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Reply published on 22 December 2022, see Diagnostics 2023, 13(1), 26.
Comment of Diagnostics 2022, 12(10), 2345.
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Comment

Comment on Feuerriegel et al. Assessment of Acute Lesions of the Biceps Pulley in Patients with Traumatic Shoulder Dislocation Using MR Imaging. Diagnostics 2022, 12, 2345

by
Frank Martetschläger
* and
Naman Wahal
Department of Shoulder and Elbow Surgery, ATOS Clinic Munich, Effnerstrasse 38, 81925 Munich, Germany
*
Author to whom correspondence should be addressed.
Diagnostics 2023, 13(1), 25; https://doi.org/10.3390/diagnostics13010025
Submission received: 4 November 2022 / Accepted: 14 December 2022 / Published: 22 December 2022
(This article belongs to the Section Pathology and Molecular Diagnostics)
Review Reports Versions Notes
We wish to congratulate the authors for the successful publication of the article titled ‘Assessment of Acute Lesions of the Biceps Pulley in Patients with Traumatic Shoulder Dislocation Using MR Imaging’. Diagnostics 2022, 12, 2345 and add some points for consideration [1].
The authors have mentioned the incidence of biceps pulley lesions as lesions of sGHL alone (superior Gleon-humeral Ligament), lesions of CHL alone (Coraco-humeral Ligament), or a combination of both sGHL and CHL. The classification system used is mentioned as the one given by Habermeyer (Table 2, reference no. 8 of the article). However, the classification system described by Habermeyer does not mention lesions of CHL [2]. This is a false representation of the classification system and leads to considerable confusion when reading the article.
To mitigate this problem, we propose using the simpler and more recent classification system of biceps pulley lesions given by Martetschläger et al. [3]. This classification system (Table 1) also considers the lesions that do not involve sGHL (36% of the cases reported in the current article).

Author Contributions

Conceptualization, editing and supervision, F.M. Writing, N.W. All authors have read and agreed to the published version of the manuscript.

Conflicts of Interest

The authors report no conflict of interest.

References

  1. Feuerriegel, G.C.; Lenhart, N.S.; Leonhardt, Y.; Gassert, F.T.; Biberthaler, P.; Siebenlist, S.; Kirchhoff, C.; Makowski, M.R.; Woertler, K.; Gersing, A.S.; et al. Assessment of Acute Lesions of the Biceps Pulley in Patients with Traumatic Shoulder Dislocation Using MR Imaging. Diagnostics 2022, 12, 2345. [Google Scholar] [CrossRef] [PubMed]
  2. Habermeyer, P.; Magosch, P.; Pritsch, M.; Scheibel, M.T.; Lichtenberg, S. Anterosuperior impingement of the shoulder as a result of pulley lesions: A prospective arthroscopic study. J. Shoulder Elb. Surg. 2004, 1, 5–12. [Google Scholar] [CrossRef] [PubMed]
  3. Martetschläger, F.; Zampeli, F.; Tauber, M.; Habermeyer, P. Lesions of the biceps pulley: A prospective study and classification update. JSES Int. 2020, 4, 318–323. [Google Scholar] [CrossRef] [PubMed]
Table
Table 1. Martetschläger classification of biceps pulley lesions.
Table 1. Martetschläger classification of biceps pulley lesions.
Martetschläger Classification of Biceps Pulley Lesions [3]
Type 1Lesions of medial slingsGHL and mCHL
Type 2Lesions of lateral slinglCHL
Type 3Medial and lateral sling lesionsGHL and CHL
sGHL: superior Glenohumeral Ligament. CHL: Coracohumeral Ligament. mCHL: medial Coracohumeral Ligament. lCHL: lateral Coracohumeral Ligament.
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MDPI and ACS Style

Martetschläger, F.; Wahal, N. Comment on Feuerriegel et al. Assessment of Acute Lesions of the Biceps Pulley in Patients with Traumatic Shoulder Dislocation Using MR Imaging. Diagnostics 2022, 12, 2345. Diagnostics 2023, 13, 25. https://doi.org/10.3390/diagnostics13010025

AMA Style

Martetschläger F, Wahal N. Comment on Feuerriegel et al. Assessment of Acute Lesions of the Biceps Pulley in Patients with Traumatic Shoulder Dislocation Using MR Imaging. Diagnostics 2022, 12, 2345. Diagnostics. 2023; 13(1):25. https://doi.org/10.3390/diagnostics13010025

Chicago/Turabian Style

Martetschläger, Frank, and Naman Wahal. 2023. "Comment on Feuerriegel et al. Assessment of Acute Lesions of the Biceps Pulley in Patients with Traumatic Shoulder Dislocation Using MR Imaging. Diagnostics 2022, 12, 2345" Diagnostics 13, no. 1: 25. https://doi.org/10.3390/diagnostics13010025

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