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Radiology
Magnetic Resonance Imaging of the Shoulder
Built from Fundamentals of Diagnostic Radiology
What’s inside
7 sections · 61 slides
Overview
- Role of shoulder MRI
- Structures MR shoulder evaluates
Anatomy
Rotator cuff and glenoid labrum
- The four rotator cuff muscles
- Rotator cuff muscle tendons
- Supraspinatus tendon and critical zone
- Glenoid labrum
- Normal shoulder anatomy
Rotator Cuff
Imaging technique, degeneration, and tears
- Cause of rotator cuff disease
- Imaging the rotator cuff
- Normal rotator cuff (oblique coronal)
- Shoulder MR technique settings
- MR arthrogram
- Anterior supraspinatus and internal rotation
- Internal rotation hiding a partial tear
- Reading supraspinatus signal
- Tendinosis and myxoid degeneration
- Myxoid degeneration of the supraspinatus
- Myxoid degeneration changes treatment
- Full-thickness tear
- Complete supraspinatus tear
- Partial-thickness tears
- Partial articular-surface cuff tear
- Partial cuff tear
- Rim-rent tear
- Rim-rent tear
Bony Abnormalities
Hill–Sachs lesion
- Bony abnormalities of the humeral head
- Hill–Sachs lesion
Glenoid Labrum
Tears, SLAP lesions, and normal variants
- Labral tears and instability
- Imaging the glenoid labrum
- Normal labrum appearance
- Normal glenoid labrum
- Diagnosing a labral tear
- Torn anterior labrum
- SLAP lesion
- Normal variants that mimic tears
- Labral variants that mimic tears
- Sublabral foramen
- Sublabral recess versus SLAP
- Sublabral recess
Biceps Tendon
Tenosynovitis, tendinosis, tear, and dislocation
- Biceps tendon anatomy and tenosynovitis
- Biceps tendinosis, tear, and dislocation
- Biceps tendinosis
Nerve and Muscle Syndromes
Suprascapular nerve, quadrilateral space, Parsonage–Turner
- Suprascapular nerve course
- Spinoglenoid notch ganglion
- Ganglion in the spinoglenoid notch
- Treating the ganglion
- Fatty atrophy on oblique sagittal images
- Quadrilateral space syndrome
- Borders of the quadrilateral space
- Quadrilateral space syndrome
- Recognizing quadrilateral space syndrome
- Muscle edema pattern
- Parsonage–Turner syndrome
- Parsonage–Turner clinical sequence
- Clinical picture makes it pathognomonic
- Parsonage–Turner facts
- Why Parsonage–Turner was missed
- Summary: key points
- References and suggested readings
- References and suggested readings (continued)
- Brant and Helms' Fundamentals of Diagnostic Radiology