Role of MRI Imaging in a Series of Cases with Biceps Injuries of the Shoulder
| Autor: | Sunaina Singh, Shalini Singh, Peeyush Kumar Dhagat, N K Yadav, Abhishek Dwivedi |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Rotator cuff injury Clinical Biochemistry Arthroscopy Microtrauma Magnetic resonance imaging General Medicine medicine.disease Biceps 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Scapula 030220 oncology & carcinogenesis Bicipital groove medicine Humerus Radiology business |
| Zdroj: | JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH. |
| ISSN: | 2249-782X |
| Popis: | Dislocation and injury of the biceps is associated with acute and chronic trauma, degenerative changes, repetitive microtrauma, or injuries associated with recurrent and neglected cases of shoulder dislocation. The cases of displaced biceps injuries are relatively rare (only 1/6th of all rotator cuff injuries). The dislocation of biceps is manifested with pain and restriction of movements. The X-ray shoulder is not of much help in this condition barring for ruling out the fractures of humerus and scapula. Ultrasound is an important tool in the dislocation and shows empty bicipital groove which raises the suspicion of the soft tissue injures. Ultrasound is a problem solving tool when the equivocal findings in MRI (Magnetic Resonance Imaging) in other muscular injuries also. MRI is the modality of choice in these conditions. The bone and anatomy is better visualised on the T1WI images and the pathology is better visualised on the PDFS (Proton Density Fat Saturation) and the STIR (Short Tau Inversion Recovery) images. The role of Non Contrast Computed Tomography (NCCT) is important in associated suspicious bony abnormalities as highlighted in the article. The biceps region is a hidden area and challenging on arthroscopy due to poor visualisation of the extra-articular tendon part. MRI study helps the orthopaedicians for better management of the hidden areas. This series highlights the role of each modality in the diagnosis and management of the biceps lesions. |
| Databáze: | OpenAIRE |
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