Abstract
Different anterosuperior aspects of the glenoid labrum have already been described and are thought to be normal anatomical variations. The goals of this study were first to characterize these anterosuperior labral morphologies and then to analyze their variations in function of the patients’ age. One hundred shoulder arthroscopies were recorded to study the macroscopic characteristics of the anterosuperior labrum of the glenohumeral joint and its relationships with the proximal insertion of the tendon of the long head of the biceps. Then, patients were divided into two groups in function of their age (below and over 30 years old). Morphological modifications of the labrum were found in function of the age of the patient with an increase of the nonpathologic “mobile labrum” type after 30 years (P=0.0423). Therefore a mobile and loosely attached superior labrum should not always be considered as abnormal, especially in case of patient older than 30 years.
Similar content being viewed by others
References
Bankart A (1938) The pathology and treatment of recurrent dislocation of the shoulder joint. Br J Surg 26:23–29
Cooper D, Arnoczky S, O’brien S, Warren R, Dicarlo E, Allen A (1992) Anatomy, histology and vascularity of the glenoid labrum. An anatomical study. J Bone Joint Surg 74(A):46–52
Cruveilhier J (1862) Book Traité d’anatomie descriptive, 4th edn. Asselin, Paris
De maeseneer M, VanRoy F, Lenchik L, Shahabpour M, Jacobson J, Ryu K, Handelberg F, Osteaux M (2000) CT and MR arthrography of the normal and pathologic anterosuperior labrum and labral-bicipital complex. Radiographics 20:67–81
Demondion X, Maynou C, VanCortenbosch B, Klein K, Leroy X, Mestdagh H (2001) Etude des rapports entre le tendon du chef long du biceps brachial et le labrum glénoïdal. Morphologie 85:5–8
Gigis P, Natsis C, Polyzonis M (1995) New aspects on the topography of the tendon of the long head of the biceps brachii muscle. One more stabilizer factor of the shoulder joint. Bull Assoc Anat Nancy 79:9–11
Grauer J, Paulos L, Smutz W (1992) Biceps tendon and superior labral injuries. Arthroscopy 8:488–497
Johnson L (1987) The shoulder joint. An arthroscopist’s perspective of anatomy and pathology. Clin Orthop 223:113–125
McNiesh L, Callaghan J (1987) CT arthrography of the shoulder: variations of the glenoid labrum. AJR Am J Roentgenol 149:963–966
Pal G, Bhatt R, Patel V (1991) Relationship between the tendon of the long head of biceps brachii and the glenoïdal Labrum in humans. Anat Rec 229:278–280
Poirier P, Charpy A (1911) Traité d’anatomie humaine. Masson, Paris
Prodromos C, ferry J, Schiller A, Zarins B (1990) Histological studies of the glenoid labrum from fetal life to old age. J Bone Joint Surg 72-A:1344–1348
Ring P (1970) Contribution à l’étude de la structure fonctionnelle des bourrelets marginaux et des ménisques des articulations des membres. Archives d’anatomie, d’histologie et d’embryologie 53:143–149
Sabatier M (1791) Traité complet d’anatomie, ou description de toutes les parties du corps humain, 3th edn. Barrois, Paris
Snyder S, Banas M, Karzel R (1995) An analysis of 140 injuries to the superior glenoid labrum. J Shoulder Elbow Surg 4:243–248
Snyder S, Karzel R, Del Pizzo W, Ferkel R, Friedman M (1990) SLAP lesions of the shoulder. Arthroscopy 6:274–279
Testut L, Jacob O (1922) Book Traité d’anatomie topographique avec applications médico-chirurgicales. Librairie Gaston Doin, Paris
Vangsness T, Jorgenson S, Watson T, Johnson T (1994) The origine of the long head of the biceps from the scapula and glenoid labrum. An anatomical study of 100 shoulder. J Bone Joint Surg 76(B):951–954
Williams M, Snyder SDB (1994) The Buford complex–the “cord-like” middle glenohumeral ligament and absent anterosuperior labrum complex: a normal anatomic capsulolabral variant. Arthroscopy 10:241–247
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Clavert, P., Kempf, JF., Wolfram-Gabel, R. et al. Are there age induced morphologic variations of the superior glenoid labrum? About 100 shoulder arthroscopies. Surg Radiol Anat 27, 385–388 (2005). https://doi.org/10.1007/s00276-005-0014-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00276-005-0014-7