint Surg Br. 91(4):499-503, 2009
Wiener E et al: Delayed gadolinium-enhanced MRI of cartilage (dGEMRIC) of cadaveric shoulders: comparison of contrast dynamics in hyaline and fibrous cartilage after intraarticular gadolinium injection. Acta Radiol. 50(1):86-92, 2009
Lecouvet FE et al: Multidetector spiral CT arthrography of the shoulder. Clinical applications and limits, with MR arthrography and arthroscopic correlations. Eur J Radiol. 68(1):120-36, 2008
Choi YS et al: A shearing osteochondral fracture of the humeral head following an anterior shoulder dislocation in a child. HSS J. 1(1):100-2, 2005
Ly JQ et al: Bare area of the glenoid: magnetic resonance appearance with arthroscopic correlation. J Comput Assist Tomogr. 28(2):229-32, 2004
Sanders TG et al: The glenolabral articular disruption lesion: MR arthrography with arthroscopic correlation. AJR Am J Roentgenol. 172(1):171-5, 1999
Yu JS: The glenolabral articular disruption lesion: similarities to the glenoid osteochondral defect. AJR Am J Roentgenol. 173(3):850-1, 1999
Yu JS et al: Osteochondral defect of the glenoid fossa: cross-sectional imaging features. Radiology. 206(1):35-40, 1998
Hamada S et al: Osteochondritis dissecans of the humeral head. Arthroscopy. 8(1):132-7, 1992
STATdx includes over 200,000 searchable images, including x-ray, CT, MR, and ultrasound images. To access all images, please log in or subscribe.