Retrospective Study of Glenohumeral Joint with MRI Modality Minimum 6 Months Follow Up

Background: we performed a prospective observational study to evaluate this clinical outcome with early radiological screening (MRI) of individuals with shoulder dislocations to define the risk of shoulder functional impairment following an episode of dislocation and relevance of severity of shoulder lesions in predicting the outcome and need of future interventions in such patients. Materials and method: we performed a observational prospective cohort study of 80 patients ranging from age of 15 years to 65 years (which is economically productive age and athletically active age group demanding good joint function) who sustained glenohumeral dislocation were treated with sling immobilization and followed by gradual physiotherapy. Patients followed up regularly to access weather recurrent instability had develop or is there any shoulder malfunction. Along with this set of patients were screened with MRI of shoulder joint and. cross sectional imaging recommended for those where reduction by routine maneuver not possible due to engaging Hill sach, obstructing fracture fragment from glenoid or humeral head. method used for reduction were L. Prakshan method and modified kocher�s method. with serial screening with MRI, various lesions were found and patients were catagorise as per clinical and radilcalogical picture. and risk of reoccurrence of dislocation and joint function reassessed and quantified on the clinicoradiological basis. Lesions found were osseous namely Hill sachs fracture in 30 % cases, glenoid rim fracture, soft tissue lesions 66 % cases involving Bankart lesion, Perthe�s lesion, Glenolabral articular disruption (GLAD), Humeral avulsion of glenohumeral ligament (HAGL), Anterior labral periosteal sleeve avulsion defect (ALPSA). Conclusion and results: cohort with clinical findings and the associated lesions were followed up for a period of one year and we found that risk of instability and joint malfunction increases significantly.