Editorial Commentary: Magnetic Resonance Arthrogram Is More Accurate and Precise Than Conventional Magnetic Resonance Imaging for Evaluating Labral Tears After First-Time Shoulder Dislocation.

Abstract

Recent research shows that magnetic resonance arthrogram offers better definition of certain shoulder pathology, especially labral tears, compared with magnetic resonance imaging (MRI). Conventional MRI accuracy and precision deteriorate after 2 weeks, and few health delivery environments achieve MRI within 14 days of a shoulder dislocation. Moreover, further loss of MRI accuracy is time dependent. Although magnetic resonance arthrogram should be considered a first-line imaging study when evaluating shoulder instability more than 2 weeks after the patient's injury, one must also consider clinical value and cost-effectiveness.