Open AccessRotator cuff disorders: How to write a surgically relevant magnetic resonance imaging report?
Author(s) -
Ahmed Tawfik,
Ahmad El-Morsy,
Mohamed Badran
Publication year - 2014
Publication title -
world journal of radiology
Language(s) - English
Resource type - Journals
ISSN - 1949-8470
DOI - 10.4329/wjr.v6.i6.274
Subject(s) - rotator cuff , medicine , magnetic resonance imaging , biceps , tears , subacromial impingement , tendon , impingement syndrome , acromion , radiology , biceps tendon , atrophy , anatomy , surgery , pathology
Evaluation of rotator cuff is a common indication for magnetic resonance imaging (MRI) scanning of the shoulder. Conventional MRI is the most commonly used technique, while magnetic resonance (MR) arthrography is reserved for certain cases. Rotator cuff disorders are thought to be caused by a combination of internal and external mechanisms. A well-structured MRI report should comment on the relevant anatomic structures including the acromial type and orientation, the presence of os acromiale, acromio-clavicular degenerative spurs and fluid in the subacromial subdeltoid bursa. In addition, specific injuries of the rotator cuff tendons and the condition of the long head of biceps should be accurately reported. The size and extent of tendon tears, tendon retraction and fatty degeneration or atrophy of the muscles are all essential components of a surgically relevant MRI report.