Imaging of shoulder instability

• Published in: Skeletal radiology Vol. 49; no. 10; pp. 1505 - 1523
• Main Authors: De Filippo, Massimo, Schirò, Silvia, Sarohia, Dani, Barile, Antonio, Saba, Luca, Cella, Simone, Castagna, Alessandro
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.10.2020; Springer; Springer Nature B.V
• Subjects: Dislocation; Human motion; Humerus; Imaging; Imaging techniques; Injuries; Instability; Medicine; Medicine & Public Health; Motion stability; Nuclear Medicine; Orthopedics; Pathology; Radiology; Review Article; Shoulder; Shoulder instability; Computed tomography arthrography; Shoulder anatomic variant; Magnetic resonance arthrography
• ISSN: 0364-2348; 1432-2161
• DOI: 10.1007/s00256-020-03459-z

The shoulder enjoys the widest range of motion of all the joints in the human body, therefore requires a delicate balance between stability and motility. The glenohumeral joint is inclined to fall into two main instability categories: macro and micro. Macroinstability can be traumatic or atraumatic, with anterior or posterior dislocation of the humeral head. Microinstability falls within the broader section of acquired instability in overstressed shoulder caused by repeated joint stress. Anterior traumatic instability is the most frequent entity and a relatively common injury in young and athletic population. While shoulder instability is a clinical diagnosis, imaging impacts the patient management by detailing the extent of injury, such as capsulo-labral-ligamentous tears, fracture, and/or dislocation, describing the predisposing anatomic conditions and guide the therapetic choice. The aim of this comprehensive review is to cover the imaging findings of shoulder instability by different imaging techniques.