MRI of the Elbow: Techniques and Spectrum of Disease by Ashvin K. Dewan, A. Bobby Chhabra, A. Jay Khanna, Mark W. Anderson, and Lance M. Brunton J Bone.

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Presentation transcript:

MRI of the Elbow: Techniques and Spectrum of Disease by Ashvin K. Dewan, A. Bobby Chhabra, A. Jay Khanna, Mark W. Anderson, and Lance M. Brunton J Bone Joint Surg Am Volume 95(14):e99 July 17, 2013 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Occult fracture. Ashvin K. Dewan et al. J Bone Joint Surg Am 2013;95:e99 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Bone contusions. Ashvin K. Dewan et al. J Bone Joint Surg Am 2013;95:e99 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Epiphysiolysis (Little Leaguer’s elbow). Ashvin K. Dewan et al. J Bone Joint Surg Am 2013;95:e99 ©2013 by The Journal of Bone and Joint Surgery, Inc.

An axial T2-weighted image shows loose bodies (arrows) in the sigmoid and olecranon fossae. Ashvin K. Dewan et al. J Bone Joint Surg Am 2013;95:e99 ©2013 by The Journal of Bone and Joint Surgery, Inc.

A sagittal view of the same loose bodies (arrows). Ashvin K. Dewan et al. J Bone Joint Surg Am 2013;95:e99 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Complete tear of the UCL. A coronal fat-suppressed T2-weighted image from an MR arthrogram shows discontinuity of the UCL at its distal attachment (arrow) with marrow edema in the sublime tubercle (arrowhead). Ashvin K. Dewan et al. J Bone Joint Surg Am 2013;95:e99 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Partial tear of the UCL. A coronal fat-suppressed T1-weighted arthrogram shows a “T-sign,” with leakage of intra-articular contrast material at the undersurface of the UCL at its distal insertion on the sublime tubercle (arrow). Ashvin K. Dewan et al. J Bone Joint Surg Am 2013;95:e99 ©2013 by The Journal of Bone and Joint Surgery, Inc.

A normal arthrogram. Ashvin K. Dewan et al. J Bone Joint Surg Am 2013;95:e99 ©2013 by The Journal of Bone and Joint Surgery, Inc.

A tear of the lateral bundle of the UCL. An axial fat-suppressed T2-weighted image shows thickening and partial tearing of the lateral bundle of the UCL with adjacent high-signal-intensity edema posterior to the radial head (arrow). Ashvin K. Dewan et al. J Bone Joint Surg Am 2013;95:e99 ©2013 by The Journal of Bone and Joint Surgery, Inc.

A tear of the lateral collateral ligament complex. Ashvin K. Dewan et al. J Bone Joint Surg Am 2013;95:e99 ©2013 by The Journal of Bone and Joint Surgery, Inc.

An axial T2-weighted image shows disruption of the distal aspect of the biceps tendon from its insertion at the radial tuberosity (arrows) and adjacent fluid and soft-tissue edema. Ashvin K. Dewan et al. J Bone Joint Surg Am 2013;95:e99 ©2013 by The Journal of Bone and Joint Surgery, Inc.

A sagittal T2-weighted image shows a completely torn and retracted distal biceps tendon with surrounding high-signal-intensity fluid and soft-tissue edema (arrows). Ashvin K. Dewan et al. J Bone Joint Surg Am 2013;95:e99 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Triceps tendon tear. Ashvin K. Dewan et al. J Bone Joint Surg Am 2013;95:e99 ©2013 by The Journal of Bone and Joint Surgery, Inc.

A coronal gradient-echo T2-weighted image of the right elbow shows prominent partial tearing of the common extensor tendon (arrow) with partial tearing of the underlying radial collateral ligament as well (arrowhead). Ashvin K. Dewan et al. J Bone Joint Surg Am 2013;95:e99 ©2013 by The Journal of Bone and Joint Surgery, Inc.

An axial gradient-echo T2-weighted image (same patient) again shows extensive tearing within the common extensor tendon at its origin (arrow). Ashvin K. Dewan et al. J Bone Joint Surg Am 2013;95:e99 ©2013 by The Journal of Bone and Joint Surgery, Inc.

A coronal T1-weighted image shows abnormal intermediate signal intensity within the common flexor tendon at its origin (arrow). Ashvin K. Dewan et al. J Bone Joint Surg Am 2013;95:e99 ©2013 by The Journal of Bone and Joint Surgery, Inc.

A coronal fat-saturated T2-weighted image reveals focal partial tearing of the tendon (arrow). Ashvin K. Dewan et al. J Bone Joint Surg Am 2013;95:e99 ©2013 by The Journal of Bone and Joint Surgery, Inc.

An axial T1-weighted image of an inflamed olecranon bursa (arrowheads). Ashvin K. Dewan et al. J Bone Joint Surg Am 2013;95:e99 ©2013 by The Journal of Bone and Joint Surgery, Inc.

An axial fat-suppressed T2-weighted image of the same inflamed olecranon bursa. Ashvin K. Dewan et al. J Bone Joint Surg Am 2013;95:e99 ©2013 by The Journal of Bone and Joint Surgery, Inc.

An axial T1-weighted image after the intravenous injection of gadolinium contrast agent shows peripheral enhancement of the inflamed synovium (arrowheads) and no enhancement of the central fluid. Ashvin K. Dewan et al. J Bone Joint Surg Am 2013;95:e99 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Osteochondral lesion of the capitellum. Ashvin K. Dewan et al. J Bone Joint Surg Am 2013;95:e99 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Ulnar neuritis. Ashvin K. Dewan et al. J Bone Joint Surg Am 2013;95:e99 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Denervated muscle from compression neuropathy. Ashvin K. Dewan et al. J Bone Joint Surg Am 2013;95:e99 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Lipoma. Ashvin K. Dewan et al. J Bone Joint Surg Am 2013;95:e99 ©2013 by The Journal of Bone and Joint Surgery, Inc.