Dear Phil,
You and Dr. Resnick brought a good point- why GLAD as it is supposed to be a stable lesion.
Ans. is simple- my fellow put it in so I kept it as it is 1st principle in teaching fellows- not to annoy them.
To be honest- I don’t use GLAD in most reports as almost 40-60% d/ls have a cartilage lesion on 3D MRI
Here it is attritional bone loss (not Bankart fracture) with a known history of multiple prior dislocations in a young person- more like AMBRI type- didn’t have the other shoulder imaged- otherwise I would have suggested it.
BTW- All come to Tx to enjoy 60F weather if feeling too cold!
Best!
AC
Avneesh Chhabra, M.D. M.B.A.
Professor Radiology & Orthopedic Surgery
Chief, Division of Musculoskeletal Radiology
UT Southwestern Medical Center, Dallas, Tx
5373 Harry Hines Blvd.
Dallas, Tx-75390-9178
Office: 214-648-2122
avneesh.chhabra
