Bone Response to Suture Anchor Classification Training Document

1. Training document for grading
suture anchors
Haseem Raja
Professor Bhatti

2. Proposed grading system by Bhatti and Ahmed

3. Grading system
Grade 0
• Normal high signal T1W
• Uniformly low signal pdfat
sat
Tibia
Cor T1W
Cor Pdfs
Humerus Glenoid
Humerus Glenoid

4. Grading system
Grade 0
• Normal high signal T1W
• Uniformly low signal pdfat
sat
Tibia
Cor T1W
Cor Pdfs

5. Grading system
Grade I
• T1- Normal
• T2 FS/STIR Minimal bony
oedema
Tibia
Cor T1W
Cor Pdfs
Humerus Glenoid
Humerus Glenoid

6. Grading system
Grade 2
• T1- Patchy low
• T2 FS/STIR Mild bony
oedema
Tibia
Cor T1W
Cor Pdfs
Humerus Glenoid
Humerus Glenoid

7. Grading system
Grade 3
• T1- Low
• T2 FS/STIR Bony oedema
and cystic change
Tibia
Cor T1W
Cor Pdfs
Humerus Glenoid
Humerus Glenoid

8. Grading system
Grade 4
• T1- Larger region of low
signal
• T2 FS/STIR Fluid surround
anchor Tibia
Cor T1W
Cor Pdfs
Humerus Glenoid
Humerus Glenoid

9. Significance
Normal
Post surgical
change
Upto 6 months
Potential
unstable

10. Example of Grade 0

11. Example of Grade 1

12. 1st Example of Grade 2

13. 2nd Example of Grade 2

14. Example of Grade 3

15. Example of Grade 4