Normal anatomy of the shoulder joint through the prism of magnetic resonance imaging

Authors

  • Olena Mikhalchenko
  • Vyacheslav Yevseyenko
  • Igor Zazirniy

DOI:

https://doi.org/10.15674/0030-598720143113-121

Keywords:

shoulder joint, anatomy, radiology, magnetic resonance imaging

Abstract

Magnetic resonance imaging (MRI) is a modern high-tech medical imaging technique which is characterized by the absence of radiation exposure, and is highly effective for the detection of pathology of soft tissue structures of the shoulder joint. Shoulder joint structures in different planes in different types of pulse sequences have differences in the display. Experience of carrying out of such studies in most radiological professionals is slight. In modern orthopedics they use a variety of techniques of arthroscopic treatment of pathology of the shoulder joint and during surgeries they often find its damaged soft tissue structures that are not diagnosed before surgery. Objective: To analyze the imaging features of normal anatomical structures of the shoulder joint in standard MRI procedure. Methods: Based on the analysis of the scientific and methodological literature there was considered the principle of MRI method, its physical properties and peculiarities of the study of the bone-joint system, and compared of anatomical structures of the shoulder joint with their display on the MRI slices in three standard planes in normal condition. Results: There was presented generalized description of the anatomical structures of the shoulder joint in normal condition. There were examined and detailed anatomical features of display on the MRI of certain structures of the shoulder joint in normal condition. Conclusions: The correct MRI conclusion is an important criterion for an accurate preoperative diagnosis, which will allow to apply the appropriate method of treatment, to plan the amount of surgery, and to determine the prognosis of the disease.

References

  1. Dybenko K. A. Human Anatomy / K. A. Dybenko, A. K. Kolomiytseva, Y. B. Tchaikovsky. — Kyiv: [B. W.], 2004. — 276 p.
  2. Dolgopolov O. V. Surgical treatment of rotator cuff injuries: Author. dis. ... Candidate medical sciences: specials. 14.01.21 "Traumatology and Orthopaedics" / O. V. Dolgopolov. — K., 2003. — 26 p.
  3. Sinelnikov R. D. Atlas of Human Anatomy. In 4 volumes / R. D. Sinelnikov, J. R. Sinelnikov. — 7th ed. Redesigned. — M.: Medicine, 1996. — T. 1. — C 82-85, 186-212, 248-263.
  4. A patient's guide to shoulder anatomy [Електронний ресурс] /
  5. ed. P. Kiritsis. — Режим доступу: http://www.kneeandshouldersurgery.com/shoulder-disorders/shoulder-anatomy.html.
  6. An introduction to snow sports injuries and safety [Електронний ресурс] / ed. M. Langran. — Режим доступу: http://www.ski-injury.com/specific-injuries/shoulder.
  7. Arthur E. Athletiс training and sports medicine / E. Arthur, M. Ellison. — NorthMichigan: American academy of orthopedic surgeons, 1991. — P. 189–220.
  8. Assessment and management of the painful shoulder [Електронний ресурс] / J. T. Mazzara. — Режим доступу: http://www.orthoontheweb.com/ shoulder_pain.asp.
  9. Correlation of acromial morphology with impingement syndrome and rotator cuff tears / M. Balke, C. Schmidt, N. Dedy [et al.] // Acta Orthopaedica. — 2013. — Vol. 84 (2). — P. 178–183.
  10. Hirji Z. I. Imaging of the bursae / Z. I. Hirji, J. S. Hunjun, H. N. Choudur // J. Clin. Imaging Sci. — 2011. — Vol. 1. — article 22.
  11. Kwak S. M. Anatomy, anatomic variations, and pathology of the 11- to 3-o'clock position of the glenoid labrum: findings on MR arthrography and anatomic sections / S. M. Kwak, R. R. Brown, D. Resnick // AJR. — 1998. — Vol. 171. — P. 235–238.
  12. McCauley T. R. Normal and abnormal glenoid labrum: assessment with multiplanar gradient-echo MR imaging / T. R. McCauley, C. F. Pope, P. Jokl // Radiology. — 1992. — Vol. 183. — P. 35–37.
  13. Neer C. S. Anterior acrioplasty for chronik impingment syndrom in the shoulder / C. S. Neer // Bone Joint Surg Am. — 1972. — Vol. 54. — P. 41–50.
  14. Normal glenohumeral ligaments and labrum on sagittal mr arthrogram / MyPACS.net: radiology teaching files, case 792523 [Електронний ресурс]. — Режим доступу: http://www.mypacs.net/cases/normal-glenohumeral-ligaments-and-labrum-on-sagittal-mr-arthrogram-792523.html.
  15. Petchprapa C. N. The rotator interval: a review of anatomy, function, and normal and abnormal mri appearance / C. N. Petchprapa, L. S. Beltran, L. M. Jazrawi [et al.] // Am. J. Roentgenology. — 2010. — Vol. 195 (3). — P. 567–576.
  16. Petersilge C. A. Normal regional anatomy of the shoulder / C. A. Petersilge, D. H. Witte, B. O. Sewell // MRI Clin. North. Am. — 1997. — Vol. 5. — P. 667–681.
  17. Schraner A. B. MR imaging of the subcoracoid bursa / A. B. Schraner, N. M. Major // AJR. — 1999. — Vol. 172. — P. 1567–1571.
  18. Stoller D. W. The shoulder / D. W. Stoller, E. M. Wolf // ed. Magnetic resonance imaging in orthopedics and sports medicine / D. W. Stoller. — 2nd ed. — Philadelphia: Lippincott Williams & Wilkins, 1997. — P. 511–633.
  19. Stoller D. W. MRI, arthroscopy, and surgical anatomy of the joints / D. W. Stoller. — Philadelphia: Lippincott-Raven, 1999. — P. 1–132.
  20. Visual representation of the joints and their injuries [Електронний ресурс] / E. S. Buescher, G. M. Weber, E. F. Luckstead [et al.]. — Режим доступу: http://www.jointinjury.com/shoulder/page3.htm.
  21. Williams M. M. The Buford complex — the cordlike middle glenohumeral ligament and absent anterosuperior labrum complex: a normal anatomic capsulolabral variant / M. M. Williams, S. J. Snyder, D. Buford // Arthroscopy. — 1994. — Vol. 10. — P. 241–247.

Downloads

How to Cite

Mikhalchenko, O., Yevseyenko, V., & Zazirniy, I. (2014). Normal anatomy of the shoulder joint through the prism of magnetic resonance imaging. ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (3), 113–121. https://doi.org/10.15674/0030-598720143113-121

Issue

No. 3 (2014)

Section

IN AID OF PRACTING DOCTOR. LECTURES

License

Copyright (c) 2014 Olena Mikhalchenko, Vyacheslav Yevsyeyenko, Igor Zazirniy

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

The authors retain the right of authorship of their manuscript and pass the journal the right of the first publication of this article, which automatically become available from the date of publication under the terms of Creative Commons Attribution License, which allows others to freely distribute the published manuscript with mandatory linking to authors of the original research and the first publication of this one in this journal.

Authors have the right to enter into a separate supplemental agreement on the additional non-exclusive distribution of manuscript in the form in which it was published by the journal (i.e. to put work in electronic storage of an institution or publish as a part of the book) while maintaining the reference to the first publication of the manuscript in this journal.

The editorial policy of the journal allows authors and encourages manuscript accommodation online (i.e. in storage of an institution or on the personal websites) as before submission of the manuscript to the editorial office, and during its editorial processing because it contributes to productive scientific discussion and positively affects the efficiency and dynamics of the published manuscript citation (see The Effect of Open Access).