MRI of the Shoulder What to look for and how to find it? Dr. Eric Handley Musculoskeletal Radiologist Cherry Creek Imaging
|
|
- Valerie Bell
- 5 years ago
- Views:
Transcription
1 MRI of the Shoulder What to look for and how to find it? Dr. Eric Handley Musculoskeletal Radiologist Cherry Creek Imaging
2 MRI of the Shoulder Benefits of Ultrasound: * Dynamic * Interactive real time imaging * Fluid plane of evaluation * Doppler * Cheaper (maybe)
3 MRI of the Shoulder Benefits of MRI: * Internal joint evaluation * Sensitive for edema * Cartilage evaluation * Resolution (deep structures, body habitus) * Comfortable to many radiologists and referrers
4 MRI of the Shoulder Ultrasound and MRI are complementary imaging modalities!
5 MRI of the Shoulder Role of Ultrasound * Fluid Collections (Joint effusions, bursae) * Superficial ligaments and tendons * Specific question * Muscles * Intervention
6 MRI of the Shoulder Role of MRI * Intra-articular evaluation (labrum) * Osseous pathology * Cartilage * Global symptoms
7 MRI of the Shoulder MSK Ultrasound in Radiology * Variable training * Radiologist s time * Referrals
8 MRI of the Shoulder Basic MRI Sequences * T1: fluid dark, fat bright * T2: fluid bright, fat bright * STIR (fluid sensitive): fluid bright, fat dark
9 MRI of the Shoulder MRI Sequences for Joint Evaluation * Proton Density (PD) fluid intermediate, fat bright * Proton Density Fat Saturation (PDFS) fluid bright, fat dark
10 MRI of the Shoulder Proton Density (PD) sequences are intermediate weighted with increased signal to noise. They provide excellent evaluation of fibrous and fibrocartilaginous structures, such as the labrum, ligaments, tendons and cartilage.
11 Axial Imaging What to look for: -Acromioclavicular joint -Long head biceps tendon -Subscapularis tendon -Teres minor tendon -Anterior labrum -Posterior labrum -Glenohumeral joint -Inferior Joint capsule -Muscles
12 Sagittal Imaging What to look for: -Acromioclavicular joint -Acromion shape -Long head biceps tendon -All rotator cuff tendons and muscles -Glenoid -Inferior Joint capsule -Muscles
13 Coronal Imaging What to look for: -Acromioclavicular joint -Long head biceps tendon -Supraspinatus tendon -Infraspinatus tendon -Superior labrum -Inferior labrum -Glenohumeral joint -Inferior Joint capsule -Muscles
14 Arthrogram When do we do them? 1. Postoperative 2. High level athletes 3. Preference of the Orthopedic surgeon
15 Acromioclavicular joint separation Academic Life in EM
16 AC separation Grade 3
17 AC separation Grade 3, chronic
18 AC separation Grade 2, chronic
19 AC separation Grade 1, acute
20 Acromioclavicular Osteoarthritis
21 Radiopedia Acromion Types
22 Acromion, Type 2 configuration
23 Rotator Cuff Tear? Role for MRI? * Tendons involved * Retraction of torn fibers * Muscular edema and/or atrophy
24
25 Supraspinatus Tendinopathy
26 Infraspinatus Tendinopathy
27 Calcific Tendinitis
28 Supraspinatus Tear and Os Acromiale
29 Supraspinatus Tear and Os Acromiale #2
30 Supraspinatus, Partial Bursal Tear
31 Supraspinatus, Partial Bursal Tear #2
32 PASTA * Partial articular-sided supraspinatus tendon avulsion * Rim rent tear
33 Supraspinatus, Partial Articular Tear
34 Supraspinatus, Full thickness tear
35 Supraspinatus, Full thickness tear
36 Supraspinatus, Full thickness tear #2
37 Supraspinatus, Full thickness tear #3
38 Subscapularis Partial Intersitial Tear
39 Massive Rotator Cuff Tear
40 Recurrent Supraspinatus Tear
41 Rotator Cuff Muscular Atrophy Research Gate
42 Rotator Cuff Muscles
43 Rotator Cuff Muscular Edema
44 Subscapularis Muscular Edema
45 Parsonage Turner Syndrome * Brachial neuritis * Autoimmune? * Denervation edema * Usually unilateral * Self limiting
46 Test case #1 Tear? Full or Partial? Retraction? Yes Full Yes AP involvment? Supra and Infra AC joint? Arthritis, type 2 Muscles? Atrophy
47 Test case #2 Tear? Full or Partial? Type? Yes Partial Articular AP involvment? Supra AC joint? Type 2 Muscles? Edema, no atrophy
48 Long Head Biceps Tendon (LHBT), Medial Subluxation
49 Subscapularis Tear and LHBT dislocation
50 Long Head Biceps Tendon (LHBT) Dislocation
51 Long Head Biceps Tendon (LHBT) Tear
52 Anterior Shoulder Dislocation
53 Bankart Lesion and Variants The Radiology Assistant
54 Bankart and Hill Sachs
55 Osseous Bankart
56 Osseous Bankart
57 Osseous Bankart and Hill Sachs
58 Reverse Bankart: Labral Tear, Posteroinferior
59 Labral Tear, Posteroinferior with Paralabral Cyst
60 Labral Tear, Posteroinferior with Paralabral Cyst
61 Perthes Lesion (Bankart Variant)
62 ALPSA (Anterior labroligamentous periosteal sleeve avulsion) lesion
63 GLAD (Glenolabral articular disruption) lesion
64 SLAP tear * Superior Labral Anterior Posterior tear * Typically start at 12:00 and extend posteriorly * Type 1: Fraying of superior labrum * Type 2: Tear and detachment of superior labrum * Type 3: Bucket handle tear * Type 4: Bucket handle tear with extent into biceps anchor
65 The Radiology Assistant Glenoid Labrum
66 Semantics Scholar
67 SLAP Tear, type 2
68 SLAP Tear, type 2 #2
69 SLAP Tear, type 2 #3
70 SLAP Tear, type 3
71 Radsource SLAP tear, type 4
72 The Radiology Assistant Labral Variants
73 Sublabral Foramen
74 Sublabral Recess
75 Buford Complex
76 Bennett Lesion
77 Test case #3 Labral Tear? Type? Type of SLAP? Involvement? Yes SLAP IV o clock
78 Anatomy
79 Adhesive Capsulitis
80 Capsular Disruption
81 Semantics Scholar Capsular Injuries
82 Humeral avulsion of the glenohumeral ligament (HAGL lesion) Radiopedia
83 Bony humeral avulsion of the glenohumeral ligament (BHAGL lesion)
84 Glenoid avulsion of the glenohumeral ligament (GAGL lesion)
85 Rotator Cuff Interval Edema
86 Glenohumeral Osteoarthritis
87 Glenohumeral Osteoarthritis #2
88 Glenohumeral Osteoarthritis #3
89 Glenohumeral Osteoarthritis on CT
90 Greater Tuberosity Fracture
91 Rotator Cuff Repair
92 Biceps tenodesis
93 Labral Repair
94 Clavicular Repair
95 MRI of the Shoulder What to look for and how to find it? Dr. Eric Handley Musculoskeletal Radiologist Cherry Creek Imaging
96 Enchondroma
MRI SHOULDER WHAT TO SEE
MRI SHOULDER WHAT TO SEE DR SHEKHAR SRIVASTAV Sr. Consultant- Knee & Shoulder Arthroscopy Sant Parmanand Hospital Normal Anatomy Normal Shoulder MRI Coronal Oblique Sagital Oblique Axial Cuts Normal Coronal
More informationIndex. Note: Page numbers of article titles are in boldface type.
Magn Reson Imaging Clin N Am 12 (2004) 185 189 Index Note: Page numbers of article titles are in boldface type. A Acromioclavicular joint, MR imaging findings concerning, 161 Acromion, types of, 77 79
More informationGlenohumeral Joint Instability. Static Stabilizers of the GHJ. Static Stabilizers of the GHJ. Static Stabilizers of the GHJ
1 Glenohumeral Joint Instability GHJ Joint Stability: Or Lack Thereof! Christine B. Chung, M.D. Assistant Professor of Radiology Musculoskeletal Division UCSD and VA Healthcare System Static Stabilizers
More informationSports Medicine: Shoulder Arthrography. Christine B. Chung, M.D. Professor of Radiology Musculoskeletal Division UCSD and VA Healthcare System
Sports Medicine: Shoulder Arthrography Christine B. Chung, M.D. Professor of Radiology Musculoskeletal Division UCSD and VA Healthcare System Disclosure Off-label use for gadolinium Pediatric Sports Injuries
More informationMR Arthrography of the Shoulder - A Beginner's Guide
MR Arthrography of the Shoulder - A Beginner's Guide Poster No.: C-1034 Congress: ECR 2011 Type: Educational Exhibit Authors: A. Jain, S. Connolly; Prescot/UK Keywords: Pathology, Arthrography, MR, Musculoskeletal
More informationUS finding of the shoulder (with live demonstration) 인제의대상계백병원 안재기
US finding of the shoulder (with live demonstration) 인제의대상계백병원 안재기 Shoulder US Biceps tendon & Rotator Cuff Long Head of Biceps Tendon Subscapularis tendon Supraspinatus tendon Infraspinatus tendon Teres
More informationAnterior shoulder instability: Evaluation using MR arthrography.
Anterior shoulder instability: Evaluation using MR arthrography. Poster No.: C-2407 Congress: ECR 2016 Type: Educational Exhibit Authors: C. Lord, I. Katsimilis, N. Purohit, V. T. Skiadas; Southampton/UK
More informationAPPROPRIATE USE GUIDELINES
APPROPRIATE USE GUIDELINES Appropriateness of Advanced Imaging Procedures (MRI, CT, Bone Scan/PET) in Patients with Shoulder Pain CDI QUALITY INSTITUTE: PROVIDER LED ENTITY (PLE) Compiled by Rob Liddell,
More informationRole of Magnetic Resonance Imaging in Internal Derangement of Shoulder
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 15, Issue 5 Ver. I (May. 2016), PP 22-26 www.iosrjournals.org Role of Magnetic Resonance Imaging in Internal
More informationArthroscopy / MRI Correlation Conference. Department of Radiology, Section of MSK Imaging Department of Orthopedic Surgery 7/19/16
Arthroscopy / MRI Correlation Conference Department of Radiology, Section of MSK Imaging Department of Orthopedic Surgery 7/19/16 Case 1: 29 YOM with recurrent shoulder dislocations Glenoid Axial T1FS
More informationUltrasound of the Shoulder
Ultrasound of the Shoulder Patrick Battaglia, DC, DACBR Logan University, Department of Radiology Outline Review ultrasound appearance of NMSK tissues Present indications for ultrasound of the shoulder.
More informationMRI evaluation of the shoulder: Beyond rotator cuff
MRI evaluation of the shoulder: Beyond rotator cuff Poster No.: C-2447 Congress: ECR 2015 Type: Educational Exhibit Authors: C. Rumie, A. Vasquez, J. A. Abreu, A. P. Guarnizo, O. Rivero, 1 1 2 3 1 1 1
More informationMusculoskeletal Ultrasound. Technical Guidelines SHOULDER
Musculoskeletal Ultrasound Technical Guidelines SHOULDER 1 Although patient s positioning for shoulder US varies widely across different Countries and Institutions reflecting multifaceted opinions and
More informationThe suction cup mechanism is enhanced by the slightly negative intra articular pressure within the joint.
SHOULDER INSTABILITY Stability A. The stability of the shoulder is improved by depth of the glenoid. This is determined by: 1. Osseous glenoid, 2. Articular cartilage of the glenoid, which is thicker at
More informationHAGL lesion of the shoulder
HAGL lesion of the shoulder A 24 year old rugby player presented to an orthopaedic surgeon with a history of dislocation of the left shoulder. It reduced spontaneously and again later during the same match.
More informationR. Frank Henn III, MD. Associate Professor Chief of Sports Medicine Residency Program Director
R. Frank Henn III, MD Associate Professor Chief of Sports Medicine Residency Program Director Disclosures No financial relationships to disclose 1. Labral anatomy 2. Adaptations of the throwing shoulder
More informationSHOULDER MRI OSSEOUS OUTLET
SHOULDER MRI OSSEOUS OUTLET -Acromion: Type I flat, II curved, III hooked (spur), IV convex (@sagittal); Lateral downsloping or low lying acromion w/ respect to clavicle (@coronal) -AC (degen arthrosis,
More informationThe Upper Limb II. Anatomy RHS 241 Lecture 11 Dr. Einas Al-Eisa
The Upper Limb II Anatomy RHS 241 Lecture 11 Dr. Einas Al-Eisa Sternoclavicular joint Double joint.? Each side separated by intercalating articular disc Grasp the mid-portion of your clavicle on one side
More informationSHOULDER PROBLEMS & ARTHROSCOPIC MANAGEMENT
SHOULDER PROBLEMS & ARTHROSCOPIC MANAGEMENT DR.SHEKHAR SRIVASTAV Sr. Consultant-KNEE & SHOULDER Arthroscopy Sant Parmanand Hospital,Delhi Peculiarities of Shoulder Elegant piece of machinery It has the
More informationRad Tech 4643 MRI Torso and Extremities
Rad Tech 4643 MRI Torso and Extremities Prostate Cancer Leiomyoma Retroverted Anteverted Ovarian Cyst Gone Wrong Fibroid (Leiomyoma) IUD Ovary Hysterectomy? What are we to see when imaging a female pelvis
More informationLawrence Gulotta Gillian Lieberman, MD October Gillian Lieberman, MD. Shoulder Imaging. Lawrence V. Gulotta, HMS IV 10/16/02
October 2002 Shoulder Imaging Lawrence V. Gulotta, HMS IV 10/16/02 Goals Review Anatomy of the Shoulder -Dynamic Stabilizers -> Rotator Cuff -Static Stabilizers -> Labrum and Capsule Systematic Approach
More informationROTATOR CUFF DISORDERS/IMPINGEMENT
ROTATOR CUFF DISORDERS/IMPINGEMENT Dr.KN Subramanian M.Ch Orth., FRCS (Tr & Orth), CCT Orth(UK) Consultant Orthopaedic Surgeon, Special interest: Orthopaedic Sports Injury, Shoulder and Knee Surgery, SPARSH
More informationPatient ID. Case Conference. Physical Examination. Image examination. Treatment 2011/6/16
Patient ID Case Conference R3 高逢駿 VS 徐郭堯 55 y/o female C.C.: recurrent right shoulder dislocation noted since falling down injury 2 years ago Came to ER because of dislocation for many times due to minor
More informationThe glenohumeral joint has a unique anatomic configuration
Imaging of Glenohumeral Instability Timothy G. Sanders, MD,*, Michael Zlatkin, MD,*, and Justin Montgomery, MD The glenohumeral joint has a unique anatomic configuration designed to maximize the positioning
More informationShoulder MR arthrography
Shoulder MR arthrography Poster No.: C-2273 Congress: ECR 2010 Type: Topic: Educational Exhibit Musculoskeletal - Joints Authors: E. E. Martin, J. Cadena Berecoechea, A. Cadena Berecochea, D. Sarroca,
More informationSHOULDER INSTABILITY
SHOULDER INSTABILITY Dr.KN Subramanian M.Ch Orth., FRCS (Tr & Orth), CCT Orth(UK) Consultant Orthopaedic Surgeon, Special interest: Orthopaedic Sports Injury, Shoulder and Knee Surgery, SPARSH Hospital
More informationRotator Cuff and Biceps Pathology
Rotator Cuff and Biceps Pathology Jon A. Jacobson, M.D. Professor of Radiology Director, Division of Musculoskeletal Radiology University of Michigan Disclosures: Consultant: Bioclinica Advisory Board:
More informationCommon Applications for Sonography and Guided Intervention: Shoulder
Common Applications for Sonography and Guided Intervention: Shoulder Jon A. Jacobson, M.D. Professor of Radiology Director, Division of Musculoskeletal Radiology University of Michigan Disclosures: Consultant:
More informationGlenohumeral Joint Instability: An Athlete s Perspective
Anatomic Considerations Glenohumeral Joint Instability: An Athlete s Perspective Michael D. Loeb, MD Texas Orthopedics, Sports Medicine, and Rehabilitation Associates Austin, Texas Static Stabilizers Osseous
More informationUltrasound assessment of most frequent shoulder disorders
Ultrasound assessment of most frequent shoulder disorders Poster No.: C-2026 Congress: ECR 2014 Type: Educational Exhibit Authors: S. P. Ivanoski; Ohrid/MK Keywords: Trauma, Athletic injuries, Arthritides,
More informationMagnetic resonance imaging (MRI) is becoming
Farshad-Amacker et al Jan Feb 2013 [ Imaging ] The Primer for Sports Medicine Professionals on Imaging: The Shoulder Nadja A. Farshad-Amacker, MD,* Sapna Jain Palrecha, MD, and Mazda Farshad, MD, MPH Because
More informationIndex. radiologic.theclinics.com. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Acromioclavicular joint injuries in football players, 318, 319 ALPSA. See Anterior labroligamentous periosteal sleeve avulsion. Anterior
More informationRotator cuff. MR Imaging of the Shoulder: Rotator Cuff. Trauma. Trauma. Trauma. Tendon calcification. Acute. Degenerative. Trauma Calcific tendinitis
Rotator cuff MR Imaging of the Shoulder: Rotator Cuff Dr. Mini N. Pathria M.D., FRCP(C) Department of Radiology University of California School of Medicine San Diego, California Acute Trauma Calcific tendinitis
More informationProvider Led Entity. CDI Quality Institute PLE Shoulder AUC 05/22/2018
Provider Led Entity CDI Quality Institute PLE Shoulder AUC 05/22/2018 Appropriateness of advanced imaging procedures* in patients with shoulder pain and the following clinical presentations: *Including
More informationManagement of Anterior Shoulder Instability
Management of Anterior Shoulder Instability Angelo J. Colosimo, MD Head Orthopaedic Surgeon University of Cincinnati Athletics Director of Sports Medicine University of Cincinnati Medical Center Associate
More information, Subject Index. 8o-88 83
, Subject Index A abraders 36 acromial - morphologies 272 - shapes 314 - thickness 314 acromionizer 36 acromioclavicular joint 14-15 variants 114 - arthroscopic resection of the lateral davide 339-347
More informationBankart lesion icd 10
Bankart lesion icd 10 Search Bony bankart lesion icd 10 -- Than 10 all season directly to their religious gun grips beaches amazing food producers on overall duck numbers. Especially when bony. 1-11- 2002
More informationThe Shoulder. Anatomy and Injuries PSK 4U Unit 3, Day 4
The Shoulder Anatomy and Injuries PSK 4U Unit 3, Day 4 Shoulder Girdle Shoulder Complex is the most mobile joint in the body. Scapula Clavicle Sternum Humerus Rib cage/thorax Shoulder Girdle It also includes
More informationCase study # 6 Sharon P
Patient is a morbidly obese 70 year old female presenting with left shoulder pain after a severe fall. Patient is in moderate to severe pain with extremely limited range of motion due to extensive shoulder
More informationWhat can Imaging tell us?
What can Imaging tell us? David Connell FRANZCR, FFSEM (UK) Assoc Professor Dept of Medicine, Nursing & Healthcare Monash University, Melbourne, Australia Assoc Professor Sport & Exercise Medicine Research
More informationCommon Surgical Shoulder Injury Repairs
Common Surgical Shoulder Injury Repairs Mr Ilia Elkinson BHB, MBChB, FRACS (Ortho), FNZOA Orthopaedic and Upper Limb Surgeon Bowen Hospital Wellington Hospital Objectives Review pertinent anatomy of the
More informationStanding on the Shoulders of Giants: A Review of MRI Arthrography of the Shoulder
Standing on the Shoulders of Giants: A Review of MRI Arthrography of the Shoulder Poster No.: P-0035 Congress: ESSR 2012 Type: Scientific Exhibit Authors: H. Gajjar, P. A. Tyler, M. Calleja, D. Fox, L.
More informationStanding on the Shoulders of Giants: A Review of MRI Arthrography of the Shoulder
Standing on the Shoulders of Giants: A Review of MRI Arthrography of the Shoulder Poster No.: P-0035 Congress: ESSR 2012 Type: Scientific Exhibit Authors: H. Gajjar, P. A. Tyler, M. Calleja, D. Fox, L.
More informationMRI of Shoulder Instabilities
MRI of Shoulder Instabilities Anna Hirschmann, MD Musculoskeletal Division Clinic of Radiology and Nuclear Medicine University of Basel Hospital Glenohumeral Articulation Centering of the humeral head
More informationShoulder Arthroscopy. Dr. J.J.A.M. van Raaij. NOV Jaarvergadering Den Bosch 25 jan 2018
Shoulder Arthroscopy Dr. J.J.A.M. van Raaij NOV Jaarvergadering Den Bosch 25 jan 2018 No disclosures Disclosure Shoulder Instability Traumatic anterior Traumatic posterior Acquired atraumatic Multidirectional
More informationMR arthrography of glenohumeral lesions with arthroscopic correlation, using PD and T2 sequences in addition to standard fat saturated sequences
MR arthrography of glenohumeral lesions with arthroscopic correlation, using PD and T2 sequences in addition to standard fat saturated sequences Poster No.: C-2217 Congress: ECR 2010 Type: Educational
More informationShoulder direct arthrography: how to do and how to read
Shoulder direct arthrography: how to do and how to read Poster No.: C-1566 Congress: ECR 2016 Type: Educational Exhibit Authors: F. M. G. S. Pereira da Silva, H. Donato, D. Roriz, L. A. 1 1 1 1 2 1 1 Ferreira,
More informationIndex. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Abduction pillow, ultrasling, 880, 881, 882, 883 Adolescents, shoulder instability in. See Shoulder, instability of, pediatric and adolescent.
More informationInjury, Int. J. Care Injured 44 S3 (2013) S26 S32. Contents lists available at SciVerse ScienceDirect. Injury
Injury, Int. J. Care Injured 44 S3 (213) S26 S32 Contents lists available at SciVerse ScienceDirect Injury journal homepage: www.elsevier.com/locate/injury Diagnostic value of US, MR and MR arthrography
More informationChronic Shoulder Disorders
Chronic Shoulder Disorders Dr. Mustafa Elsingergy Consultant orthopedic surgeon Dallah Hospita Prof. Mamoun Kremli Almaarefa Medical College Contents INTRINSIC Shoulder Pain Due to causes in the shoulder
More informationThe Shoulder. Systematically scanning the shoulder provides extremely useful diagnostic information. The Shoulder
1 ! The most ACCESSIBLE to sonographic exam! The most MOBILE and VULNERABLE extremity AND Systematically scanning the shoulder provides extremely useful diagnostic information! The Goal for this section
More informationMastering the Musculoskeletal Exam UCSF Essentials of Women s Health July 7, 2016 Carlin Senter, M.D. Henry Crevensten, M.D.
Mastering the Musculoskeletal Exam UCSF Essentials of Women s Health July 7, 2016 Carlin Senter, M.D. Henry Crevensten, M.D. I have nothing to disclose Outline Knee exam Shoulder exam Knee Anatomy The
More informationShoulder Arthroscopy Lab Manual
Shoulder Arthroscopy Lab Manual Dalhousie University Orthopaedic Program May 5, 2017 Skills Centre OBJECTIVES 1. Demonstrate a competent understanding of the arthroscopic anatomy and biomechanics of the
More informationWhat to Order and How to Interpret the Report
What to Order and How to Interpret the Report C. Benjamin Ma, MD Professor in Residence Shoulder and Sports Medicine University of California, San Francisco Department of Orthopaedic Surgery Imaging Different
More informationwww.fisiokinesiterapia.biz Shoulder Problems Fractures Instability Impingement Miscellaneous Anatomy Bones Joints / Ligaments Muscles Neurovascular Anatomy Anatomy Supraspinatus Anterior Posterior Anatomy
More informationMR Imaging in Athlete s Hip/Pelvis
MR Imaging in Athlete s Hip/Pelvis Tara Lawrimore, MD FRCPC Department of Radiology Musculoskeletal Division Massachusetts General Hospital Harvard Medical School No disclosures MR and Hip Pain in the
More informationThe Shoulder. By Patrick Ryan, Bobby Law, Jack Beaty, Alex Newhouse and Chuck Nelson
The Shoulder By Patrick Ryan, Bobby Law, Jack Beaty, Alex Newhouse and Chuck Nelson Learning Objectives/Agenda Review the anatomy of the shoulder Describe the main diseases of the shoulder Describe the
More informationShoulder Arthroscopy Portals
Shoulder Arthroscopy Portals Alper Deveci and Metin Dogan 7 7.1 Bony Landmarks Before starting shoulder arthroscopy, the patient must be positioned and draping applied. Then the bony landmarks are identified
More informationFUNCTIONAL ANATOMY OF SHOULDER JOINT
FUNCTIONAL ANATOMY OF SHOULDER JOINT ARTICULATION Articulation is between: The rounded head of the Glenoid cavity humerus and The shallow, pear-shaped glenoid cavity of the scapula. 2 The articular surfaces
More informationCLINICAL PRESENTATION AND RADIOLOGY QUIZ QUESTION
Donald L. Renfrew, MD Radiology Associates of the Fox Valley, 333 N. Commercial Street, Suite 100, Neenah, WI 54956 9/22/2012 Radiology Quiz of the Week # 91 Page 1 CLINICAL PRESENTATION AND RADIOLOGY
More informationThe shoulder girdle consists of the glenohumeral, acromioclavicular, sternoclavicular and scapulothoracic joints
Anatomy of Shoulder Girdle The shoulder girdle consists of the glenohumeral, acromioclavicular, sternoclavicular and scapulothoracic joints Glenohumeral Joint A ball and socket synoval joint with a large
More informationThe Shoulder. Jill Inouye Primary Care Sports Medicine Family Medicine Resident School February 26, 2014
The Shoulder Jill Inouye Primary Care Sports Medicine Family Medicine Resident School February 26, 2014 Objectives Review shoulder anatomy Explain and demonstrate shoulder physical exam Diagnosis and management
More informationCLINICAL ARTICLE. Abstract. Diagnostic applications of shoulder sonography Rotator cuff tears
Page 66 / SA ORTHOPAEDIC JOURNAL Autumn 2011 Vol 10 No 1 C L I N I C A L A RT I C L E Ultrasound and the shoulder surgeon Joe de Beer MBChB, MMed (Ortho) Karin van Rooyen MBChB Hans van der Bracht MD Cape
More informationImaging of the shoulder
ISBN: PPI201402DC4571 WWW.BOTICA.COM.VE ISSN: 2443-4388 Imaging of the shoulder ABSTRACT It is difficult to precisely define which imaging method is the gold standard in the evolution of numerous problems
More informationPediatric Musculoskeletal Ultrasound: Cases reviewed and lessons learned
Pediatric Musculoskeletal Ultrasound: Cases reviewed and lessons learned Jessica Leschied, MD Sections of Pediatric and Musculoskeletal Radiology C.S. Mott Children s Hospital University of Michigan Ann
More informationDISTINGUISHING BETWEEN ACUTE AND CHRONIC ROTATOR CUFF INJURIES IN WORKERS COMPENSATION PATIENTS
DISTINGUISHING BETWEEN ACUTE AND CHRONIC ROTATOR CUFF INJURIES IN WORKERS COMPENSATION PATIENTS Lyndon B. Gross M.D. Ph.D. The Orthopedic Center of St. Louis SHOULDER PAIN Third most common musculoskeletal
More informationP.O. Box Sierra Park Road Mammoth Lakes, CA Orthopedic Surgery & Sports Medicine
P.O. Box 660 85 Sierra Park Road Mammoth Lakes, CA 93546 SHOULDER: Instability Dislocation Labral Tears The shoulder is the most mobile joint in the body, but to have this amount of motion, it is also
More informationThis presentation is the intellectual property of the author. Contact them for permission to reprint and/or distribute.
MRI of the Knee Jennifer Swart, M.D. Musculoskeletal Radiology South Texas Radiology Group Outline Coils, Patient Positioning Acquisition Parameters, Planes and Pulse Sequences Knee Arthrography Normal
More informationShoulder Case Studies
Shoulder Case Studies Eden Raleigh Orthopaedic Surgeon Shoulder & Knee Surgery Ph: 9421 1900 0402697115 dredenraleigh@gmail.com My Background Specialising in Shoulder and Knee Surgery Main focus on Arthroscopic/Sports
More informationArthroscopic Findings After Traumatic Shoulder Instability in Patients Older Than 35 Years
Arthroscopic Findings After Traumatic Shoulder Instability in Patients Older Than 35 Years Elisabeth C. Robinson,* MD, Vijay B. Thangamani, MD, Michael A. Kuhn, MD, and Glen Ross, MD Investigation performed
More information11/13/2017. Disclosures: The Irreparable Rotator Cuff. I am a consultant for Arhtrex, Inc and Endo Pharmaceuticals.
Massive Rotator Cuff Tears without Arthritis THE CASE FOR SUPERIOR CAPSULAR RECONSTRUCTION MICHAEL GARCIA, MD NOVEMBER 4, 2017 FLORIDA ORTHOPAEDIC INSTITUTE Disclosures: I am a consultant for Arhtrex,
More informationDiagnosis and Treatment of Common Shoulder Disorders
Diagnosis and Treatment of Common Shoulder Disorders NAOEM Oct 14 th, 2017 Michael Codsi, M.D. www.drcodsi.com Learning Objectives SLAP tears diagnosis, imaging and treatment How to diagnose rotator cuff
More informationThis presentation is the intellectual property of the author. Contact them at for permission to reprint and/or distribute.
MRI of the Knee Jennifer Swart, M.D. Musculoskeletal Radiology South Texas Radiology Group Financial Disclosure Dr. Jennifer Swart has no relevant financial relationships with commercial interests to disclose.
More informationResearch Article A Concise and Comprehensive Description of Shoulder Pathology and Procedures: The 4D Code System
Advances in Orthopedics Volume 2012, Article ID 930543, 10 pages doi:10.1155/2012/930543 Research Article A Concise and Comprehensive Description of Shoulder Pathology and Procedures: The 4D Code System
More informationReview shoulder anatomy Review the physical exam of the shoulder Discuss some common causes of acute shoulder pain Discuss some common causes of
Review shoulder anatomy Review the physical exam of the shoulder Discuss some common causes of acute shoulder pain Discuss some common causes of chronic shoulder pain Review with some case questions Bones:
More informationIntroduction & Question 1
Page 1 of 7 www.medscape.com To Print: Click your browser's PRINT button. NOTE: To view the article with Web enhancements, go to: http://www.medscape.com/viewarticle/424981 Case Q & A Shoulder Pain, Part
More informationCase 27 Clinical Presentation
53 Case 27 Clinical Presentation 40-year-old man presents with acute shoulder pain and normal findings on radiographs. 54 RadCases Musculoskeletal Radiology Imaging Findings (,) Coronal images of the shoulder
More informationAnatomy of the Musculoskeletal System
Anatomy of the Musculoskeletal System Kyle E. Rarey, Ph.D. Department of Anatomy & Cell Biology and Otolaryngology University of Florida College of Medicine Outline of Presentation Vertebral Column Upper
More informationShoulder Injuries. Glenoid labrum injuries. SLAP Lesions
Shoulder Injuries functional anatomy clinical perspective impingement rotator cuff injuries glenoid labrum injuries dislocation Glenoid labrum injuries SLAP lesions stable or unstable traction/compression
More informationShoulder Instability. Fig 1: Intact labrum and biceps tendon
Shoulder Instability What is it? The shoulder joint is a ball and socket joint, with the humeral head (upper arm bone) as the ball and the glenoid as the socket. The glenoid (socket) is a shallow bone
More informationMUSCLES OF SHOULDER REGION
Dr Jamila EL Medany OBJECTIVES At the end of the lecture, students should: List the name of muscles of the shoulder region. Describe the anatomy of muscles of shoulder region regarding: attachments of
More informationBody Planes. (A) Transverse Superior Inferior (B) Sagittal Medial Lateral (C) Coronal Anterior Posterior Extremity Proximal Distal
Body Planes (A) Transverse Superior Inferior (B) Sagittal Medial Lateral (C) Coronal Anterior Posterior Extremity Proximal Distal C B A Range of Motion Flexion Extension ADDUCTION ABDUCTION Range of Motion
More informationShoulder arthroscopy. Mohammad nasir Naderi, MD Fellowship in shoulder and arthroscopic surgery
Shoulder arthroscopy Mohammad nasir Naderi, MD Fellowship in shoulder and arthroscopic surgery Shoulder arthroscopy Evolve understanding of anatomy and pathophysiology of shoulder This technology, allow
More informationsignificant increase of glenohumeral translation at middle and lower elevation angles [6].
significant increase of glenohumeral translation at middle and lower elevation angles [6]. Two types of injury mechanisms have been postulated for superior labral tears. 1. Traction injury : Chronic repetitive
More informationStefan C Muzin, MD PM&R Attending Physician, Beth Israel Deaconess Medical Center, Harvard Medical School Onsite Physiatrist, GE Aviation, Lynn, MA
Stefan C Muzin, MD PM&R Attending Physician, Beth Israel Deaconess Medical Center, Harvard Medical School Onsite Physiatrist, GE Aviation, Lynn, MA Consultant, OEHN (Occupational and Environmental Network)
More information1. The coordinated action of a scapular upward rotation and humeral abduction is known as the:
1 1. The coordinated action of a scapular upward rotation and humeral abduction is known as the: a. Carrying angle of the arm b. Scapulohumeral rhythm c. Glenohumeral capsular pattern d. Abduction resistance
More information6/11/2015. MRI Arthroscopy Correlations: Rotator Cuff. Disclosures. Biomet, Inc Consulting and Speaking. Case #1
6/11/2015 MRI Arthroscopy Correlations: Rotator Cuff Disclosures Biomet, Inc Consulting and Speaking Case #1 1 6/11/2015 Case #1 45 y/o RHD male s/p fall from ladder 3mos ago Pain at night and with overhead
More informationRadiological assessment of shoulder instability
REVIEW Radiological assessment of shoulder instability Shoulder instability is a common problem, defined as symptomatic motion of the glenohumeral joint that can present as pain or a sense of displacement.
More informationWORKPLACE SAFETY AND INSURANCE APPEALS TRIBUNAL DECISION NO. 401/14
WORKPLACE SAFETY AND INSURANCE APPEALS TRIBUNAL DECISION NO. 401/14 BEFORE: S. Netten: Vice-Chair HEARING: February 21, 2014 at Toronto Written Post-hearing activity completed on April 29, 2014 DATE OF
More informationI (and/or my co-authors) have something to disclose.
Shoulder Anatomy And Biomechanics Nikhil N Verma, MD Director of Sports Medicine Professor, Department of Orthopedics Rush University Team Physician, Chicago White Sox and Bulls I (and/or my co-authors)
More informationShoulder Injuries: Treatments that Work, Do Not Work, and When ENOUGH is Enough? Mark Ganjianpour, M.D. Beverly Hills, CA April 20, 2012
Shoulder Injuries: Treatments that Work, Do Not Work, and When ENOUGH is Enough? Mark Ganjianpour, M.D. Beverly Hills, CA April 20, 2012 Multiaxial ball and socket Little Inherent Instability Glenohumeral
More informationAMSER Case of the Month January 2019
AMSER Case of the Month January 2019 55 yo female presenting with 1 year of shoulder pain without prior trauma Nicholas Bertha, MS4 Drexel University College of Medicine Brandon Schooley, MD Allegheny
More information2015 OPSC Annual Convention. syllabus. February 4-8, 2015 Hyatt Regency Mission Bay San Diego, California
2015 OPSC Annual Convention syllabus February 4-8, 2015 Hyatt Regency Mission Bay San Diego, California THURSDAY, FEBRUARY 5, 2015: 3:30pm - 4:30pm The Shoulder: 2 View or Not 2 View * Presented by Alexandra
More informationWORKPLACE SAFETY AND INSURANCE APPEALS TRIBUNAL DECISION NO. 2134/16
WORKPLACE SAFETY AND INSURANCE APPEALS TRIBUNAL DECISION NO. 2134/16 BEFORE: S. Peckover: Vice-Chair HEARING: August 24, 2016 at Toronto Written DATE OF DECISION: September 21, 2016 NEUTRAL CITATION: 2016
More informationSHOULDER ARTHROSCOPY
SHOULDER ARTHROSCOPY PATIENT HANDBOOK Physical/Occupational Therapy 3755 Orange Place, Suite 101 Beachwood, OH 44122 216-312-6045 Therapist: Post-Op Visit: Anatomy and Function of the Shoulder The shoulder
More informationMRI of the long head of the biceps tendon: a pictorial review.
MRI of the long head of the biceps tendon: a pictorial review. Poster No.: C-1861 Congress: ECR 2014 Type: Educational Exhibit Authors: P. Dewachter, L. Dewachter, A. P. Parkar ; Lier/BE, Bergen/ NO Keywords:
More informationManagement of Massive/Revision Rotator Cuff Tears
Management of Massive/Revision Rotator Cuff Tears Nikhil N. Verma MD, Director Sports Medicine, Rush University Medical Center, Midwest Orthopedics at Rush, Chicago, IL nverma@rushortho.com I. Anatomy
More informationEvaluating shoulder injuries in primary care Bethany Reed, MSn, AGPCNP-BC One Medical Group
Evaluating shoulder injuries in primary care Bethany Reed, MSn, AGPCNP-BC One Medical Group Disclosures There has been no commercial support or sponsorship for this program. The planners and presenters
More information