MRI Case Review: Breaking All the Rules - Adhesive Capsulitis
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- Опубліковано 21 бер 2017
- To learn more, check out the MRI Mastery Series: Shoulder - 26 CME - mrionline.com/p/shoulder-mri/
Don’t let MRI of the shoulder SLAP you around! There is a range of normal variant presentation in this joint capsule, but with some guidance in detecting indirect signs and corollary findings, you can make a lot of headway toward eliminating needless uncertainty in your reporting and confidently giving a well-reasoned differential. Of course, you’ll still face the challenge of describing the findings in the nomenclature preferred by your referring clinicians (but it’s not like you don’t face that every day anyway).
Evaluating ligamentous connections to the rotator cuff and on and off track morphology, connecting the mechanism of injury to the appearance on MR and sorting out acute versus chronic gets easier the more shoulder MR (and shoulder MR arthrography) you see. And what’s up with these interesting but often urgent cases where the patient exhibits inflammation throughout the capsule and a painful “buffet” of apparent (and maybe some not so apparent) pathology?
That’s where we come in. Our Shoulder MRI Mastery series can help you navigate the thought process for efficiently reviewing the available images and constructing your report. The HAGLs and Bufords and ALPSAs and Mumfords, not to mention the dreaded and expanding categories of SLAP lesions, begin to make a lot more sense when you break your read down into a method that can become your go-to routine for evaluation.
Our legacy series (Case Review, Professional and Advanced Orthopaedic and Joint) as well as “Power Packs” provide both the basics and complex findings in variety of formats, each of which contributes to cross-training with enough cases to get you to the next level as a formidable shoulder MR reader.
Shoulder MRI Anatomy & Diagnosis Covered in this Course
Adhesive capsulitis
Anterior labral periosteal sleeve avulsion (ALPSA)
Bankart lesion and bony bankart
Biceps ‘reflection’ pulley
Biceps tendon
Bony humeral avulsion of the glenohumeral ligament (BHAGL)
Buford complex (Variant)
Complex multi directional microinstability
Coracoacromial ligament
Dislocation
Glenohumeral ligaments
Glenoid cartilaginous defect
Glenoid cavity
Glenoid labrum
Glenoid labrum ovoid mass (GLOM) lesion
Hill-Sachs lesion
Humeral avulsion glenohumeral ligament (HAGL)
Humeral head
Impingement
Inferior glenohumeral ligament (IGHL)
Ligamentous injuries
Middle glenohumeral ligament (MGHL)
Posterior labrum periosteal sleeve avulsion (POLPSA)
Reverse humeral avulsion of the glenohumeral ligament (RHAGL)
Rotator cuff interval
Rotator cuff tear
SLAP (superior labrum anterior and posterior) lesions
Superior glenohumeral ligament (SGHL)
Superior labral tear from anterior to posterior (SLAP) lesion
Supraspinatus muscle
Supraspinatus tendon tear
Triceps muscle tear
And much more…
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I've had two frozen shoulders. Ouch. Avg 21 months of pain which no treatment helped in the least bit. The cause seems to be a complete mystery. Time is the cure. Maybe a Nobel Prize for whoever figures it out.
@@harvdog5669 Nothing helped the pain but it didn't really hurt unless I tried to lift my arm or put it behind my back etc, which was excruciating. Impossible to put on a jacket. I'd wake up yelling at night. The first one lasted 24 months. It got steadily worse for 12 months then steadily better for 12. Second one lasted 18 months, peaked at 9 months. They are both normal and fine now (this happened ~8 yrs ago). I went to physical therapy for a couple months and did stretching 45 mins per day during that time and all of that did NOTHING to help. UA-cam is filled with quacks claiming various cures and it's all fake. Personally I think chiropractors are charlatans but I'm a cynic. I haven't heard of this but I wonder if a cortisone shot in the shoulder would relieve the pain? You should ask primary what's the point of xray/mri if there's nothing to fix the problem once diagnosed. I hope I'm not depressing you, your experience may be better than mine and maybe yours will be peaking soon. It's bizarre to me that they seem to have no idea what causes it. My second started at about the 20 month mark of the first but it never got as bad as the first, thankfully. Good luck to you!
gracias Prof.
sir, when u said a lot at 4:05 the images of axial T2Wi barely moved !
Yes. Nothing moved till about 4.20
so when they refer to joint effusion in MRI report where exactly are they referring to?