肩关节损伤mri诊断精品.ppt

* Axial anatomy and checklist Look for an os acromiale. Notice that the supraspinatus tendon is parallel to the axis of the muscle. This is not always the case. Notice that the biceps tendon is attached at the 12 oclock position. The insertion has a variable range. Notice superior labrum and attachment of the superior glenohumeral ligament. At this level look for SLAP-lesions and variants like sublabral foramen.At this level also look for Hill-Sachs lesion on the posterolateral margin of the humeral head. The fibers of the subscapularis tendon hold the biceps tendon within its groove. Study the cartilage. At this level study the middle GHL and the anterior labrum. Look for variants like the Buford complex. Study the cartiage. The concavity at the posterolateral margin of the humeral head should not be mistaken for a Hill Sachs, because this is the normal contour at this level. Hill Sachs lesions are only seen at the level of the coracoid.Anteriorly we are now at the 3-6 oclock position. This is where the Bankart lesion and variants are seen. Notice the fibers of the inferior GHL. At this level also look for Bankart lesions. * * * * * * * * * * * * * Thanks! * * 肩关节解剖与损伤的MRI影像 * * * Axial anatomy and checklist Look for an os acromiale. Notice that the supraspinatus tendon is parallel to the axis of the muscle. This is not always the case. Notice that the biceps tendon is attached at the 12 oclock position. The insertion has a variable range. Notice superior labrum and attachment of the superior glenohumeral ligament. At this level look for SLAP-lesions and variants like sublabral foramen.At this level also look for Hill-Sachs lesion on the posterolateral margin of the humeral head. The fibers of the subscapularis tendon hold the biceps tendon within its groove. Study the cartilage. At this level study the middle GHL and the anterior labrum. Look for variants like the Buford complex. Study th