Sunday, 30 September 2012

Superior Labral Anteroposterior Tear

TABLE 1 Current Superior Labral Anteroposterior (SLAP) Lesion Classification with Associated Clinical Findings and Mechanisms of Injury
Type Biceps-Labral Complex Extensiona Comments
Snyder et al. [2]


    I Fraying 11-1 Could be incidental finding; more significant in young people involved in overhead activities
    II Tear with biceps extension 11-1 Most common type; association with acute traction, repetitive overhead motion, and microinstability; could be associated with type IV
    III Bucket-handle tear with intact biceps 11-1 Less severe than type IV; association with fall on outstretched arm
    IV Bucket-handle tear with biceps extension 11-1 More severe than type III because of biceps extension; could be associated with type II; association with fall on outstretched arm
Maffet et al. [15]


    V Not specified 11-5 Either a Bankart lesion with superior extension or a SLAP lesion with anterior inferior extension
    VI Anterior or posterior flap tear 11-1 Probably represents type IV or less likely type III with tear of the bucket-handle component
    VII Not specified 11-3 Type of middle glenohumeral ligament extension (avulsion or split) not specified; association with acute trauma with anterior dislocation
Resnick Db


    VIII Not specified 7-1 Similar to type IIB but with more extensive abnormalities; association with acute trauma with posterior dislocation
    IX Not specified 7-5 Global labrum abnormality; probably traumatic event
Beltran Jc


    X Not specified 11-1 + Rotator interval extension; articular side abnormalities
Morgan et al. [21]


    IIA II 11-3 Similar to type X; association with repetitive overhead motion
    IIB II 9-11 Association with infraspinatus tear
    IIC II 9-3 Association with infraspinatus tear
  • a Clock positions.
  • b Unpublished data.
  • c Presented at the annual meeting of the Radiological Society of North America, Chicago, IL, December 2000.

Sunday, 19 August 2012

Cervical Spine

Classic Patterns of Cervical Radiculopathy




Abnormalities
Nerve rootInterspacePain distributionMotorSensoryReflex
C4
C3–C4
Lower neck, trapezius
NA
Cape distribution (i.e., lower neck and upper shoulder girdle)
NA
C5
C4–C5
Neck, shoulder, lateral arm
Deltoid, elbow flexion
Lateral arm
Biceps
C6
C5–C6
Neck, dorsal lateral (radial) arm, thumb
Biceps, wrist extension
Lateral forearm, thumb
Brachioradialis
C7
C6–C7
Neck, dorsal lateral forearm, middle finger
Triceps, wrist flexion
Dorsal forearm, long finger
Triceps
C8
C7-C8
Neck, medial forearm, ulnar digits
Finger flexors
Medial forearm, ulnar digits
NA
T1
C8-T1
Ulnar forearm
Finger intrinsics
Ulnar forearm
NA

NA = not applicable.
Information from references 3 and 4.
 The nerve roots exit above their correspondingly numbered vertebral body from C2-C7. C1 exits between the occiput and atlas, and C8 exits below the C7 vertebral body.
A C4-C5 disc herniation will compress the C5 nerve root
A C5-C6 disc herniation will compress the C6 nerve root
A C6-C7 disc herniation will compress the C7 nerve root
A C7-T1 disc herniation will compress the C8 nerve root
A T1-T2 disc herniation will compress the T1 nerve root

Monday, 2 July 2012

MRI REPORTING CATEGORIES


 A - 3 hrs


CERVICAL  SPINE  

DORSAL SPINE

LUMBAR SPINE

BRAIN - ROUTINE

ABDOMEN -ROUTINE

PELVIS - ROUTINE

ALL CASES WITHOUT SIGNIFICANT FINDINGS



B - 6 hrs


SPINE CONTRAST

BRAIN - CONTRAST

KNEE

HIP

ANKLE

NECK

THORAX -ROUTINE

ABDOMEN ROUTINE

MRA - BRAIN

MRA - NECK NON CONTRAST

ORBIT

PNS








C - 12 hrs

BRACHIAL PLEXUS

LUMBOSACRAL PLEXUS

SHOULDER

ELBOW

WRIST

FOOT

HIP WITH CONTRAST

MRCP

PELVIS FEMALE WITHOUT CONTRAST

PELVIS MALE

UPPER LIMB

LOWER LIMB

MR FISTULOGRAM

MRA - NECK WITH CONTRAST

MRA - AORTA , ILIAC ,FEMORAL

FACE

PHARYNX

TEMPORAL BONE

INFANT BRAIN










D - 24 hrs


ABDOMEN - MASS

LIVER WITH CONTRAST

KIDNEY WITH CONTRAST

PELVIS WITH CONTRAST

WRIST WITH CONTRAST

SHOULDER ARTHROGRAM

MR SPECTROSCOPY

MRS WITH MR PERFUSION

MRA LOWER LIMBS

MRA - RENAL ANGIO

MRA - OTHER AORTIC BRANCHES

MR MAMMOGRAPHY

TEMPOROMANDIBULAR JOINT

HAND , FINGER ,TOE