Seminars in Musculoskeletal Radiology最新文献

This review offers a comprehensive discussion of magnetic resonance imaging (MRI) for the assessment of rotator cuff tendon repair and joint-preserving surgical options for patients with irreparable rotator cuff tears. Deciding to proceed with arthroscopic repair of a rotator cuff tendon tear is impacted both by clinical factors and morphological imaging features. Preoperative clinical and imaging features also predict the likelihood of success of a rotator cuff tendon repair and are important to recognize. In patients with irreparable rotator cuff tears and relatively preserved glenohumeral cartilage, various joint-preserving surgical options are available and seen increasingly in clinical practice.The acceptable range of postoperative imaging findings correlating with a functionally intact rotator cuff repaired tendon, and MRI findings that are either suggestive of or definitive for rotator cuff tendon repair failure are discussed in detail, with attention to the Sugaya classification. Ancillary features, such as progressive retraction of the myotendinous junction and the degree of muscle fatty atrophy, can be used as problem-solving tools in cases equivocal for rotator cuff retear. Finally, this review discusses in detail the most common joint-preserving treatment options for patients with irreparable rotator cuff tears, including an in-depth focus on superior capsular reconstruction.

Treatment algorithms for anterior glenohumeral instability are evolving. Identification of soft tissue injuries remains important because stand-alone labrum and ligament repairs are a mainstay of primary intervention. Increasingly recognized is the importance of bone lesions, particularly the synergistic effects of bipolar bone loss in the glenoid track model. Accordingly, reporting and measurement of bone lesions is crucial to treatment planning, especially in patients with a failed Bankart repair. This review covers (1) anatomy related to anterior shoulder instability, (2) preoperative imaging assessment of soft tissue injuries, (3) postoperative imaging assessment of soft tissue injuries, (4) imaging techniques for soft tissue injuries, (5) preoperative imaging of bone injuries, and (6) postoperative imaging of bone injuries.

Shoulder arthroplasty procedures have increased over the past few years. Several different arthroplasty options are available for varying indications, such as humeral head resurfacing, hemiarthroplasty, anatomical total shoulder arthroplasty, and reverse total shoulder arthroplasty, with ongoing modifications of prosthesis components and surgical techniques. Arthroplasty complications are encountered from the acute postoperative period to several years postoperatively. This article reviews the more common types of shoulder arthroplasties: their imaging appearances, multimodality imaging assessments for preoperative planning, and complications.

This history page is dedicated to the history of the European Society of Musculoskeletal Radiology (ESSR), a relatively young radiologic society dedicated to musculoskeletal radiology. Since its very modest beginnings in 1993, the society has gradually grown to become one of the largest and most respected subspecialty imaging societies in and beyond Europe.

In this review we discuss the magnetic resonance imaging (MRI) appearance of thumb carpometacarpal (CMC) arthroplasty, both the preoperative evaluation and particularly the postoperative MRI of different surgical options for patients with advanced degenerative disease of the basal joint of the thumb. The first CMC joint is one of the most frequently involved articulations in the hand and wrist in the setting of degenerative osteoarthrosis and certainly a pain generator and important cause of disability due to its significant impact on hand function. It is the most common joint for which surgery is sought in the wrist. Radiologists interpreting imaging studies of patients with first CMC joint arthroplasty must be familiar with the normal and abnormal preoperative appearance of the thumb basal joint. Moreover, knowledge of the normal postoperative MRI findings, as well as the appearance of patterns of failure and complications, is of paramount importance.

Overhead throwing subjects the shoulder and elbow to substantial stresses, resulting in unique injury patterns that need to be recognized to allow appropriate treatment and return to sport. At the elbow, the ulnar collateral ligament (UCL) is the primary static restraint to valgus stress and the most commonly injured structure. UCL reconstruction is the most frequent surgical procedure in throwers and may be performed along with ulnar nerve transposition and flexor-pronator mass procedures. Posteromedial impingement and valgus extension overload syndrome are related entities that result in intra-articular pathology, such as osteophytes or bodies lodged within the olecranon fossa, also warranting excision at the time of UCL reconstruction. Shoulder injuries involve the rotator cuff (partial-thickness articular-sided tear), labrum (superior anteroposterior labral tear), and capsule (glenohumeral internal rotation deficit). Surgical options such as cuff repair, labral debridement or repair, and capsular release or tightening therefore target these structures.

Tendon and ligament disorders are common indications for ankle surgery. Numerous surgeries and related modifications, ranging from simple repairs and debridement to complex reconstructions with tendon transfers or graft, are available. Knowledge of postoperative imaging appearances of common ankle surgeries is critical to identify complications and aid assessment of clinical treatment failure. This comprehensive review article discusses the surgical indications, techniques, imaging appearances, and complications-specifically those related to minimally invasive or arthroscopic surgery-for various ankle and foot conditions. It includes anatomical (Brostrom type) and nonanatomical lateral ligament repairs for ankle instability. Medial compartment procedures are described, such as peroneal tendon and retinacular repairs, as well as treatments for progressive collapsing flatfoot deformity, formerly known as posterior tibial tendon dysfunction or acquired flatfoot deformity. We also examine posterior compartment procedures, focusing on Achilles tendon repairs. Primary imaging modalities covered are magnetic resonance imaging, ultrasound, computed tomography, and radiographs, including expected postoperative appearances and the usefulness of each modality.

Core muscle injuries constitute a significant source of pain and functional impairment among elite athletes. Understanding the anatomy and biomechanics centered at the pubic bone joint is necessary to interpret imaging findings. Dedicated athletic pubalgia magnetic resonance imaging (MRI) plays a crucial role in accurately diagnosing and assessing injuries affecting the pubic plate and associated muscular attachments. Preoperative findings can include harness muscle injury, pubic plate detachment, and/or osteitis pubis. Various surgical approaches are used for core muscle repair, requiring close collaboration with the referring surgeon during the interpretation of postoperative MRI. Although postoperative MRI can indicate healing progress, its primary usefulness lies in detecting new or exacerbated tears that may signify potential reinjury or surgical complications.

Femoroacetabular impingement (FAI) is a significant orthopaedic condition that primarily affects young active adults. It is characterized by abnormal contact between the femoral head and the acetabulum, leading to joint damage and osteoarthritis. This syndrome presents in three forms: pincer, cam, and mixed impingement, each with distinct morphological characteristics that can cause labral tears and cartilage damage. Over the last 20 years, the diagnosis and management of FAI has evolved considerably with advancements in imaging technologies and surgical techniques, especially hip arthroscopy.This article reviews the pathophysiology, diagnostic imaging criteria, surgical treatments, and postoperative outcomes of FAI, providing essential insights for radiologists and surgeons. The importance of early and accurate diagnosis through advanced imaging is emphasized to prevent the progression of FAI and to plan effective surgical interventions aimed at joint preservation. Challenges remain in the postoperative setting, where residual symptoms can require revision surgeries. Future directions in the management of FAI will likely focus on refining imaging protocols and surgical techniques to enhance the success rates of primary procedures and reduce the need for subsequent interventions.