Presentation1.pptx. shoulder joint.

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Transcript of Presentation1.pptx. shoulder joint.

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MRI of the shoulder may be useful to evaluate specific clinical scenarios, including, but not limited to:

1. Prolonged, refractory, or unexplained shoulder pain2. Acute shoulder trauma3. Impingement syndrome: subacromial, subcoracoid, internal4. Glenohumeral instability: chronic, recurrent, subacute, acute dislocation, and subluxation5. Shoulder symptoms in the overhead or throwing athelete6. Mechanical shoulder symptoms: catching, locking, napping, crepitus7. Limited or painful range of motion8. Swelling, enlargement, mass, or atrophy9. Patients for whom diagnostic or therapeutic arthroscopy is planned10. Patients with recurrent, residual, or new symptoms following shoulder surgery

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Items to be evaluated(anatomy and pathology).

Articulating bones.Tendons [ supra & infraspinatus,subscapularis and biceps]Ligaments [ gleno-humeral]Bones [ acromion & A/C joint]Labrium.Bursae.Synovial membrane.Fibrous capsule.Muscles.

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(47%).

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(39%).

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(11 %).

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(3%).

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Tendinopathy of the supra-spinatous tendon.

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Infraspinatous tendon tear.

Rare

Young athletes

Seen in all imaging planes

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Under surface tear of the infraspinatous (ABER).

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Post-traumatic tear of all rotator cuff tendon.

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Bursitis is inflammation of a bursa. When injury or inflammation of a bursa around the shoulder joint occurs, shoulder bursitis is present.

Subacromial (subdeltoid) bursitis.

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Subacromial (subdeltoid) bursitis.

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Prominent subdeltoid bursitis with tendinitis.

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Full-thickness tear of the supra-spinatus tendon. Coronal T1 FS image demonstrating contrast spilling out into the subacromial subdeltoid bursa through a defect in the distal supraspinatus tendon.

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Glenoid Labrum.

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Labrium on MR images.•Anterior and posterior labrium (axial)

• Inferior and superior labrium (coronal)

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Osseous Bankert.

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A large Hill-Sach lesion as seen on a CT arthrogram

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Classification…..by Snyder

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