John Hunter's MSK Teaching File
Interesting MRI Cases from University of Washington Department of Radiology

 
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TABLE OF CONTENTS: Shoulder MRI

Case 1 Greater tuberosity avulsion

Case 2 Supraspinatus hematoma

Case 3 Subscapularis tendon tear

Case 4 AVN and bone infarct

Case 5 Rotator cuff tear: supraspinatus tendon

Case 6 Partial tear,supraspinatus tendon,bursal surface

Case 7 Residuals of posterior dislocation

Case 8 AVN

Case 9 Tear, ant. aspect supraspinatus tendon

Case 10 Bankart lesion

Case 11 Spinoglenoid ganglion

Case 12 Tear, supraspinatus tendon

Case 13 Complete rotator cuff tear

Case 14 Tear, supraspinatus tendon

Case 15 Subscapularis tendon tear, biceps tendon dislocation

Case 16 Greater tuberosity contusion

Case 17 Tear, anterior aspect, supraspinatus tendon

Case 18 Spinoglenoid notch ganglion with infraspinatus atrophy

Case 19 Rotator cuff tear with cuff arthropathy

Case 20 Subscapularis tendon tear

Case 21 Infraspinatus muscle contusion

Case 22 Hill-Sachs lesion from recent anterior shoulder dislocation with partial tear of the supraspinatus tendon

Case 23 Subscapularis tendon disruption, tear of the transverse ligament and dislocation of the biceps tendon into the joint

Case 24 Supraspinatus tear (positive "Larry sign")

Case 25 Presumed synovial osteochondromatosis

Case 26 Partial tear, proximal biceps tendon

Case 27: ALPSA lesion: anterior labroligamentous periosteal sleeve avulsion

Case 28: Occult greater tuberosity fracture

Case 29: Right shoulder: Posterior labral detachment, anterior labral irregularity, intra-articular loose bodies. Left shoulder: Posterior labral detachment (see also Case 30)

Case 30: Posterior labral osteocartliagenous detachment (see also Case 29)

Case 31: Tear of the teres minor with injury to deltoid mimicing "quadrilateral space" syndrome clinically

Case 32: Hill-Sachs deformity and a Bankart variant, a Perthes lesion, with attachment of the detached labrum to the periosteal sleeve of the anterior glenoid

Case 33: Full thickness tear, anterior supraspinatus tendon, with sparing of the mid and posterior aspect

Case 34: Healed Bankart variant (Perthes)

Case 35: Complete tear of the rotator cuff. (AKA positive sign-see Case 24)

Case 36: Postraumatic osteolysis of the distal clavicle with marked enlargement of the tissues around the AC joint with considerable edema and supraspinatus impingement on MR

Case 37: SLAP lesion on MR arthrography, probably a Type II variant

Case 38: Normal glenohumeral ligaments and labrum on sagittal MR Arthrogram

Case 39: SLAP lesion, posterior labral tear, OCD posterior labrum

Case 40: Tear, anterior aspect of supraspinatus tendon with chronic rotator cuff tendonopathy, remaining tendon

Case 41: Supraspinatus tear, subtle tear subscapularis tendon with tear of transverse ligament and dislocation of biceps tendon

Case 42: ALPSA lesion: Anterior labroligamentous perotsteal sleeve avulsion. (see also Case 27)

Case 43: Osteoarthritis of the right sternoclavicular joint, presenting as a possible metastasis in a patient with breast cancer

Case 44: Complete rotator cuff tear with detachment of the labrum (SLAP lesion)

Case 45: Posterior labral detachment on MR arthrography

Case 46: GLAD lesion: glenolabral articular disruption (see Case 48)

Case 47: Full-thickness tear, anterior aspect of the supraspinatus tendon

Case 48: GLAD lesion: glenolabral articular disruption & SLAP II (see Case 46)

Case 49: Anterior paralabral cyst, associated with anterior labral tear

Case 50: HAGL lesion: humeral avulsion of the glenohumeral ligament

Case 51: SLAP lesion, MR arthrography

Case 52: Recurrent posterior labral detachment

Case 53: Osteoarthritis glenohumeral joint with posterior labral cyst

Case 54: MR arthrogram of normal biceps anchor

Case 55: Fraying of the bursal surface of the supraspinatus tendon (partial tear)

Case 56: Post-traumatic osteolysis, distal clavicle

Case 57: Torn, frayed posterior labrum with detachment

Case 58: Posterior paralabral cyst

Case 59: GLAD lesion (see also Case 46 and Case 48)

Case 60: SLAP lesion: bucket-handle tear superior labrum with extension into biceps tendon (not shown) and superior glenohumeral ligament.

Case 61: Tears of supraspinatus and subscapularis tendons

Case 62: Tears of supraspinatus tendon ("Larry")

Case 63: Hill-Sachs deformity, Bankart deformity and posterior labral detachment

Case 64: Posterior labral tear, glenoid articular cartilage disruption

Case 65: Tear, anterior aspect supraspinatus tendon. Glenoid articular cartilage defect consistent with osteoarthritis

Case 66: Paralabral cyst. inferior labrum: the patient presumably has a labral tear since most paralabral cysts are associated with such tears. A small ganglion is another possibility.

Case 67: Posterior labral tear-posterior Bankart lesion

Case 68: Supraspinatus tear-US & MRI

Case 69: SLAP lesion

Case 70: SLAP and GLAD lesions in same shoulder

Case 71: Bankart variant

Case 72: SLAP lesion (superior labrum, anterior posterior)

Normal MR Anatomy: http://www.indyrad.iupui.edu/learning/mriatlasinfo.html




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