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Measuring 3D In-vivo Shoulder Kinematics using Biplanar Videoradiography
Published on: March 12, 2021
Prevalence of shoulder enchondromas on routine MR imaging
Edmund D Hong1, John A Carrino, Kristy L Weber
1School of Medicine, Johns Hopkins University, Baltimore, MD 21287, USA. ehong@jhmi.edu
Abstract:
The objective of this study was to examine the prevalence of incidental shoulder enchondromas on routine magnetic resonance (MR) shoulder imaging. Consecutive routine shoulder MR examinations (N = 477) performed for suspected internal derangement were reviewed for the presence of incidental enchondromas. Incidental enchondromas were detected on 2.1% of routine MR shoulder examinations, the vast majority abutting the physeal plate. This prevalence is important to appreciate, in order to form a meaningful differential diagnosis of pathologic proximal humerus lesions.
Insights
Incidental shoulder enchondromas are found in 2.1% of routine shoulder MR imaging. This finding is crucial for diagnosing proximal humerus lesions, especially those near the physeal plate.
Area of Science:
- Orthopedic imaging
- Radiology
- Bone pathology
Background:
- Enchondromas are benign cartilage tumors.
- Incidental findings on medical imaging require characterization.
- Shoulder MRIs are commonly performed for internal derangements.
Purpose of the Study:
- To determine the prevalence of incidental enchondromas on shoulder MR imaging.
- To understand the frequency of these benign tumors in asymptomatic patients.
Main Methods:
- Retrospective review of 477 consecutive shoulder MR examinations.
- Analysis for the presence of enchondromas, particularly in the proximal humerus.
- Correlation with the physeal plate location.
Main Results:
- Incidental enchondromas were identified in 2.1% of shoulder MRIs.
- Most detected enchondromas were located adjacent to the physeal plate.
- This highlights a common incidental finding in routine shoulder imaging.
Conclusions:
- The prevalence of incidental shoulder enchondromas is 2.1%.
- Awareness of this prevalence aids in differentiating benign findings from pathologic lesions.
- Enchondromas abutting the physeal plate are common incidental discoveries on shoulder MRIs.
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