Spezielle radiologische Diagnostik der verletzten Schulter

The most appropriate method of diagnosis varies depending on the kind and the aetiology of shoulder injury. In the case of recurring dislocation, as for multidirectional bilateral instability, X-ray exposures in two planes should be performed; it may be that special projections (acetabular profile after Bernageau; Y view of scapula after Neer/Morrison) are needed. In the case of (multiply) fragmented fractures and in that of fixed dorsal dislocation the radiographs in two planes should be supplemented by computed tomography. When subluxation is suspected MR arthrography is the method of choice for diagnosis. Subacromial pain syndrome including rotator cuff pathology is best investigated with the aid of X-rays in two planes, if necessary with specific projections (Y view of the scapula as per Neer/Morrison), ultrasonography, and if appropriate, MRT.