CT arthrography of the shoulder: how "to do it"
|
|
- Byron Williamson
- 5 years ago
- Views:
Transcription
1 CT arthrography of the shoulder: how "to do it" Poster No.: C-1694 Congress: ECR 2015 Type: Educational Exhibit Authors: A. Shah, R. Botchu, W. J. Rennie; Leicester/UK Keywords: Education and training, Arthrography, CT, Musculoskeletal joint DOI: /ecr2015/C-1694 Any information contained in this pdf file is automatically generated from digital material submitted to EPOS by third parties in the form of scientific presentations. References to any names, marks, products, or services of third parties or hypertext links to thirdparty sites or information are provided solely as a convenience to you and do not in any way constitute or imply ECR's endorsement, sponsorship or recommendation of the third party, information, product or service. ECR is not responsible for the content of these pages and does not make any representations regarding the content or accuracy of material in this file. As per copyright regulations, any unauthorised use of the material or parts thereof as well as commercial reproduction or multiple distribution by any traditional or electronically based reproduction/publication method ist strictly prohibited. You agree to defend, indemnify, and hold ECR harmless from and against any and all claims, damages, costs, and expenses, including attorneys' fees, arising from or related to your use of these pages. Please note: Links to movies, ppt slideshows and any other multimedia files are not available in the pdf version of presentations. Page 1 of 28
2 Learning objectives To review the technique in performing a CT arthrogram of the shoulder. In this poster we discuss: Normal anatomy of the gleno-humeral joint Indications of CT arthrogram Interventional techniques using the anterior and posterior approach Pictorial review of the common pathologies Background Magnetic Resonance (MR) is typically the favoured modality for shoulder arthrography. Computed tomography arthrography (CTAr) is an effective alternative in salvaging a failed attempted MR arthrogram, when MR is contraindicated or in the post-operative shoulder with suture anchors. Studies suggest CTAr can offer an advantage over MR in detecting osseous or detecting hyaline cartilage defects. Different clinical scenarios require different imaging modalities to visualise the joint and the purpose of this poster is to discuss the role of CTAr of the shoulder. Findings and procedure details Normal Gleno-humeral joint (GHJ)anatomy: GHJ is supported by (Fig.1): Superiorly: Coraco-humeral arch and ligament Long head of the biceps tendon Supraspinatus tendon Anteriorly: Page 2 of 28
3 Anterior labrum Gleno-humeral ligaments (GHL)- superior (SGHL), middle (MGHL) and inferior (IGHL) (anterior band) Subscapularis tendon Posteriorly: Posterior labrum IGHL (posterior band) Infraspinatus and teres minor tendons Page 3 of 28
4 Page 4 of 28
5 Fig. 1: A) Drawing of the supporting labrocapsular ligamentous complex of the GH joint. GHL = glenohumeral ligament B) Anterior graphic of the shoulder. The tendon of the subscapularis muscle attaches both to the lesser tubercle aswell as to the greater tubercle giving support to the long head of the biceps in the bicipital groove. The rotator cuff is made of the tendons of subscapularis, supraspinatus, infraspinatus and teres minor muscle. References: Massengill AD et al. (1994) Labrocapsular ligamentous complex of the shoulder: normal anatomy, anatomic variation, and pitfalls of MR imaging and MR arthrography. Radiographics 14: & the Radiology Assistant Rotator cuff interval: Triangular anatomic area in the anterosuperior aspect of the shoulder (Fig.2) defined by: BASE: the coracoid process SUPERIORLY: the anterior margin of the supraspinatus tendon INFERIORLY: the superior margin of the subscapularis tendon Page 5 of 28
6 Fig. 2: Diagram of rotator cuff interval shows left shoulder in external rotation. Rotator cuff interval (star) lies between supraspinatus muscle and subscapularis muscle. Long head of biceps tendon (arrow) courses in bicipital groove and is displaced laterally away from target site for needle. The boundaries of rotator interval,defined by coracoid process at its base, superiorly by anterior margin of supraspinatus tendon and inferiorly by superior margin of subscapularis tendon. Contents of rotator interval include long head of biceps tendon, coracohumeral ligament, superior glenohumeral ligament, and rotator interval capsule. Rotator interval capsule is anterosuperior aspect of glenohumeral joint capsule, which merges with CHL and SGHL insertions medial and lateral to bicipital groove. CHL arises from base of coracoid process, traverses through subcoracoid fat, and inserts on anterior humerus. Key: GHL = glenohumeral ligament. References: Radiology, NHS Trust, University Hospitals of Leicester - Leicester/UK CT vs MR arthrography: advantages and indications: Initially CTAr primarily used as a bailout for MR for example in patients who are claustrophobic or if MR is contraindicated such as patients with pacemaker or in the post-operative shoulder with metallic anchor sutures. Recent studies using CTAr have demonstrated equivalency or supremacy over MR in diagnosing various pathologies [1] including: articular surface rotator cuff tears [2], labral lesions [3], osseous or cartilaginous defects [4] or calcified structures such as Bennett lesions or chondrocalcinosis. CT advantages over MR are due to advances in helical scanning and multirow detectors with resultant faster scanning times thus reducing motion artefact, sub-millimetre spatial resolution and better metal artefact reducing algorithms. CT is quicker and easier to perform and is generally more accessible than MR. Disadvantages: Use of ionising radiation Inferior tissue contrast resolution Technique: Anterior approach: The anterior approach is based on intra-articular needle placement through the rotator cuff interval (Fig. 2) [5]. Page 6 of 28
7 The patient is positioned on the fluoroscopy table in the supine position with the in external rotation (palm facing upwards). External rotation rotates the long head of the biceps tendon laterally avoiding injury during needle advancement. With the X-ray tube perpendicular to the GHJ, the skin is marked at the superomedial aspect of the humeral head, just lateral to the medial articular cortex of the humerus at the level of the coracoid process Fig. 3 on page 17. The operator, under standard aseptic precautions, prepares the trolley as shown in Figure 4. This includes: surgical cleaning solution to clean the skin, standard 21G needle, 5mls syringe with 1% lidocaine, 20mls syringe with non-ionic iodinated contrast, an extension tube and sterile drapes. The skin is cleaned and sterile drapes placed, leaving the entry site exposed. The skin and subcutaneous tissues are anaesthetised and with a 21G completely perpendicular to the shoulder, is inserted down to the humeral head. Once contact with the bone is made, a small amount of local anaesthetic is injected which should be without resistance if the needle is in an intraarticular position. The extension tube is connected to the needle, ensuring a tight seal to avoid external contrast leak. With intermittent screening, inject the positive contrast, which should flow freely away from the needle tip with no resistance during injection. The contrast will outline the GHJ Fig. 4 on page 17. Instil 12-15mls of the contrast and this will fill the axillary Fig. 5 on page 18 and posterior recesses Fig. 6 on page 19. It is normal to see contrast in the long head of the biceps tendon sheath as it has an intra-articular course Fig. 7 on page 20. The patient is transferred to CT immediately after the procedure with minimal exertion of the injected joint. If contrast pools around the needle tip, the bevel is not in an intra-articular position. Rotate the needle 180 degrees and ensure the needle is in contact with the bone. Minimal manipulation should allow the needle tip to insert into the joint capsule. No resistance should be met with contrast injection and contrast should flow away freely outlining the joint capsule when in correct position. Malposition needle with extra-articular contrast injection can occur in the subscapularis muscle (linear contrast fill) Fig. 8 on page 21 & Fig. 9 on page 22 or in the subacromial subdeltoid bursa Fig. 10 on page 23. Pathologies can be seen/inferred during the arthrogram. If contrast is seen in normal intra-articular position and subsequent extravastion into the subacromial subdeltoid space, a full-thickness rotator cuff tendon tear is inferred Fig. 11 on page 24. Hill-Sachs lesions can be identified Fig. 12 on page 25. Page 7 of 28
8 Posterior approach: Contrast material inadvertently injected into the extracapsular soft tissues during conventional anterior approach may cause interpretative difficulties. If anterior instability is suspected, a posterior approach may be used to preserve the anterior stabilising structures [6]. Fig. 13: Posterior graphic of the shoulder. References: Robin Smithuis and Henk Jan van der Woude. Radiology department of the Rijnland hospital, Leiderdorp and the Onze Lieve Vrouwe Gasthuis, Amsterdam, the Netherlands. The patient is positioned prone on the fluoroscopy table with the arm by the side and palm facing down onto the table. Page 8 of 28
9 With the X-ray tube perpendicular to the GHJ, the skin is marked just lateral to the medial articular cortex of the humerus at the level of the coracoid process. Under aseptic precautions, steps 3-9 described in the anterior approach are followed. Fig. 14: Supine CT arthrogram demonstrating the direction of needle insertion with a posterior approach. References: Radiology, NHS Trust, University Hospitals of Leicester - Leicester/UK CT scanning parameters: Acquire one volume data set with arm in neutral position. Reconstruct axial images 0.625mm thick at 0.3mm intervals. Multiplanar reformats are created obliqued parallel and perpendicular to the plane of the supraspinatus muscle belly. Case examples: Page 9 of 28
10 Normal CT arthrogram: Fig. 15: Normal axial (A), coronal (B) and sagittal (C) CT arthrogram. KEY: Red C; corocoid process, red arrows; anchor sutures. References: Radiology, NHS Trust, University Hospitals of Leicester - Leicester/UK Fig. 16: Normal CT arthrogram demonstrating the articular cartilage (red arrow), contrast within the subscapular recess (blue arrow) and the tendon sheath of the long head of the biceps tendon. References: Radiology, NHS Trust, University Hospitals of Leicester - Leicester/UK Page 10 of 28
11 Fig. 17: CT arthrogram demonstrating normaal intact anterior and posterior glenoid labrum (red arrows) References: Radiology, NHS Trust, University Hospitals of Leicester - Leicester/UK Hill-Sachs lesion (Fig. 19): 1. Posterolateral humeral head indentation fracture subsequent to anterior shoulder dislocation causing the soft base of humeral head to impact against relatively hard anterior glenoid. Occurs in 35-40% of anterior dislocations & up to 80 % of recurrent dislocations. Hill-Sachs lesion occurs through the cartilaginous surface of the humeral head and often there will remain a small island of cartilage located between the bare area and the Hill-Sachs lesion. Hill-Sachs Lesion can destabilise the GHJ & predispose to further dislocation. Reverse Hill-Sachs is defined as an impaction fracture of anteromedial aspect of humeral head following posterior shoulder dislocation Page 11 of 28
12 Fig. 18: CT arthrogram demonstrating a large Hill-Sachs lesion. References: Radiology, NHS Trust, University Hospitals of Leicester - Leicester/UK Bony Bankart lesion (Fig. 20): 1. Bankart lesion is avulsion of the anteroinferior glenoid labrum at its attachment to the IGHL complex. May be labral only or involve the bony margin (impaction fracture; bony Bankart). 2. Page 12 of 28
13 Secondary to anterior shoulder dislocation and impaction of the humeral head with the glenoid. Commonest cause of anterior shoulder instability. Reverse Bankart lesion, the posteroinferior labrum is detached from its glenoid attachment with avulsive tear of the scapular periosteum. Perthes lesion is a variant of a Bankart lesion; in which the anterior labrum is lifted from the edge of the glenoid along with a sleeve of periosteum which is undermined but not torn. Fig. 19: CT arthrogram: displaced osseous fragment of the anteroinferior glenoid labrum seen (bony Bankart). Note contrast is extra-articular and within the subacromial subdeltoid bursa rather then in the GHJ. References: Radiology, NHS Trust, University Hospitals of Leicester - Leicester/UK Page 13 of 28
14 Cartilaginous injury (Fig. 21): Fig. 20: Oblique coronal reformation from multidetector CT arthrogram demonstrates a focal full-thickness chondral defect of the humeral head (red arrows). Compare with normal adjacent articular cartilage (yellow arrow). References: Radiology, NHS Trust, University Hospitals of Leicester - Leicester/UK Articular surface supraspinatus tear (Fig. 22): Page 14 of 28
15 Fig. 21: Animated oblique coronal reformation from multidetector CT arthrogram demonstrates an example of a longitudinal contrast extension into the supraspinatus tendon consistent with a delaminating articular surface partial tear (yellow arrows). Contrast is also seen in the subacromial-subdeltoid bursa from a coexisting fullthickness anterior supraspinatus tendon tear (red arrow). References: Radiology, NHS Trust, University Hospitals of Leicester - Leicester/UK Bennett Lesion (Fig 23): 1. Bennett lesion is an extra-articular curvilinear calcification along the posteroinferior glenoid near the attachment of the posterior band of the IGHL. Page 15 of 28
16 2. 3. Associated with posterior labral tear, posterior undersurface rotator cuff tear and posterior subluxation of the humeral head. More common in overhead throwing athletes with subsequent traction injury of the posterior band of the IGHL. Fig. 22: Axial CT arthrogram demonstrating a Bennett lesion secondary to posterior instability after traumatic injury. There is linear calcification posterior band of the inferior glenohumeral ligament (blue arrow) adjacent to focal sclerosis in posterior osseous glenoid (red curved arrow). References: Radiology, NHS Trust, University Hospitals of Leicester - Leicester/UK Page 16 of 28
17 Images for this section: Fig. 3: AP fluoroscopic screen grab demonstrating the target area for needle position (blue triangle) at the rotator cuff interval at the level of the coracoid process (yellow line). The long head of the biceps tendon (red line) is lateral with external rotation. Anchor sutures from previous labral repair (arrows). Page 17 of 28
18 Fig. 4: The extension tube is connected to the needle, which is seen end-on when inserted perpendicular to the x-ray beam (black arrow). Initial contrast injection is seen outlining the articular surface of the humeral head (red arrow). Page 18 of 28
19 Fig. 5: Intra-articular contrast is demonstrated with contrast extending into the normally into the axillary recess (red arrow). Page 19 of 28
20 Fig. 6: Normal fluoroscopic image of contrast filling the joint capsule. Anchor sutures can be seen in the glenoid. Page 20 of 28
21 Fig. 7: Normal intra-articular demonstrated. Contrast is seen extending into the tendon sheath of the long head of the biceps tendon (star), which is normal as it is an extrasynovial intra-articular structure. Page 21 of 28
22 Fig. 8: AP fluoroscopic image demonstrating linear contrast extravasation into the subscapularis muscle. The contrast follows the course of the muscle (dotted lines). Page 22 of 28
23 Fig. 9: AP fluoroscopic image demonstrating linear contrast extravasation into the subscapularis muscle. Note how the contrast follows the course of the muscle. Page 23 of 28
24 Fig. 10: Fluoroscopic image demonstrating contrast in the subacromial subdeltoid bursa (red arrow) extending into the acromioclavicular joint confirmed on subsequent CT. No contrast is seen outlining the GHJ. Note malposition of the needle tip beyond the humeral head (yellow arrow). Page 24 of 28
25 Fig. 11: Fluoroscopic image demonstrating intra-articular contrast fill with filling of the long head of the biceps tendon sheath (yellow star). Subsequent extrasvastion of contrast into the subacromial subdeltoid space (red arrows) was seen inferring full thickness rotator cuff tear. Page 25 of 28
26 Fig. 12: Intra-articular contrast is demonstrated. Note the large Hill-Sachs defect (yellow arrow). Page 26 of 28
27 Conclusion Advances in CT helical imaging allows the acquisition of submillimetre thin slices with isotropic imaging voxels permitting multiplanar reformations with high spatial resolution. CTAr, therefore, plays a larger role in shoulder arthrography. It has advantages over MRI including faster imaging for reduced motion artefact, detecting osseous or hyaline defects and situations with in situ metal. Being aware of its role and the imaging findings can help the radiologist choose the optimal imaging technique to help the clinician in the management of patients. Personal information A Shah, Department of Musculoskeletal Radiology, University Hospitals of Leicster, Leicester Royal Infirmary, Infirmary Square, Leicester, LE1 5WW, UK. R Botchu, Department of Radiology, Royal Orthopaedic Hospital, Birmingham, B31 2AP, UK. WJ Rennie, Department of Musculoskeletal Radiology, University Hospitals of Leicster, Leicester Royal Infirmary, Infirmary Square, Leicester, LE1 5WW, UK. References Omoumi P, Rubini A, Dubuc JE, Vande Berg BC, Lecouvet FE. Diagnostic performance of CT-arthrography and 1.5T MR-arthrography for the assessment of glenohumeral joint cartilage: a comparative study with arthroscopic correlation. European radiology Nov 8. PubMed PMID: Epub 2014/11/08. Eng. Lecouvet FE, Simoni P, Koutaissoff S, Vande Berg BC, Malghem J, Dubuc JE. Multidetector spiral CT arthrography of the shoulder. Clinical applications and limits, with MR arthrography and arthroscopic correlations. European journal of radiology Oct;68(1): PubMed PMID: Epub 2008/04/11. eng. Kim YJ, Choi JA, Oh JH, Hwang SI, Hong SH, Kang HS. Superior labral anteroposterior tears: accuracy and interobserver reliability of multidetector CT arthrography for diagnosis. Radiology Jul;260(1): PubMed PMID: Epub 2011/04/27. eng. Page 27 of 28
28 Lecouvet FE, Dorzee B, Dubuc JE, Vande Berg BC, Jamart J, Malghem J. Cartilage lesions of the glenohumeral joint: diagnostic effectiveness of multidetector spiral CT arthrography and comparison with arthroscopy. European radiology Jul;17(7): PubMed PMID: Epub 2006/12/23. eng. Depelteau H, Bureau NJ, Cardinal E, Aubin B, Brassard P. Arthrography of the shoulder: a simple fluoroscopically guided approach for targeting the rotator cuff interval. AJR American journal of roentgenology Feb;182(2): PubMed PMID: Epub 2004/01/23. eng. Chung CB, Dwek JR, Feng S, Resnick D. MR arthrography of the glenohumeral joint: a tailored approach. AJR American journal of roentgenology Jul;177(1): PubMed PMID: Epub 2001/06/22. eng. Page 28 of 28
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
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 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 informationUltrasound Guided Therapeutic Injections in the Treatment of Shoulder Pain: A Multimedia Review
Ultrasound Guided Therapeutic Injections in the Treatment of Shoulder Pain: A Multimedia Review Poster No.: P-0127 Congress: ESSR 2015 Type: Educational Poster Authors: A. Karsandas, J. Tuckett, R. Sinha,
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 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 informationMR imaging features of paralabral ganglion cyst of the shoulder
MR imaging features of paralabral ganglion cyst of the shoulder Poster No.: C-1482 Congress: ECR 2016 Type: Educational Exhibit Authors: M. Bartocci, C. Dell'atti, E. Federici, D. Beomonte Zobel, V. Martinelli,
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 informationMR measurements of subcoracoid impingement using a new method and its relationship to rotator cuff pathology at MR arthrography
MR measurements of subcoracoid impingement using a new method and its relationship to rotator cuff pathology at MR arthrography Poster No.: P-0055 Congress: ESSR 2014 Type: Authors: Keywords: DOI: Scientific
More informationSuperior Labrum Anterior Posterior lesions: ultrasound evaluation
Superior Labrum Anterior Posterior lesions: ultrasound evaluation Poster No.: C-0472 Congress: ECR 2017 Type: Scientific Exhibit Authors: D. Belyaev; Yaroslavl/RU Keywords: Trauma, Arthrography, Ultrasound,
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 informationChronic knee pain in adults - a multimodality approach or which modality to choose and when?
Chronic knee pain in adults - a multimodality approach or which modality to choose and when? Poster No.: P-0157 Congress: ESSR 2013 Type: Authors: Keywords: DOI: Scientific Exhibit E. Ilieva, V. Tasseva,
More informationMRI 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 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 informationHip pain rating after preforming MRI with gadolinium arthrography and intra-articular lidocaine
Hip pain rating after preforming MRI with gadolinium arthrography and intra-articular lidocaine Poster No.: C-1352 Congress: ECR 2014 Type: Scientific Exhibit Authors: J. García Yavar, J. Cabezudo, S.
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 posterolateral corner of the knee: the normal and the pathological
The posterolateral corner of the knee: the normal and the pathological Poster No.: P-0104 Congress: ESSR 2014 Type: Educational Poster Authors: M. Bartocci 1, C. Dell'atti 2, E. Federici 1, V. Martinelli
More informationDemystifying ABER (ABduction and External Rotation) sequence in shoulder MR arthrography
Demystifying ABER (ABduction and External Rotation) sequence in shoulder MR arthrography Poster No.: C-1016 Congress: ECR 2014 Type: Authors: Educational Exhibit Z. Maras Ozdemir 1, F. B. Ergen 2, U. Aydingoz
More informationMRI 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
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 informationMeniscal Tears with Fragments Displaced: What you need to know.
Meniscal Tears with Fragments Displaced: What you need to know. Poster No.: C-1339 Congress: ECR 2015 Type: Authors: Keywords: DOI: Educational Exhibit M. V. Ferrufino, A. Stroe, E. Cordoba, A. Dehesa,
More informationComparison of radiation doses of various approaches of MR arthrograms with fluoroscopic guided contrast injection
Comparison of radiation doses of various approaches of MR arthrograms with fluoroscopic guided contrast injection Poster No.: C-1294 Congress: ECR 2014 Type: Scientific Exhibit Authors: H. M. Cheng, C.
More informationA pictorial review of normal anatomical appearences of Pericardial recesses on multislice Computed Tomography.
A pictorial review of normal anatomical appearences of Pericardial recesses on multislice Computed Tomography. Poster No.: C-1787 Congress: ECR 2012 Type: Educational Exhibit Authors: N. Ahmed 1, G. Avery
More informationVariant origin of the bifurcated long head of biceps tendon - the case for supraspinatus.
Variant origin of the bifurcated long head of biceps tendon - the case for supraspinatus. Poster No.: P-0066 Congress: ESSR 2015 Type: Authors: Keywords: DOI: Scientific Poster H. Madani 1, C. G. Boulet
More informationMRI grading of postero-lateral corner and anterior cruciate ligament injuries
MRI grading of postero-lateral corner and anterior cruciate ligament injuries Poster No.: C-2533 Congress: ECR 2012 Type: Educational Exhibit Authors: J. Lopes Dias, J. A. Sousa Pereira, L. Fernandes,
More informationVariant origin of the bifurcated long head of biceps tendon - the case for supraspinatus.
Variant origin of the bifurcated long head of biceps tendon - the case for supraspinatus. Poster No.: P-0066 Congress: ESSR 2015 Type: Authors: Keywords: DOI: Scientific Poster H. Madani 1, C. G. Boulet
More informationExtraarticular Lateral Ankle Impingement
Extraarticular Lateral Ankle Impingement Poster No.: C-1282 Congress: ECR 2016 Type: Educational Exhibit Authors: C. Cevikol; Keywords: Trauma, Diagnostic procedure, MR, CT, Musculoskeletal system, Musculoskeletal
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 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 informationUnlocking the locked Knee
Unlocking the locked Knee Poster No.: P-0027 Congress: ESSR 2013 Type: Scientific Exhibit Authors: J. P. SINGH, S. Srivastava, S. S. BAIJAL ; Gurgaon, Delhi 1 1 2 1 2 NCR/IN, LUCKNOW, UTTAR PRADESH/IN
More informationDynamic CT Assessment of Distal Radioulnar Instability
Dynamic CT Assessment of Distal Radioulnar Instability Poster No.: P-0114 Congress: ESSR 2016 Type: Educational Poster Authors: S. Dumonteil, M. A. Shah, A. Srikanthan, V. Ejindu, N. Papadakos; London/UK
More informationCT Evaluation of Patellar Instability
CT Evaluation of Patellar Instability Poster No.: C-2157 Congress: ECR 2014 Type: Educational Exhibit Authors: R. Ruef, C. Edgar, C. Lebedis, A. Guermazi, A. Kompel, A. Murakami; Boston, MA/US Keywords:
More informationPersistent ankle pain after inversion lesions: what the radiologist must look for
Persistent ankle pain after inversion lesions: what the radiologist must look for Poster No.: P-0118 Congress: ESSR 2016 Type: Authors: Keywords: DOI: Educational Poster R. Leao, L. C. Zattar-Ramos, E.
More informationRadiographic Signs Predicting Rotator Cuff Tears
Radiographic Signs Predicting Rotator Cuff Tears Poster No.: P-0051 Congress: ESSR 2015 Type: Scientific Poster Authors: J. J. van der Reijden, M. van den Bekerom, M. Somford, J. 1 2 2 4 1 3 2 Doornberg,
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 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 informationSeemingly isolated greater trochanter fractures do not exist
Seemingly isolated greater trochanter fractures do not exist Poster No.: B-0950 Congress: ECR 2012 Type: Scientific Paper Authors: D. Dunker, J. H. Göthlin, M. Geijer ; Gothenburg/SE, Lund/SE Keywords:
More informationShear Wave Elastography in diagnostics of supraspinatus tendon.
Shear Wave Elastography in diagnostics of supraspinatus tendon. Poster No.: C-2168 Congress: ECR 2013 Type: Authors: Keywords: DOI: Scientific Exhibit V. Saltykova; Moscow/RU Musculoskeletal joint, Musculoskeletal
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 informationKnee ultrasound in pediatric patients - anatomy, diagnostic pitfalls, common pathologies.
Knee ultrasound in pediatric patients - anatomy, diagnostic pitfalls, common pathologies. Poster No.: C-2434 Congress: ECR 2015 Type: Educational Exhibit Authors: C. M. Olchowy, M. Lasecki, M. Inglot,
More informationMRI of scapholunate ligament- comparison between direct MR arthrography and non-contrast examination with highresolution
MRI of scapholunate ligament- comparison between direct MR arthrography and non-contrast examination with highresolution microscopy coil Poster No.: P-0115 Congress: ESSR 2015 Type: Authors: Keywords:
More informationFeasibility of magnetic resonance elastography using myofascial phantom model
Feasibility of magnetic resonance elastography using myofascial phantom model Poster No.: C-0971 Congress: ECR 2013 Type: Scientific Exhibit Authors: H. J. Kang, J.-S. Yoon, S.-J. Hong, C.-H. Oh, S. H.
More informationComparison of Image quality in temporal bone MRI at 3T using 2D selective RF excitation versus a routine SPACE sequence
Comparison of Image quality in temporal bone MRI at 3T using 2D selective RF excitation versus a routine SPACE sequence Poster No.: C-1065 Congress: ECR 2015 Type: Authors: Keywords: DOI: Scientific Exhibit
More informationHigh-resolution ultrasound of the elbow - didactic approach.
High-resolution ultrasound of the elbow - didactic approach. Poster No.: C-2358 Congress: ECR 2014 Type: Educational Exhibit Authors: C. M. Olchowy, M. Lasecki, U. Zaleska-Dorobisz; Wroclaw/PL Keywords:
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 informationGlenoid Articular Surface on Magnetic Resonance Arthrography of the Shoulder
Glenoid Articular Surface on Magnetic Resonance Arthrography of the Shoulder Poster No.: P-0054 Congress: ESSR 2013 Type: Authors: Keywords: DOI: Scientific Exhibit S. Jackson; Manchester/UK Bones, Musculoskeletal
More informationMRI Findings of Posterolateral Corner Injury on Threedimensional
MRI Findings of Posterolateral Corner Injury on Threedimensional Isotropic SPACE. Poster No.: C-1792 Congress: ECR 2013 Type: Scientific Exhibit Authors: S.-W. Lee, Y. M. Jeong, J. A. Sim, S. Ahn; Incheon/KR
More informationReliability of the pronator quadratus fat pad sign to predict the severity of distal radius fractures
Reliability of the pronator quadratus fat pad sign to predict the severity of distal radius fractures Poster No.: C-0669 Congress: ECR 2014 Type: Scientific Exhibit Authors: J. Tonak, I. Wobbe, R. L. Duschka,
More informationCierny-Mader classification of chronic osteomyelitis: Preoperative evaluation with cross-sectional imaging
Cierny-Mader classification of chronic osteomyelitis: Preoperative evaluation with cross-sectional imaging Poster No.: C-590 Congress: ECR 2009 Type: Topic: Educational Exhibit Musculoskeletal Authors:
More informationThe "whirl sign". Diagnostic accuracy for intestinal volvulus.
The "whirl sign". Diagnostic accuracy for intestinal volvulus. Poster No.: C-0670 Congress: ECR 2014 Type: Scientific Exhibit Authors: M. Pire, M. Marti, A. Borobia, A. Verón; Madrid/ES Keywords: Abdomen,
More informationSpinal injury is very common in Ireland: 19 per 100,000 (1). It poses a significant disease burden.
MRI in traumatic spinal cord injury: a single national spinal centre experience and study of imaging features with clinical correlation with ASIA score and outcome Poster No.: C-1235 Congress: ECR 2011
More informationValsalva-manoeuvre or prone belly position for computed tomography (CT) scan when an orbita varix is suspected: a single-case study.
Valsalva-manoeuvre or prone belly position for computed tomography (CT) scan when an orbita varix is suspected: a single-case study. Poster No.: C-0512 Congress: ECR 2012 Type: Authors: Keywords: DOI:
More informationImaging of polymyalgia rheumatica: what the radiologist should know
Imaging of polymyalgia rheumatica: what the radiologist should know Poster No.: P-0117 Congress: ESSR 2016 Type: Educational Poster Authors: R. Leao, L. C. Zattar-Ramos, E. L. Bizetto, M. F. Correa, M.
More information64-MDCT imaging of the pancreas: Scan protocol optimisation by different scan delay regimes
64-MDCT imaging of the pancreas: Scan protocol optimisation by different scan delay regimes Poster No.: C-051 Congress: ECR 2009 Type: Scientific Exhibit Topic: Abdominal and Gastrointestinal Authors:
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 informationLow-dose computed tomography (CT) protocol in the screening of patients with social exposure to asbestos
Low-dose computed tomography (CT) protocol in the screening of patients with social exposure to asbestos Poster No.: C-3032 Congress: ECR 2010 Type: Scientific Exhibit Topic: Radiographers Authors: P.
More informationMagnetic Resonance Imaging of Perianal Fistulas
Magnetic Resonance Imaging of Perianal Fistulas Poster No.: C-0317 Congress: ECR 2014 Type: Authors: Keywords: DOI: Educational Exhibit A. P. Sathe, E. Soh, K. Y. Seto, B. Yeh, D. W. Y. chee, R. Quah,
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 informationUltrasound assessment of T1 Squamous Cell Carcinomas of the Tongue.
Ultrasound assessment of T1 Squamous Cell Carcinomas of the Tongue. Poster No.: C-2014 Congress: ECR 2015 Type: Educational Exhibit Authors: S. R. Rice, G. Price, L. Firmin, S. Morley, T. Beale; London/UK
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 informationA Pictorial Review of Congenital Tarsal Coalition
A Pictorial Review of Congenital Tarsal Coalition Poster No.: C-2305 Congress: ECR 2011 Type: Educational Exhibit Authors: J. Jethwa, M. Tapp; Torquay/UK Keywords: Musculoskeletal joint, Musculoskeletal
More informationHigh frequency US of the temporomandibualar joint (TMJ) - practical guide
High frequency US of the temporomandibualar joint (TMJ) - practical guide Poster No.: C-2352 Congress: ECR 2014 Type: Educational Exhibit Authors: M. Lasecki, C. M. Olchowy, K. Kaczorowski, J. S#onina,
More informationCT assessment of acute coalescent mastoiditis.
CT assessment of acute coalescent mastoiditis. Poster No.: C-1794 Congress: ECR 2010 Type: Educational Exhibit Topic: Head and Neck Authors: A. Thomson, S. J. Thomas, A. Hutchings, E. Tilley; Portsmouth/UK
More informationPostoperative Evaluation of the Pectoralis Major Transfer for the Rotator Cuff Tear in Shoulder: Focusing on MR and US
Postoperative Evaluation of the Pectoralis Major Transfer for the Rotator Cuff Tear in Shoulder: Focusing on MR and US Poster No.: C-2337 Congress: ECR 2012 Type: Scientific Exhibit Authors: S. T. Kwon,
More informationUltrasound and MRI Findings of Tennis Leg with Differential Diagnosis.
Ultrasound and MRI Findings of Tennis Leg with Differential Diagnosis. Poster No.: R-0057 Congress: 2015 ASM Type: Educational Exhibit Authors: M. George, A. Thomas, R. Dutta, K. Gummalla; Singapore/SG
More informationMonophasic versus biphasic contrast application in CT of patients with head and neck tumour
Monophasic versus biphasic contrast application in CT of patients with head and neck tumour Poster No.: C-3331 Congress: ECR 2010 Type: Topic: Authors: Keywords: DOI: Scientific Exhibit Head and Neck G.
More informationUS guided treatment in calcific tendinopathy of body tendons: Techniques and follow-up
US guided treatment in calcific tendinopathy of body tendons: Techniques and follow-up Poster No.: C-2369 Congress: ECR 2010 Type: Scientific Exhibit Topic: Musculoskeletal - Soft Tissue Authors: T. De
More informationThe use of Ultrasound of the shoulder as a screening method for rotator cuff tear; A single institution experience
The use of Ultrasound of the shoulder as a screening method for rotator cuff tear; A single institution experience Poster No.: C-0596 Congress: ECR 2014 Type: Scientific Exhibit Authors: R. A. Ahyad, Z.
More informationAnatomical Variations of the Levator Scapulae Muscle - an MR Imaging Study
Anatomical Variations of the Levator Scapulae Muscle - an MR Imaging Study Poster No.: R-0016 Congress: 2015 ASM Type: Scientific Exhibit Authors: J. Au, A. Webb, G. Buirski, P. Smith, M. Pickering, D.
More informationUltrasound guided glenohumeral joint hydrodistention for (adhesive capsulitis) frozen shoulder
Ultrasound guided glenohumeral joint hydrodistention for (adhesive capsulitis) frozen shoulder Poster No.: C-2271 Congress: ECR 2010 Type: Educational Exhibit Topic: Musculoskeletal Authors: D. A. Deeab,
More informationOptimal Site for Bone Graft Harvesting from the Iliac Bone
Optimal Site for Bone Graft Harvesting from the Iliac Bone Poster No.: P-0095 Congress: ESSR 2015 Type: Scientific Poster Authors: B. Batohi 1, A. Isaac 1, J. Edwin 1, A. Hussain 1, J. Kumaraguru 1, L.
More informationOsteonecrosis - Spectrum of imaging findings
Osteonecrosis - Spectrum of imaging findings Poster No.: C-1861 Congress: ECR 2016 Type: Educational Exhibit Authors: P. Ninitas, A. L. Amado Costa, A. Duarte, I. Távora ; Lisbon/ 1 1 2 1 1 2 PT, Costa
More informationB. CT protocols for the spine
B. CT protocols for the spine Poster No.: A-003 Congress: ECR 2010 Type: Invited Speaker Topic: Neuro Authors: B. Tins; Oswestry/UK Keywords: CT, spine, diagnostic imaging protocol DOI: 10.1594/ecr2010/A-003
More informationUltrasound guided glenohumeral joint hydrodistention for (adhesive capsulitis) frozen shoulder
Ultrasound guided glenohumeral joint hydrodistention for (adhesive capsulitis) frozen shoulder Poster No.: C-2271 Congress: ECR 2010 Type: Educational Exhibit Topic: Musculoskeletal - Joints Authors: D.
More informationAudit of CT Pulmonary Angiogram in suspected pulmonary embolism patients
Audit of CT Pulmonary Angiogram in suspected pulmonary embolism patients Poster No.: C-2511 Congress: ECR 2012 Type: Scientific Exhibit Authors: N. D. Gupta, M. K. Heir, P. Bradding; Leicester/UK Keywords:
More informationAudit of CT Pulmonary Angiogram in suspected pulmonary embolism patients
Audit of CT Pulmonary Angiogram in suspected pulmonary embolism patients Poster No.: C-2511 Congress: ECR 2012 Type: Scientific Exhibit Authors: N. D. Gupta, M. K. Heir, P. Bradding; Leicester/UK Keywords:
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 informationSonographically occult intrasubstance tendon tears revealed by platelet rich plasma injection: evidence of a frequently overlooked pathology?
Sonographically occult intrasubstance tendon tears revealed by platelet rich plasma injection: evidence of a frequently overlooked pathology? Poster No.: C-1603 Congress: ECR 2013 Type: Scientific Exhibit
More informationMRI evaluation of TMJ condylar angulations
MRI evaluation of TMJ condylar angulations Poster No.: C-2272 Congress: ECR 2010 Type: Topic: Authors: Keywords: DOI: Scientific Exhibit Musculoskeletal M. Pregarz 1, C. Bodin 2 ; 1 Peschiera del Garda/IT,
More informationScientific Exhibit Authors: V. Moustakas, E. Karallas, K. Koutsopoulos ; Rodos/GR, 2
Diagnosis of Acute Appendicitis: the role of Color Doppler Ultrasound as first-line imaging method and evaluation of the higher diagnostic performances of CT against its disadvantages. Poster No.: C-0708
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 informationDiffusion-weighted MRI (DWI) "claw sign" is useful in differentiation of infectious from degenerative Modic I signal changes of the spine
Diffusion-weighted MRI (DWI) "claw sign" is useful in differentiation of infectious from degenerative Modic I signal changes of the spine Poster No.: C-0894 Congress: ECR 2012 Type: Scientific Exhibit
More informationHigh density thrombi of pulmonary embolism on precontrast CT scan: Is it dangerous?
High density thrombi of pulmonary embolism on precontrast CT scan: Is it dangerous? Poster No.: C-1753 Congress: ECR 2013 Type: Authors: Keywords: DOI: Scientific Exhibit B. Y. Lee, H. R. KIM, J. I. Jung,
More informationPurpose. Methods and Materials. Results
Prevalence and significance of hypoattenuating hepatic lesions deemed too small to characterise: How are we following up these lesions and what are the outcomes? Poster No.: C-014 Congress: ECR 2009 Type:
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 informationIntraluminal gas in non-perforated acute appendicitis: a CT sign of gangrenous appendicitis
Intraluminal gas in non-perforated acute appendicitis: a CT sign of gangrenous appendicitis Poster No.: C-978 Congress: ECR 202 Type: Scientific Exhibit Authors: D. Plata Ariza, E. MARTINEZ CHAMORRO, J.
More informationComputed tomography for the detection of thumb base osteoarthritis, comparison with digital radiography.
Computed tomography for the detection of thumb base osteoarthritis, comparison with digital radiography. Poster No.: C-1981 Congress: ECR 2012 Type: Scientific Exhibit Authors: M. S. Saltzherr, J. W. van
More informationUnenhanced and dynamic contrast enhanced (DCE) MRI in assessment of scaphoid fracture non-union revisited: role in pre-operative planning
Unenhanced and dynamic contrast enhanced (DCE) MRI in assessment of scaphoid fracture non-union revisited: role in pre-operative planning Poster No.: B-0440 Congress: ECR 2014 Type: Authors: Keywords:
More informationMDCT signs differentiating retroperitoneal and intraperitoneal lesions- diagnostic pearls
MDCT signs differentiating retroperitoneal and intraperitoneal lesions- diagnostic pearls Poster No.: C-0987 Congress: ECR 2015 Type: Educational Exhibit Authors: D. V. Bhargavi, R. Avantsa, P. Kala; Bangalore/IN
More informationCT evaluation of small bowel carcinoid tumors
CT evaluation of small bowel carcinoid tumors Poster No.: C-0060 Congress: ECR 2015 Type: Educational Exhibit Authors: N. V. V. P. Costa, L. Nascimento, T. Bilhim ; Estoril/PT, PT, 1 2 3 1 2 3 Lisbon/PT
More informationIdentification and numbering of lumbar vertebrae using various anatomical landmarks on MRI of lumbosacral spine
Identification and numbering of lumbar vertebrae using various anatomical landmarks on MRI of lumbosacral spine Poster No.: C-2125 Congress: ECR 2015 Type: Authors: Scientific Exhibit S. patil 1, A. M.
More informationFiguring out the "fronds"-synovial proliferative disorders of the knee.
Figuring out the "fronds"-synovial proliferative disorders of the knee. Poster No.: C-1209 Congress: ECR 2014 Type: Educational Exhibit Authors: S. Sivasubramanian; Tamil Nadu/IN Keywords: Imaging sequences,
More informationDigital tomosynthesis in diagnosis of occult hip fractures
Digital tomosynthesis in diagnosis of occult hip fractures Poster No.: B-0781 Congress: ECR 2013 Type: Authors: Keywords: DOI: Scientific Paper M. Geijer 1, D. Collin 2, J. H. Göthlin 2 ; 1 Lund/SE, 2
More informationMetal Artifact Reduction by Dual Energy CT
Metal Artifact Reduction by Dual Energy CT Poster No.: C-0108 Congress: ECR 2011 Type: Authors: Keywords: DOI: Scientific Paper T. Johnson, F. Bamberg, A. Dierks, H.-C. Becker, M. F. Reiser; Munich/DE
More informationBolus administration of esmolol allows for safe and effective heart rate control during coronary computed tomography angiography
Bolus administration of esmolol allows for safe and effective heart rate control during coronary computed tomography angiography Poster No.: C-1342 Congress: ECR 2013 Type: Scientific Exhibit Authors:
More informationBreast ultrasound appearances after Mammotome vacuumassisted
Breast ultrasound appearances after Mammotome vacuumassisted biopsy. Poster No.: C-1924 Congress: ECR 2011 Type: Educational Exhibit Authors: R. Patel 1, G. R. Kaplan 2 ; 1 London/UK, 2 Herts/UK Keywords:
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 informationBasic low - field MR imaging of meniscal injuries in children.
Basic low - field MR imaging of meniscal injuries in children. Poster No.: C-2365 Congress: ECR 2012 Type: Authors: Keywords: DOI: Scientific Exhibit A. Yakimov, M. Nikonova, E. Prokhorova, D. Vybornov,
More informationPoster No.: P-0101 Congress: ESSR Scientific Exhibit. Authors:
Calcific shoulder tendinitis: outcomes after percutaneous treatment with Ultrasonography-guided needle aspiration of calcific deposits and bursal injection with steroids and local anaesthetics. Award:
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 information