肩袖撕裂的MRI诊断.pdfVIP

Shoulder MRI for Rotator Shoulder MRI for Rotator Cuff Tears Cuff Tears Conor Kleweno, Harvard Medical School Year III Conor Kleweno, Harvard Medical School Year III Gillian Lieberman, MD Gillian Lieberman, MD Conor Kleweno, HMS III Gillian Lieberman, MD Goals of Presentation Goals of Presentation Shoulder anatomy Shoulder anatomy Function of rotator cuff Function of rotator cuff MRI approach to diagnose cuff tear MRI approach to diagnose cuff tear Anatomy on MRI images Anatomy on MRI images Visualize supraspinatus tear on MRI Visualize supraspinatus tear on MRI 2 2 Conor Kleweno, HMS III Gillian Lieberman, MD Our Patient Our Patient 78 yo man with several months of increasing left 78 yo man with several months of increasing left shoulder pain especially with moving arm across shoulder pain especially with moving arm across front of body front of body Physical exam suggestive of rotator cuff tear Physical exam suggestive of rotator cuff tear  Pain limiting range of motion  Pain limiting range of motion  Weakness (especially of external rotation)  Weakness (especially of external rotation) Menu of radiology tests available Menu of radiology tests available  Plain film of shoulder to evaluate for bony anatomy  Plain film of shoulder to evaluate for bony anatomy and joint positioning and joint positioning  MR arthrogram (if think labral tear is involved)  MR arthrogram (if think labral tear is involved)  MRI  MRI 3