SHOULDER MRI OSSEOUS OUTLET
|
|
|
- Audrey Morton
- 6 years ago
- Views:
Transcription
1 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, capsular hypertrophy, inf spurring, mass effect on musculotend jct, geyser synovial cyst) -CAL=Coracoacromial ligament hypertrophy (@sagittal) mimics inferior acromial spur -CCL=Coracoclavicular lig (trapezoid lig ant & lat to conoid lig which is more imp) along coracoclavicular interval: best seen on cor and sag -Os (fused by age25) -Muscle overdevelopment (hypertrophy) ROTATOR CUFF (sag and cor T2 FS not PD FS) look for intact fat plane btwn acromion and rotator cuff on cor T1 -don t have synovial sheath; Magic angle 1cm prox to insert supraspin (short TE T1/PD/GRE, except T2) -Tendinopathy/Tendinosis (SIT inserts on Greater Tub and Subscapsularis inserts Lesser Tub) -Supraspinatus (ant-sup) and deltoid abduct; infraspinatus (post-sup) and teres minor (post-inf) ext rot; subscapularis (ant) int rot -Foot plate and adjacent bare area (medial) on greater tuberosity -conjoined tendons of supra and infraspinatus -Tendinopathy vs Partial tear (undersurface or articular surface>bursal surface; rim-rent=distally at bony attachment site) -Full thickness tear (focal perforation) -Interstitial /longitudinal tear or delamination (intramuscular cyst) -Complete tear (partially displacement or retraction of musculotendinous jct which should be just lat to AC jt) -Massive cuff tear -SUBSCAPULARIS: 4tendons (superior tendinous slip aka biceps stabilizer; upper intramuscular tendon; remaining intramuscular tendon; muscular insertion) -HADD (near supraspin; darker than tendon; blooms on GRE) -Degen cystic changes at greater tuberosity -Bursa Subacromial/Subdeltoid vs Subcoracoid (not comm w/ jt but comm w/ subacr/subdelt bursa 20%; inf to coracoid; ant to subscap tendon) not same as subscapularis recess -Rotator interval (@sagittal btwn supraspin&subscap) contains biceps; CHL+SGHL forms biceps pulley; patulous/torn if athroscopy/disloc -Muscular atrophy (@T1 fatty infiltration marbled ): disuse vs denervation (acute>2wks to1year=edema; chronic>1year=fatty atrophy) LABRUM/CAPSULE (@PD FS cor and axial) triangular>rounded; myxoid degen with aging -Anterior labrum (describe signal abnl, location, extent, assoc biceps anchor abnl, assoc cartilaginous abnl) -Biceps labral sulcus or art cartilage undercutting = seen on coronal; sublabral recess or sublabral foramen = seen on axial -SLAP (extend post beyond biceps insertion on sup labrum;look for detached labrum;torn biceps-labral anchor;partial/full thick tear) -Bankart (complete detached anterior-inferior labrolig complex w/ torn periosteum; loss of triangular shape and incr signal) -Perthes (nondisplaced tear of the anteroinferior labrum; similar to ALPSA but labrum is scarred down to its original site) -ALPSA (periosteal sleeve avulsion + labrolig complex displaced medially; periosteum stripped but not torn off; lot of scar if chronic) -GLAD (non-displaced anteroinferior labral tear w/ chondral defect from impaction-type injury) -Posterior labrum (6-11o clock)= Reverse bankart and Bennett (calc of posterior joint capsule or IGHL) post labrum may be nl blunted -Paralabral cyst (more common with posterior labral tear) -Glenohum and sagittal (labrolig complex; SGHL curvilinear along coracoid ant to biceps, MGHL post to subscap tendon and absent in 30% w/o BUFORD, IGHL most imp with ant/post band ax pouch/recess) -Adhesive capsulitis <7cc (small capsular recess, decr jt capacity, thickened serrated capsule>4mm, thick IGHL at ax pouch or CHL in rot int) -ABER view good for inferior labrum (ant is on opposite side as coracoid) posterosuperior (relaxed) and anteroinferior (under tension) labrum; may diagnose Perthes; also eval undersurface of suprapsinatus and infraspinatus; can look for posterior subluxation b/c under tension; can diagnose posterior-superior internal impingement (which includes post labral tear, greater tub cystic changes, undersurface tear of IS) BONE/CARTILAGE (cartilage best on PD FS) -Marrow signal -Cartilage (hyaline): thinning, fraying or superficial fibrillation, partial thickness defect, full-thickness defect -Bankart (ant-inf) / Hillsach s (on top 3 axial views posterolaterally at or above coracoid) vs Reverse Bankart (post) / Trough (anteromed)
2 -Humeral head subluxation (acromiohumeral interval) -Capsular laxity (Type III medial capsular insertion >1cm medial to -Subcoracoid impingement (if distance btwn coracoid and humeral head is <1cm on axial with edema or cystic changes of lesser tuberosity) -Greater tuberosity: horizontal facet (sup-ant)=supraspinatus; oblique facet (middle)=supra/infraspinatus; posterior/vertical facet (inf)=teres minor -Glenoid bare spot (kids10-20yo only): range in size from 2.5-9mm; usually center of glenoid -Little league shoulder (proximal lateral humeral physis BM edema; widening of physis; +/- metaphyseal fragmentation) LH Biceps tendon (axial and cor) (long head in bicipital groove rotator interval under supraspinatus sup labrum biceps-labral tubercle seen on anterior slices on coronal; short head of biceps coracoid) -Tendinopathy vs tenosynovitis (remember comm. w/ joint) vs tear (assoc w/ supraspinatus tears); focal stenosing tensynovitis (loc fluid+septa) -Located within Rotator interval (medial and lateral aspects of coracohumeral lig and the SGHL keep it in place) -Sublux vs disloc (perched vs anteromed vs medial; biceps located deep vs sup to subscap), empty bicipital groove (BICEPS PULLEY medially=subscap+ SGHL/medial CHL and laterally=lateral CHL) -Postop: tenotomy (cut) vs tenodesis (re-attach) MISC -Effusion -Loose body (subscap recess) -Avulsion of IGHL=HAGL/BAGHL (bony avulsion) -Suprascapular notch (SS,IS) vs Spinoglenoid notch (IS) nerve entrapment -Parsonage turner (acute viral brachial neuritis with multiple muscle edema SS, IS, deltoid) -Quadrilateral space syn (located post axilla; btwn teres major/minor and long head triceps; axillary nerve; fatty atrophy deltoid, teres minor) -Adenopathy or Chest wall / Pulmonary lesion -Deltoid muscle/tendon slip (inserts on acromion) -Post-op shoulder (anchors, metal shaving, scar, granulation tissue=lowt1/hit2 during 1 st year) -PECTORALIS MAJOR: clavicular head (sup; arises from medial 1/3 to 2/3 of clavicle) and sternal head (inf and deep; arises from manubrium/sternum/ribs) of pec major unite to form bilaminar tendon; tendon is curvilinear low-signal band inserting onto the lateral ridge of the bicipital groove of proximal humerus; injury may only involve clavicular or sternal head or both; low or high-grade partial tear vs complete tear; location=at myotendinous jct vs partial/complete periosteal stripping/avulsion at humeral insertional site w/ or w/o retraction -PECTORALIS MINOR: origin 3/4/5 th anterior ribs and insertion is coracoid process of scapula Glenohumeral instability (prefer MR arthrogram) -Glenoid: labral abnl (bankart, perthes, or ALPSA), shallow/dysplastic glenoid -Capsular: thickened; laxity/tear (type III ant capsule inserts >1cm med to labrum -Humeral: HAGL or BHAGL -Rotator interval abnormality -Prior dislocation; deficient or torn GHL TUBS=traumatic unidirectional bankart surgery; AMBRI=atraumatic multidir bilat rehab inf capsular shift
3 ABER
4
5 Tendon anatomy: Microfibers/subfibrils fibers fascicles/bundles tendon
6
7
MRI of the Shoulder What to look for and how to find it? Dr. Eric Handley Musculoskeletal Radiologist Cherry Creek Imaging
MRI of the Shoulder What to look for and how to find it? Dr. Eric Handley Musculoskeletal Radiologist Cherry Creek Imaging MRI of the Shoulder Benefits of Ultrasound: * Dynamic * Interactive real time
MR 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
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
Glenohumeral 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
Patient 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
SHOULDER ANATOMY Karl Wieser, MD Department of Orthopedics, University of Zurich, Balgrist, Switzerland
20th Course in Shoulder Surgery Balgrist SHOULDER ANATOMY Karl Wieser, MD Department of Orthopedics, University of Zurich, Balgrist, Switzerland www.balgrist.ch ANATOMY OVERVIEW courtesy of Georg Lajtai
The 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
Musculoskeletal 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
The 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
The 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
FUNCTIONAL 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
Sports 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
THE SHOULDER JOINT T H E G L E N O H U M E R A L ( G H ) J O I N T
THE SHOULDER JOINT T H E G L E N O H U M E R A L ( G H ) J O I N T CLARIFICATION OF TERMS Shoulder girdle = scapula and clavicle Shoulder joint (glenohumeral joint) = scapula and humerus Lippert, p115
Rotator 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
SHOULDER 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
MUSCLES 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
7/31/2012 THE SHOULDER JOINT CLARIFICATION OF TERMS OSTEOLOGY OF THE GH JOINT(BONES)
THE SHOULDER JOINT T H E G L E N O H U M E R AL ( G H ) J O I N T CLARIFICATION OF TERMS Shoulder girdle = scapula and clavicle Shoulder joint (glenohumerual joint) = scapula and Lippert, p115 OSTEOLOGY
Ultrasound 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.
Shoulder Joint Examination. Shoulder Joint Examination. Inspection. Inspection Palpation Movement. Look Feel Move
Shoulder Joint Examination History Cuff Examination Instability Examination AC Joint Examination Biceps Tendon Examination Superior Labrum Examination Shoulder Joint Examination Inspection Palpation Movement
I (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)
Index. 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
The 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
MRI 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
Shoulder: Clinical Anatomy, Kinematics & Biomechanics
Shoulder: Clinical Anatomy, Kinematics & Biomechanics Dr. Alex K C Poon Department of Orthopaedics & Traumatology Pamela Youde Nethersole Eastern Hospital Clinical Anatomy the application of anatomy to
The 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
Arthroscopy / 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
US 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
Anterior 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
SYMPOSIUM: TRIBUTE TO DR. ANTHONY F. DEPALMA, FIRST EDITOR-IN-CHIEF
Clin Orthop Relat Res (2008) 466:543 551 DOI 10.1007/s11999-007-0103-5 SYMPOSIUM: TRIBUTE TO DR. ANTHONY F. DEPALMA, FIRST EDITOR-IN-CHIEF OF CLINICAL ORTHOPAEDICS AND RELATED RESEARCH The Classic Surgical
Anatomy of the Shoulder Girdle. Prof Oluwadiya Kehinde FMCS (Orthop)
Anatomy of the Shoulder Girdle Prof Oluwadiya Kehinde FMCS (Orthop) www.oluwadiya.com Bony Anatomy Shoulder Complex: Sternum(manubrium) Clavicle Scapula Proximal humerus Manubrium Sterni Upper part of
Lawrence 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
The 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
Joint G*H. Joint S*C. Joint A*C. Labrum. Humerus. Sternum. Scapula. Clavicle. Thorax. Articulation. Scapulo- Thoracic
A*C Joint Scapulo- Thoracic Articulation Thorax Sternum Clavicle Scapula Humerus S*C Joint G*H Joint Labrum AC Ligaments SC Ligaments SC JOINT AC Coracoacromial GH GH Ligament Complex Coracoclavicular
R. 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
Imaging 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
SHOULDER JOINT ANATOMY AND KINESIOLOGY
SHOULDER JOINT ANATOMY AND KINESIOLOGY SHOULDER JOINT ANATOMY AND KINESIOLOGY The shoulder joint, also called the glenohumeral joint, consists of the scapula and humerus. The motions of the shoulder joint
MRI 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:
SHOULDER 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
Region of upper limb attachment to the trunk Proximal segment of limb overlaps parts of the trunk (thorax and back) and lower lateral neck.
Region of upper limb attachment to the trunk Proximal segment of limb overlaps parts of the trunk (thorax and back) and lower lateral neck. includes Pectoral Scapular Deltoid regions of the upper limb
Standing 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.
Standing 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.
MRI 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
Scapular and Deltoid Regions
M1 Gross and Developmental Anatomy Scapular and Deltoid Regions Dr. Peters 1 Outline I. Skeleton of the Shoulder and Attachment of the Upper Extremity to Trunk II. Positions and Movements of the Scapula
Shoulder Injury Evaluation.
Shoulder Injury Evaluation www.fisiokinesiterapia.biz Basic Anatomy & Kinesiology 3 Bone Structures Clavicle Scapula Humerus Evaluation Principles Always follow a standard progression Determine the target
Pectoral region. Lecture 2
Pectoral region Lecture 2 Muscle Action Each muscle has: Origin Beginning. Insertion End. Body (belly). Law: When a muscle performs its action, its insertion, moves towards its origin. Spring 2016 Dr.
Shoulder 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
Case 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
Rotator 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:
Shoulder 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
APPROPRIATE 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,
Shoulder 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
Index. 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
26/9/2016. Anatomy. 1 Nour Erekat Wejdan Amer
26/9/2016 Anatomy st 1 Nour Erekat Wejdan Amer Notes before we start the lecture. Bring any colored Atlas with you to the lab. The main reference is clinical anatomy by regions by Richard snell the 9 th
Pectoral region. Lecture 2
Pectoral region Lecture 2 Muscle Action Each muscle has: Origin Beginning. Insertion End. Body (belly). Law: When a muscle performs its action, its insertion, moves towards its origin. Spring 2016 Dr.
Rotator Cuff Repair TRENDS OF REPAIRS. Evolution of Arthroscopic Repair. Shoulder Girdle. Rotator Cuff Repair 8/29/2013
Rotator Cuff Repair Indications, Patient Selection, Outcomes James C. Vailas, M.D. New Hampshire Orthopaedic Center September 14, 2013 New Hampshire Musculoskeletal Institute 20 th Annual Symposium Evolution
Shoulder 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,
Magnetic 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
Review 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:
Shoulder 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
WEEKEND 2 Shoulder. Shoulder Active Range of Motion Assessment
Virginia Orthopedic Manual Physical Therapy Institute - 2016 Technique Manual WEEKEND 2 Shoulder Shoulder Active Range of Motion Assessment - Patient Positioning: Standing, appropriately undressed so that
Shoulder Anatomy and a preface on the Shoulder Arthroscopy.
Shoulder Anatomy and a preface on the Shoulder Arthroscopy www.fisiokinesiterapia.biz Shoulder Anatomy Shoulder Anatomy Greatest ROM No inherent bony stability Relies on soft tissues for stability Many
What 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
The 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
MR 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
Anatomical Considerations/ Pathophysiology The shoulder is the most mobile joint in the body. : Three bones:
Introduction Musculoskeletal training is generally underrepresented in medical training and residency curriculums. There is a general deficit in musculoskeletal knowledge amongst current medical students,
This figure (of humerus) is from Dr. Maher's newest slides. -Its added here just for consideration-
This figure (of humerus) is from Dr. Maher's newest slides. -Its added here just for consideration- Slides of Anatomy Please note : These slides are Dr. Maher Hadidi s slides of spring 2016 and were edited
The Biomechanics of the Human Upper Extremity. Dr Ayesha Basharat BSPT, PP.DPT. M.PHIL
The Biomechanics of the Human Upper Extremity Dr Ayesha Basharat BSPT, PP.DPT. M.PHIL Sternoclavicular Joint Provides major axis of rotation for movement of clavicle and scapula Freely permitted frontal
Pectoral girdle, SUPERIEUR ARM AND HAND. Danil Hammoudi.MD
Pectoral girdle, SUPERIEUR ARM AND HAND Danil Hammoudi.MD The pectoral girdle is the set of bones which connect the upper limb to the axial skeleton on each side. It consists of the clavicle scapula in
Connects arm to thorax 3 joints. Glenohumeral joint Acromioclavicular joint Sternoclavicular joint
Connects arm to thorax 3 joints Glenohumeral joint Acromioclavicular joint Sternoclavicular joint Scapula Elevation Depression Protraction (abduction) Retraction (adduction) Downward Rotation Upward Rotation
Glenohumeral Joint. Glenohumeral Joint. Glenohumeral Joint. Glenohumeral Joint. Glenohumeral Joint. Glenohumeral Joint
The Shoulder Joint Chapter 5 The Shoulder Joint Manual of Structural Kinesiology R.T. Floyd, EdD, ATC, CSCS McGraw-Hill Higher Education. All rights reserved. 5-1 Shoulder joint is attached to axial skeleton
Rad 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
SLAP Repairs Versus Biceps Tenodesis in Athletes 15 min
SLAP Repairs Versus Biceps Tenodesis in Athletes 15 min Power Points Not all SLAP tears need surgery Preservation of Native Anatomy GOAL Not all labral repairs are equal Kinetic chain MUST be addressed
MR 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
Shoulder Biomechanics
Shoulder Biomechanics Lecture originally developed by Bryan Morrison, Ph.D. candidate Arizona State University Fall 2000 1 Outline Anatomy Biomechanics Problems 2 Shoulder Complex Greatest Greatest Predisposition
3 Mohammad Al-Mohtasib Areej Mosleh
3 Mohammad Al-Mohtasib Areej Mosleh ***Muscles Connecting the Upper Limb to the Vertebral Column 1.Trapezius Muscle ***The first muscle on the back is trapezius muscle, it s called so according
(More than you may want to know about) Shoulder Instability
(More than you may want to know about) Shoulder Instability Lindsey Dietrich MD Sports Medicine and Orthopedic Surgery Lindsey Dietrich, MD Sports Medicine and Orthopedic Surgery Orthopedic Medicine Specialists
RECURRENT SHOULDER DISLOCATIONS WITH ABSENT LABRUM
RECURRENT SHOULDER DISLOCATIONS WITH ABSENT LABRUM D R. A M R I S H K R. J H A M S ( O R T H O ) A S S I S T A N T P R O F E S S O R M E D I C A L C O L L E G E, K O L K A T A LABRUM Function as a chock-block,
SUPERIEUR ARM AND HAND
Pectoral girdle, SUPERIEUR ARM AND HAND Danil Hammoudi.MD The pectoral girdle is the set of bones which connect the upper limb to the axial skeleton on each side. It consists of the clavicle scapula in
CLINICAL SUMMARY AND RECOMMENDATIONS 378
Shoulder 9 CLINICAL SUMMARY AND RECOMMENDATIONS 378 Anatomy 379 Osteology 379 Arthrology 380 Scapulohumeral Rhythm 381 Ligaments 382 Muscles 384 Nerves 387 Patient History 389 Initial Hypotheses Based
Netter's Anatomy Flash Cards Section 6 List 4 th Edition
Netter's Anatomy Flash Cards Section 6 List 4 th Edition https://www.memrise.com/course/1577581/ Section 6 Upper Limb (66 cards) Plate 6-1 Humerus and Scapula: Anterior View 1.1 Acromion 1.2 Greater tubercle
6/11/2015. 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
P V S MEMORIAL HOSPITAL LTD.
SHOULDER XRAYS Instability Series o True AP (Grashey s) o Axillary o Stryker Notch view o True AP in Internal rotation o Scapular Y view o West Point view for Bony Bankart ( looks like modif axillary view)
MUSCLES. Anconeus Muscle
LAB 7 UPPER LIMBS MUSCLES Anconeus Muscle anconeus origin: distal end of dorsal surface of humerus insertion: lateral surface of ulna from distal margin of the semilunar notch to proximal end of the olecranon
Returning the Shoulder Back to Optimal Function. Scapula. Clavicle. Humerus. Bones of the Shoulder (Osteology) Joints of the Shoulder (Arthrology)
Returning the Shoulder Back to Optimal Function Sternum Clavicle Ribs Scapula Humerus Bones of the Shoulder (Osteology) By Rick Kaselj Clavicle Scapula Medial Left Anterior Clavicle Inferior View 20 degree
Shoulder 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,
Anatomy and Physiology II. Review Shoulder Girdle New Material Upper Extremities - Bones
Anatomy and Physiology II Review Shoulder Girdle New Material Upper Extremities - Bones Anatomy and Physiology II Shoulder Girdle Review Questions From Last Lecture Can you identify the following muscles?
The Arm and Cubital Fossa
The Arm and Cubital Fossa Dr. Andrew Gallagher School of Anatomical Sciences University of the Witwatersrand Introduction The ARM (BRACHIUM) is the most proximal segment of the upper limb musculoskeletal
Management 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
Ultrasound of Shoulder Pathology and Intervention 서울대학교병원재활의학과 김기원
Ultrasound of Shoulder Pathology and Intervention 서울대학교병원재활의학과 김기원 Ultrasound for Shoulder Disorder Advantage Dynamic evaluation Immediate clinical correlation + Intervention Weakness Diagnostic accuracy?
Axilla and Brachial Region
L 4 A B O R A T O R Y Axilla and Brachial Region BRACHIAL PLEXUS 5 Roots/Rami (ventral rami C5 T1) 3 Trunks Superior (C5, C6) Middle (C7) Inferior (C8, T1) 3 Cords Lateral Cord (Anterior Superior and Anterior
Upper Limb Muscles Muscles of Axilla & Arm
Done By : Saleh Salahat Upper Limb Muscles Muscles of Axilla & Arm 1) Muscles around the axilla A- Muscles connecting the upper to thoracic wall (4) 1- pectoralis major Origin:- from the medial half of
11/15/2017. Biceps Lesions. Highgate Private Hospital (Whittington Health NHS Trust) E: LHB Anatomy.
Biceps Lesions Mr Omar Haddo (Consultant Orthopaedic Surgeon MBBS, BmedSci, FRCS(Orth) ) Highgate Private Hospital (Whittington Health NHS Trust) E: admin@denovomedic.co.uk LHB Anatomy Arise from superior
A - Z of Rotator cuff radiology
A - Z of Rotator cuff radiology Poster No.: C-1296 Congress: ECR 2016 Type: Educational Exhibit Authors: Z. Al-Ani, A. Madhavan, J. Naqvi, D. Temperley, S. Basu ; 1 1 1 1 2 2 2 Manchester/UK, Wrightington/UK
The Elbow and the cubital fossa. Prof Oluwadiya Kehinde
The Elbow and the cubital fossa Prof Oluwadiya Kehinde www.oluwadiya.com Elbow and Forearm Anatomy The elbow joint is formed by the humerus, radius, and the ulna Bony anatomy of the elbow Distal Humerus
ROTATOR 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
Kinesiology of the Upper Extremity
P A R T II Kinesiology of the Upper Extremity Pectoralis Latissimus dorsi UNIT 1: SHOULDER UNIT: THE SHOULDER COMPLEX Chapter 8: Structure and Function of the Bones and Joints of the Shoulder Girdle Chapter
What 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
Chapter 8. The Pectoral Girdle & Upper Limb
Chapter 8 The Pectoral Girdle & Upper Limb Pectoral Girdle pectoral girdle (shoulder girdle) supports the arm consists of two on each side of the body // clavicle (collarbone) and scapula (shoulder blade)