肩关节MRI英文版课件.ppt

?Rotator Cuff - SSC resists anterior translation - compresses head into glenoid socket ? LH Biceps ? Deltoid? - especially when arm is elevated 90o ? Scapular Rotators? - move glenoid into stable position Anterior instability Dynamic Stabilisers ? Cuff Tears - Present as pain or weakness? - 40 years = 30% - 60 years 80%? ? Increased Rotator Interval - between SS and SSC - tends to open up with AMBRI Anterior instability Muscle ?Bony Bankart Anterior instability (A) Another labral variation is a combination of features of the superior wedge labrum and the anterior wedge labrum. A prominent or large anterior band of the IGL overlaps and may replace a small anterosuperior labrum. Superiorly the labrum has a free central margin and overlaps the glenoid articular cartilage, unlike the firmly attached superior labrum found in the anterior wedge labrum. There are three subtypes of this variant. In the first subtype there is no anterosuperior labrum. The second subtype has a small anterosuperior labrum firmly attached to the glenoid articular cartilage. In a third subtype the superior labrum and the anterior band of the IGL may blend together to form a free margin. This unattached free margin extends from the posterosuperior glenoid to the anteroinferior glenoid without an associated sublabral foramen anterosuperior. (B) Unattached free margin of superior labrum in a combination-type labrum. normal posterior glenoid rim (A) Color axial section of normal posterior glenoid rim (top) compared to severe dysplastic posterior glenoid rim (bottom) with compensatory posterior labral hypertrophy. Axial T1 FSE (B) and axial FS PD FSE (C) images with severe posterior glenoid hypoplasia with thickened glenoid articular cartilage and posterior glenoid labral hypertrophy. Meniscoid labrum Meniscoid labrum with a circumferential free edge. This configuration is rare, and it is unusual to visualize an attached free margin involving the inferior labrum on MR studies. Fluid between the