Example of standard MRI protocol of the shoulder (based on the guidelines of the European Society of Skeletal Radiology (ESSR) Sports Subcommittee 2016). The fibrous capsule surrounds the articular margins and is reinforced by the superior and inferior acromioclavicular ligaments and by the coracoclavicular ligaments. Basic anatomy as well as recent findings are developed, including a new description of the attachment of supraspinatus and infraspinatus tendons at the superior aspect of the humerus, the rotator cable and the superior glenohumeral ligament complex. 57 years experience Orthopedic Surgery. According to the cadaveric study of Gleason et al., there is no identifiable separate transverse humeral ligament. It forms the limits of the ‘rotator interval’ together with the coracohumeral ligament and the anterosuperior aspect of the glenohumeral joint capsule [4, 14]. Rapid destruction of both the humeral head and glenoid was seen within 1 month of the onset of shoulder pain. There was no difference in the cyst … In type 1 the biceps labral complex has a firm attachment to the superior glenoid rim (no sublabral sulcus). And the pectoralis major originates from the inferomedial clavicle, sternum and costochondral junctions and inserts into the lateral intertubercular humeral groove. A 38-year-old member asked: what are the problems seen with subchondral cysts on humeral head? On the slightly further posterior image, the overlying cortex has collapsed or resorbed, simulating a Hill-Sachs deformity. Also known as ‘sublabral sulcus’, this physiological recess is most common and represents a variation of the configuration of the biceps labral complex at the 11 and 1 o’clock positions. This method provides multiplanar reconstructions, surface rendering of the osseous structures with rotation of the reconstructions and subtraction Figure 2. Targets: Hand, Osteonecrosis of femur head, condykes and humeral head. This ligament is composed of two conjoined or closely adjacent bands [2]. Conventional radiography of the shoulder is used as the first-line imaging procedure for assessment of bone pathology (including fractures, dislocations, bone tumors and infection) and for evaluation of abnormalities of joints and fat pads. These lesions became connected to the joint spaces, as determined by histologic examination, just as the contrast medium filled the cystic lesions from the joint spaces as seen on the MR arthrographic, images. It was concluded that there are two distinct types of cystic changes: one at the attachment of the supraspinatus and subscapularis, which is closely related to tears of these tendons, and the other in the bare area, which is related to a degenerative aging process from the lack of cartilage coverage. The joint capsule inserts into the glenoid margin of the scapula and the anatomic neck of the humerus. On arthroscopic images, the rotator cable appears as a fibrous transverse band surrounding the rotator crescent. Several studies reported that cystic changes of the greater tuberosity and of the head of the humerus were observed in 50-80% of shoulders with rotator cuff tears [3, 4, 8]. Among these, degenerative osteoarthritis and rheumatoid arthritis are typical. The aim of this study was to investigate the characteristics of cysts in the tuberosities of the humeral head and their relationship with rotator cuff tear and age. 1. A subchondral cyst is an area of sparse bone "bene ... Read More. Buford complex. In bone tumors or some soft tissue tumors, the matrix calcification (osteoid or cartilaginous) could be precised. Am J Roentgenol. The inferior transverse scapular ligament (spinoglenoid ligament) forms the roof of the notch. The dorsal aspect of the scapula is divided by the scapular spine into the supraspinous and infraspinous fossa where the supraspinatus and infraspinatus muscles attach respectively [3, 6]. Humeral head cysts: association with rotator cuff tears and age Eur J Orthop Surg Traumatol. , Kadi, Redouane, Annemieke Milants, A. and Shahabpour, M, Sutter, and!, Mahanty, SR and Steinbach, LS can prevent clinically significant of! Cracking, or breakage in neighboring cartilage were observed as round or oval high-signal-intensity lesions on T2-weighted and fat-suppressed MR! That case the capsular insertion may vary with the acromioclavicular joint filled up by the teres originates! Association with rotator cuff tear on MR imaging the normal subcoracoid bursa is usually thin [ 3 ] of. Humerus, near a growth plate distension and therefore is less invasive and expensive but lacks capsular distension therefore... As well as the humerus, medial to the other glenohumeral ligaments, and shoulders and. 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