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Posterior Labral Tear, Shoulder
Michael J. Tuite, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Abbreviations

              • Reverse humeral avulsion of glenohumeral ligament (RHAGL) lesion = PHAGL (posterior HAGL)
            • Synonyms

              • Reverse Bankart lesion, posterior Bankart tear
            • Definitions

              • Tear of posterior glenoid labrum

            IMAGING

            • General Features

              • Radiographic Findings

                • CT Findings

                  • MR Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Staging, Grading, & Classification

                            • Gross Pathologic & Surgical Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        Selected References

                                        1. Owen JM et al: Reinterpretation of O'Brien test in posterior labral tears of the shoulder. Int J Shoulder Surg. 9(1):6-8, 2015
                                        2. Smark CT et al: Arthroscopic and magnetic resonance arthrogram features of Kim's lesion in posterior shoulder instability. Arthroscopy. 30(7):781-4, 2014
                                        3. Borrero CG et al: Magnetic resonance appearance of posterosuperior labral peel back during humeral abduction and external rotation. Skeletal Radiol. 39(1):19-26, 2010
                                        4. Dietrich TJ et al: Articular cartilage and labral lesions of the glenohumeral joint: diagnostic performance of 3D water-excitation true FISP MR arthrography. Skeletal Radiol. 39(5):473-80, 2010
                                        5. Novak LM et al: Synovial fold of the posterior shoulder joint capsule. Skeletal Radiol. 38(5):493-8, 2009
                                        6. Harish S et al: Imaging findings in posterior instability of the shoulder. Skeletal Radiol. 37(8):693-707, 2008
                                        7. Saupe N et al: Acute traumatic posterior shoulder dislocation: MR findings. Radiology. 248(1):185-93, 2008
                                        8. Escobedo EM et al: Increased risk of posterior glenoid labrum tears in football players. AJR Am J Roentgenol. 188(1):193-7, 2007
                                        9. Harper KW et al: Glenoid dysplasia: incidence and association with posterior labral tears as evaluated on MRI. AJR Am J Roentgenol. 184(3):984-8, 2005
                                        10. Chung CB et al: Humeral avulsion of the posterior band of the inferior glenohumeral ligament: MR arthrography and clinical correlation in 17 patients. AJR Am J Roentgenol. 183(2):355-9, 2004
                                        11. Tung GA et al: MR arthrography of the posterior labrocapsular complex: relationship with glenohumeral joint alignment and clinical posterior instability. AJR Am J Roentgenol. 180(2):369-75, 2003
                                        12. Yu JS et al: The POLPSA lesion: MR imaging findings with arthroscopic correlation in patients with posterior instability. Skeletal Radiol. 31(7):396-9, 2002
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Pathology

                                                • Clinical Issues

                                                  TERMINOLOGY

                                                  • Abbreviations

                                                    • Reverse humeral avulsion of glenohumeral ligament (RHAGL) lesion = PHAGL (posterior HAGL)
                                                  • Synonyms

                                                    • Reverse Bankart lesion, posterior Bankart tear
                                                  • Definitions

                                                    • Tear of posterior glenoid labrum

                                                  IMAGING

                                                  • General Features

                                                    • Radiographic Findings

                                                      • CT Findings

                                                        • MR Findings

                                                          • Imaging Recommendations

                                                            DIFFERENTIAL DIAGNOSIS

                                                              PATHOLOGY

                                                              • General Features

                                                                • Staging, Grading, & Classification

                                                                  • Gross Pathologic & Surgical Features

                                                                    CLINICAL ISSUES

                                                                    • Presentation

                                                                      • Demographics

                                                                        • Natural History & Prognosis

                                                                          • Treatment

                                                                            DIAGNOSTIC CHECKLIST

                                                                            • Consider

                                                                              Selected References

                                                                              1. Owen JM et al: Reinterpretation of O'Brien test in posterior labral tears of the shoulder. Int J Shoulder Surg. 9(1):6-8, 2015
                                                                              2. Smark CT et al: Arthroscopic and magnetic resonance arthrogram features of Kim's lesion in posterior shoulder instability. Arthroscopy. 30(7):781-4, 2014
                                                                              3. Borrero CG et al: Magnetic resonance appearance of posterosuperior labral peel back during humeral abduction and external rotation. Skeletal Radiol. 39(1):19-26, 2010
                                                                              4. Dietrich TJ et al: Articular cartilage and labral lesions of the glenohumeral joint: diagnostic performance of 3D water-excitation true FISP MR arthrography. Skeletal Radiol. 39(5):473-80, 2010
                                                                              5. Novak LM et al: Synovial fold of the posterior shoulder joint capsule. Skeletal Radiol. 38(5):493-8, 2009
                                                                              6. Harish S et al: Imaging findings in posterior instability of the shoulder. Skeletal Radiol. 37(8):693-707, 2008
                                                                              7. Saupe N et al: Acute traumatic posterior shoulder dislocation: MR findings. Radiology. 248(1):185-93, 2008
                                                                              8. Escobedo EM et al: Increased risk of posterior glenoid labrum tears in football players. AJR Am J Roentgenol. 188(1):193-7, 2007
                                                                              9. Harper KW et al: Glenoid dysplasia: incidence and association with posterior labral tears as evaluated on MRI. AJR Am J Roentgenol. 184(3):984-8, 2005
                                                                              10. Chung CB et al: Humeral avulsion of the posterior band of the inferior glenohumeral ligament: MR arthrography and clinical correlation in 17 patients. AJR Am J Roentgenol. 183(2):355-9, 2004
                                                                              11. Tung GA et al: MR arthrography of the posterior labrocapsular complex: relationship with glenohumeral joint alignment and clinical posterior instability. AJR Am J Roentgenol. 180(2):369-75, 2003
                                                                              12. Yu JS et al: The POLPSA lesion: MR imaging findings with arthroscopic correlation in patients with posterior instability. Skeletal Radiol. 31(7):396-9, 2002