CSB063 MRI Upper and Lower Limb

Describe the pathology indicated by the arrow (Cor T2 FS).

Supraspinatus tendon tear

Describe the pathology indicated by the arrow (Ax T1 FS - arthrogram).

SLAP tear

Describe the pathology indicated by the arrow (Ax T1).

Bankart lesion

Describe the pathology indicated by the arrow (Cor T1 FS +C).

Osteosarcoma

In an axial shoulder, how should the slices be angled?

Perpendicular to the glenoid surface

In an axial shoulder, what is the scan range?

Above ACJ to below GHJ capsule

In a coronal shoulder, how should the slices be angled?

Parallel to the supraspintus tendon

In a coronal shoulder, what is the scan range?

Coracoid process (anteriorly) to acromion (posteriorly)

In a sagittal shoulder, what is the scan range?

Greater tuberosity (laterally) to past glenoid (medially)

Coracoid process (anteriorly) to acromion (posteriorly)

In a sagittal shoulder, how should the slices be angled?

Parallel to the glenoid surface

In an axial elbow, what is the scan range?

Humeral metaphysis to radial tuberosity

In an axial elbow, how should the slices be angled?

Perpendicular to humeral shaft

In a coronal elbow, how should the slices be angled?

Parallel to the medial and lateral epicondyles

In a sagittal elbow, what is the scan range?

Humeral metaphysis to radial tuberosity

In a sagittal elbow, how should the slices be angled?

Perpendicular to the coronal plane (which is parallel to the medial and lateral epicondyles)

Describe the pathology indicated by the arrow (Sag T2 FS).

Biceps tendonitis

Describe the pathology indicated by the arrow (Cor T2 FS).

Lateral epicondylitis

Describe the pathology indicated by the arrow (Sag PD).

Biceps tendon rupture

Describe the pathology indicated by the arrow (Ax PD FS).

Ulnar nerve inflammation (from cubital tunnel syndrome)

In an axial wrist, what is the scan range?

CMCJ to below DRUJ

In an axial wrist, how should the slices be angled?

Parallel to the DRUJ

In a coronal wrist, what is the scan range?

CMCJ to below DRUJ

In a coronal wrist, how should the slices be angled?

Parallel to ulnar and radial styloids

In a sagittal wrist, what is the scan range?

Skin edge to skin edge

In a sagittal wrist, how should the slices be angled?

Perpendicular to wrist joint

Describe the pathology indicated by the arrow (Cor PD).

TFCC tear

Describe the pathology indicated by the arrow (Cor PD).

Scapholunate ligament tear

Describe the pathology indicated by the arrow (Ax T2 FS).

Dorsal ganglion cyst

Describe the pathology indicated by the arrow (Cor T1).

Lunate AVN

In an axial finger, what is the scan range?

Distal phalanx to MCMJ

In an axial finger, how should the slices be angled?

Parallel to the line of best fit for each IPJ space

In a coronal finger, what is the scan range?

Distal phalanx to MCPJ

In a coronal finger, how should the slices be angled?

Perpendicular to the line of best fit for each IPJ space

In a sagittal finger, what is the scan range?

Distal phalanx to MCPJ

In a sagital finger, how should the slices be angled?

Perpendicular to the line of best fit for each IPJ space

Describe the pathology indicated by the arrow (Sag PD).

Flexor tendon tear

Describe the pathology indicated by the arrow (Sag PD).

Extensor tendon tear

Describe the pathology indicated by the arrow (Sag PD).

UCL tear (Skier’s thumb)

Describe the pathology (Ax T2 FS).

Tenosynovitis

In an axial oblique hip, what is the scan range?

Include entire acetabulum, femoral head and trochanters

In an axial oblique hip, how should the slices be angled?

Parallel to NOF

In a coronal hip, what is the scan range?

ASIS down to below lesser trochanter

In a coronal hip, how are the slices angled?

Parallel to NOF

In a sagittal hip, what is the scan range?

ASIS down to below lesser trochanter

In a sagittal hip, how are the slices angled?

Perpendicular to NOF

Describe the pathology indicated by the arrow (Ax T1 FS).

Labral tear

Describe the pathology indicated by the arrow (Cor T1).

AVN

Describe the pathology (hint: it’s bone) (Ax T1 FS +C).

Osteochondroma

Describe the pathology indicated by the arrow (Cor T2 STIR pelvis).

Trochanteric bursitis

In an axial knee, what is the scan range?

Suprapatellar fat pad to tibial tuberosity

In an axial knee, how should the slices be angled?

Parallel to tibial plateau

In a coronal knee, what is the scan range?

Suprapatellar fat pad to tibial tuberosity

In a coronal knee, how should the slices be angled?

Perpendicular to the tibial plateau and parallel to the femoral condyles I

In a sagittal knee, what is the scan range?

Suprapatellar fat pad to tibial tuberosity

In a sagittal knee, how should the slices be angled?

Perpendicular to tibial plateau and parallel to ACL

Describe the pathology indicated by the arrow (Sag PD).

ACL tear

Describe the pathology indicated by the arrow (Sag PD).

PCL rupture

Describe the pathology indicated by the arrow (Cor PD FS).

MCL tear

Describe the pathology indicated by the arrow (Cor PD FS).

Medial meniscal tear

Describe the pathology indicated by the arrow (Sag PD).

Osteochondritis dissecans

Describe the pathology (Sag T2 FS).

Baker’s cyst

In an axial ankle, what is the scan range?

Distal tib/fib syndesmosis to below ankle soft tissue

In an axial ankle, how should the slices be angled?

Parallel to mortise joint

In a coronal ankle, what is the scan range?

Distal tib/fib syndesmosis to below ankle soft tissue

In a coronal ankle, how should the slices be angled?

Perpendicular to medial and lateral malleoli

In a sagittal ankle, what is the scan range?

Distal tib/fib syndesmosis to below ankle soft tissue

In a sagittal ankle, how should the slices be angled?

Parallel to medial and lateral malleoli

Describe the pathology indicated by the arrow (Ax PD).

Anterior talofibular ligament (ATFL) tear

Describe the pathology indicated by the arrow (Ax PD).

Peroneal brevis tendon tear

Describe the pathology indicated by the arrow (Sag PD).

Achilles rupture

Describe the pathology indicated by the arrow (Cor PD).

Osteochondral defect

Describe the pathology indicated by the arrow (Cor T2 FS).

Osteochondral defect

Describe the pathology indicated by the arrow (Cor T1 FS +C).

Osteomyelitis (focal)