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).
Table 1.
Martetschläger classification of biceps pulley lesions.
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
- 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]
- 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]
- 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]
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