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MRI SHOULDER
WHAT TO SEE
DR SHEKHAR SRIVASTAV
Sr. Consultant- Knee & Shoulder Arthroscopy

Sant Parmanand Hospital
delhiarthroscopy.com
Normal Anatomy

delhiarthroscopy.com

delhiarthroscopy.com

delhiarthroscopy.com
Normal Shoulder MRI

Coronal Oblique
Sagital Oblique
Axial Cuts
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Normal Coronal Oblique
Parallel to plane of
Supraspinatus
• Supraspinatus
• A-C Joint
• Sub-acromial & Sub-Deltoid

bursa

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• Labrum- Sup & Inf
• Biceps Tendon
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Normal Coronal Oblique

• d

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delhiarthroscopy.com

delhiarthroscopy.com
Normal Coronal Oblique

• Parallels the central tendon of supraspinatus

delhiarthroscopy.com

delhiarthroscopy.com

delhiarthroscopy.com
Normal Sagittal Oblique
Perpendicular to the
plane of Supraspinatus
• Medial to Lateral
• Coraco-acromial arch
• Rotator cuff
• Shape of Acromion
delhiarthroscopy.com

delhiarthroscopy.com
Normal Sagittal Oblique

• a

delhiarthroscopy.com

delhiarthroscopy.com

delhiarthroscopy.com
Normal Axial Cuts

delhiarthroscopy.com

delhiarthroscopy.com
Normal Axial Cuts
• Labrum- Ant & Post
• Gleno-humeral ligament
• Gleno-humeral cartilage
• Biceps Tendon
• Subscapularis & Teres
delhiarthroscopy.com

Minor
delhiarthroscopy.com
Arthrogram
Sequence
• Distension of joints,

crowded structures seen

delhiarthroscopy.com

separately Labrum, G-H

ligaments, biceps anchors
• Partial articular surface RC

tears
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• SLAP tears

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Pathological process Shoulder
• Impingement

• Rotator cuff pathology
• Instability

• Miscellaneous- Biceps, Infection, Adhesive
Capulitis
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Osseous Acromial Outlet

• A-C joint
• Acromion

• Humeral Head
delhiarthroscopy.com

delhiarthroscopy.com
Extrinsic
Impingement
• A-C osteophytes

• Sub-acromial

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Enthesophytes

• Acromion Shape
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delhiarthroscopy.com
Acromion Shape

3 types

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Type1

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Type 2
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delhiarthroscopy.com

Type 3
Rotator Cuff Pathology

• Tendinosis
• Partial thickness Cuff Tears

• Full thickness Cuff Tears

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Tendinosis
• Thickened tendon with
degeneration

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• Intrasubstance
degeneration
• Normal to intermediate
SI changes

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delhiarthroscopy.com
Partial Cuff Tears
Three types
• Articular side- FP, CZ

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• Interstitial
• Bursal side
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delhiarthroscopy.com
Partial RC Tear

• Intrasubstance tear
• Bursal sided RC Tear
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Bursal Tear

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Intra-Substance Tear
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Full thickness RC tears
• Tear extending from bursal to articular surface
• Fluid in SA-SD bursa
• Retraction of tendon

• Muscle undergoes
Atrophy
Degeneration
Fatty Infiltration

delhiarthroscopy.com

delhiarthroscopy.com
Full Thickness RC Tears

• Tendons involved
• Size of the tear- AP & ML plain

delhiarthroscopy.com

delhiarthroscopy.com

delhiarthroscopy.com
Full Thickness RC Tears

• Muscle Atrophy

delhiarthroscopy.com

delhiarthroscopy.com

delhiarthroscopy.com
Instability
Spectrum ranging from subtle instability to frank

dislocation
• Anterior Instability

• Posterior Instability
• SLAP tear
delhiarthroscopy.com
Anterior
Instability
• Bankart Lesion

• Bony Bankart

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• Glenoid Erosion

• Hill Sach s lesion
delhiarthroscopy.com

delhiarthroscopy.com
Anterior Instability

• Bankart Lesion

delhiarthroscopy.com

delhiarthroscopy.com

delhiarthroscopy.com
Anterior Instability

• Bony Bankart

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Bony Bankart

Glenoid Erosion

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Glenoid Erosion
delhiarthroscopy.com
Anterior Instability

• Hill Sach s LesionPostero-Sup aspect

of Humeral Head
delhiarthroscopy.com

delhiarthroscopy.com
Anterior Instability

• Hill Sach s Lesion

delhiarthroscopy.com

delhiarthroscopy.com

delhiarthroscopy.com
Posterior Instability
• Posterior Labral
Lesion
• Reverse Hill Sach s
delhiarthroscopy.com

delhiarthroscopy.com
SLAP Tear
• Superior Labrum

Antero-Posterior
Tear

• Avulsion Biceps
Anchor

delhiarthroscopy.com

delhiarthroscopy.com
SLAP Tear

• Normal Biceps Anchor

delhiarthroscopy.com

delhiarthroscopy.com

delhiarthroscopy.com
SLAP Tear

• Torn labral

delhiarthroscopy.com

delhiarthroscopy.com

delhiarthroscopy.com
Biceps Pathology
• Tendinosis
• Rupture
• Dislocation

delhiarthroscopy.com

delhiarthroscopy.com
delhiarthroscopy.com

delhiarthroscopy.com
Miscellaneous

Osteonecrosis

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• Fractures

Osteonecrosis

delhiarthroscopy.com

Infection
Occult Fractures

delhiarthroscopy.com

delhiarthroscopy.com
• Shoulder is a complex joint with many normal
variants
• Proper clinical examination and probable clinical
diagnosis
• MRI very sensitive test for diagnosing shoulder
problems
• MRI findings should corroborate clinical findings
delhiarthroscopy.com
j

Thank Y
ou
delhiarthroscopy.com
Various lesions seen in Dislocation Shoulder
ALSPA

Perthes Lesion

Chondral Defect

Reverse Hillsachs &
Post Labral tear

delhiarthroscopy.com
Rotator Cuff
• Supraspinatus
• Infraspinatus
• Teres minor
• Subscapularis
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Partial Cuff Tears

• Articular sided cuff tear

delhiarthroscopy.com

delhiarthroscopy.com

delhiarthroscopy.com
Miscellaneous

delhiarthroscopy.com

Infection

delhiarthroscopy.com

Adhesive Capsulitis
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