Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Practice Cases
Worklist 1
13 topics, 1 hr. 7 min.
Wk 1, Case 1, Knee MR - Practice
Wk 1, Case 1, Knee MR - Review pt 1
6 m.Wk 1, Case 1, Knee MR - Review pt 2
3 m.Wk 1, Case 1, Knee MR - Review pt 3
10 m.Wk 1, Case 1, Knee MR - Review pt 4
10 m.Wk 1, Case 2, Knee MR - Practice
Wk 1, Case 2, Knee MR - Review
13 m.Wk 1, Case 3, Knee MR - Practice
Wk 1, Case 3, Knee MR - Review
9 m.Wk 1, Case 4, Knee MR - Practice
Wk 1, Case 4, Knee MR - Review
11 m.Wk 1, Case 5, Knee MR - Practice
Wk 1, Case 5, Knee MR - Review
10 m.Practice Cases
Worklist 2
10 topics, 40 min.
Wk 2, Case 1, Knee MR - Practice
Wk 2, Case 1, Knee MR - Review
18 m.Wk 2, Case 2, Knee MR - Practice
Wk 2, Case 2, Knee MR - Review
6 m.Wk 2, Case 3, Knee MR - Practice
Wk 2, Case 3, Knee MR - Review
3 m.Wk 2, Case 4, Knee MR - Practice
Wk 2, Case 4, Knee MR - Review
9 m.Wk 2, Case 5, Knee MR - Practice
Wk 2, Case 5, Knee MR - Review
6 m.Practice Cases
Worklist 3
10 topics, 53 min.
Wk 3, Case 1, Knee MR - Practice
Wk 3, Case 1, Knee MR - Review
16 m.Wk 3, Case 2, Knee MR - Practice
Wk 3, Case 2, Knee MR - Review
16 m.Wk 3, Case 3, Knee MR - Practice
Wk 3, Case 3, Knee MR - Review
9 m.Wk 3, Case 4, Knee MR - Practice
Wk 3, Case 4, Knee MR - Review
11 m.Wk 3, Case 5, Shoulder MR - Practice
Wk 3, Case 5, Shoulder MR - Review
4 m.Practice Cases
Worklist 4
10 topics, 1 hr. 6 min.
Wk 4, Case 1, Shoulder MR - Practice
Wk 4, Case 1, Shoulder MR - Review
27 m.Wk 4, Case 2, Shoulder MR - Practice
Wk 4, Case 2, Shoulder MR - Review
8 m.Wk 4, Case 3, Shoulder MR - Practice
Wk 4, Case 3, Shoulder MR - Review
17 m.Wk 4, Case 4, Shoulder MR - Practice
Wk 4, Case 4, Shoulder MR - Review
5 m.Wk 4, Case 5, Shoulder MR - Practice
Wk 4, Case 5, Shoulder MR - Review
12 m.Practice Cases
Worklist 5
10 topics, 46 min.
Wk 5, Case 1, Shoulder MR - Practice
Wk 5, Case 1, Shoulder MR - Review
8 m.Wk 5, Case 2, Shoulder MR - Practice
Wk 5, Case 2, Shoulder MR - Review
4 m.Wk 5, Case 3, Shoulder MR - Practice
Wk 5, Case 3, Shoulder MR - Review
19 m.Wk 5, Case 4, Shoulder MR - Practice
Wk 5, Case 4, Shoulder MR - Review
3 m.Wk 5, Case 5, Shoulder MR - Practice
Wk 5, Case 5, Shoulder MR - Review
15 m.Practice Cases
Worklist 6
10 topics, 54 min.
Wk 6, Case 1, Shoulder MR - Practice
Wk 6, Case 1, Shoulder MR - Review
17 m.Wk 6, Case 2, Hip MR - Practice
Wk 6, Case 2, Hip MR - Review
15 m.Wk 6, Case 3, Hip MR - Practice
Wk 6, Case 3, Hip MR - Review
10 m.Wk 6, Case 4, Hip MR - Practice
Wk 6, Case 4, Hip MR - Review
7 m.Wk 6, Case 5, Hip MR - Practice
Wk 6, Case 5, Hip MR - Review
7 m.Practice Cases
Worklist 7
10 topics, 18 min.
Wk 7, Case 1, Hip MR - Practice
Wk 7, Case 1, Hip MR - Review
4 m.Wk 7, Case 2, Hip MR - Practice
Wk 7, Case 2, Hip MR - Review
4 m.Wk 7, Case 3, Hip MR - Practice
Wk 7, Case 3, Hip MR - Review
4 m.Wk 7, Case 4, Hip MR - Practice
Wk 7, Case 4, Hip MR - Review
5 m.Wk 7, Case 5, Hip MR - Practice
Wk 7, Case 5, Hip MR - Review
4 m.Practice Cases
Worklist 8
10 topics, 25 min.
Wk 8, Case 1, Foot/Ankle MR - Practice
Wk 8, Case 1, Foot/Ankle MR - Review
8 m.Wk 8, Case 2, Foot/Ankle MR - Practice
Wk 8, Case 2, Foot/Ankle MR - Review
3 m.Wk 8, Case 3, Foot/Ankle MR - Practice
Wk 8, Case 3, Foot/Ankle MR - Review
4 m.Wk 8, Case 4, Foot/Ankle MR - Practice
Wk 8, Case 4, Foot/Ankle MR - Review
7 m.Wk 8, Case 5, Foot/Ankle MR - Practice
Wk 8, Case 5, Foot/Ankle MR - Review
7 m.Practice Cases
Worklist 9
10 topics, 49 min.
Wk 9, Case 1, Foot/Ankle MR - Practice
Wk 9, Case 1, Foot/Ankle MR - Review
13 m.Wk 9, Case 2, Foot/Ankle MR - Practice
Wk 9, Case 2, Foot/Ankle MR - Review
10 m.Wk 9, Case 3, Foot/Ankle MR - Practice
Wk 9, Case 3, Foot/Ankle MR - Review
8 m.Wk 9, Case 4, Foot/Ankle MR - Practice
Wk 9, Case 4, Foot/Ankle MR - Review
10 m.Wk 9, Case 5, Foot/Ankle MR - Practice
Wk 9, Case 5, Foot/Ankle MR - Review
12 m.Practice Cases
Worklist 10
10 topics, 1 hr. 11 min.
Wk 10, Case 1, Hand/Wrist MR - Practice
Wk 10, Case 1, Hand/Wrist MR - Review
11 m.Wk 10, Case 2, Hand/Wrist MR - Practice
Wk 10, Case 2, Hand/Wrist MR - Review
33 m.Wk 10, Case 3, Hand/Wrist MR - Practice
Wk 10, Case 3, Hand/Wrist MR - Review
7 m.Wk 10, Case 4, Hand/Wrist MR - Practice
Wk 10, Case 4, Hand/Wrist MR - Review
5 m.Wk 10, Case 5, Hand/Wrist MR - Practice
Wk 10, Case 5, Hand/Wrist MR - Review
18 m.Wk 5, Case 3, Shoulder MR - Review
HIDEInteractive Transcript
Report
Patient History
70-year-old male with left shoulder pain and decreased range of motion after fall 2 months ago.
Findings
ROTATOR CUFF: A 5cm x 5cm full-depth, full-length tear of the supraspinatus and infraspinatus with footprint detachment and medial retraction to the level of the AC joint.
Near full-thickness split tear of the superior subscapularis.
SUBACROMIAL/SUBDELTOID BURSA: Diffuse fluid distention of the subacromial/subdeltoid bursa with reactive synovitis and internal debris.
A 1cm ossified body at the subcoracoid bursa.
MUSCLES (ROTATOR CUFF/DELTOID, TRAPEZIUS, PECTORALIS): Grade 3+ fatty infiltration and volumetric atrophy with interstitial delamination of the supraspinatus and infraspinatus. Diffuse reactive edema.
BICEPS TENDON: Dislocation of the arcuate or intraarticular segment of the long head of the biceps tendon with severe interstitial delamination and hematoma formation. Anchor fraying without detachment.
AC JOINT: Moderate to severe osteoarthrosis.
CORACOCLAVICULAR LIGAMENTS: Intact.
SUBACROMIAL ARCH/OUTLET: Thickened coracoacromial ligament. Type 3/hooked acromion.
SUBCORACOID ARCH: Narrowed. No coracoid dysplasia.
GLENOHUMERAL JOINT: Moderate reactive effusion with reactive synovitis and internal debris with ossified bodies. Bare humeral head with craniad decentering and malalignment.
GLENOID LABRUM: Superior labral fraying without displaced labral tears or paralabral cysts.
BONES: Benign-appearing sclerotic lesion or bone island at the glenoid cup. No fracture or dislocations.
SUBCUTANEOUS SOFT TISSUES: Mild diffuse periarticular soft tissue swelling.
AXILLA: No space-occupying lesions.
Impressions
1. Massive rotator cuff tear of the left shoulder.
2. A 5cm x 5cm full-depth and full-length tear with medial retraction of the supraspinatus and infraspinatus; bare humeral head with craniad decentering and glenohumeral malalignment; early rotator cuff arthrosis with abutment of the humeral head at the acromial undersurface.
3. Severe biceps pulley mechanism injury with near full-thickness split tear of the superior subscapularis, derangement of the coracohumeral and transverse ligaments, medial dislocation of the arcuate or intraarticular segment of the long head of the biceps tendon with a prominent interstitial hematoma formation.
4. Moderate glenohumeral joint effusion communicating with a distended subacromial/subdeltoid bursa. Reactive synovitis, internal debris and metaplastic ossified bodies.
Case Discussion
Faculty
Stephen J Pomeranz, MD
Chief Medical Officer, ProScan Imaging. Founder, MRI Online
ProScan Imaging
Gitanjali Bajaj, MD
Assistant Professor
University of Arkansas for Medical Sciences
Edward Smitaman, MD
Clinical Associate Professor
University of California San Diego
Brian Y. Chan, MD
Assistant Professor of Musculoskeletal Radiology
University of Utah
Tags
Shoulder
Musculoskeletal (MSK)
MRI
© 2024 Medality. All Rights Reserved.